K. Matthew Gernhofer
Experienced dentist/dental consultant in the Medicare Advantage appeals and grievances space
- Role
- Subcontractor- Dental Appeals Reviewer at Devoted Health
- Location
- Chicago, IL, US
- LinkedIn followers
- 500 followers
About K. Matthew Gernhofer
18 years of clinical experience providing high quality dental care to patients in…
Experience
Subcontractor- Dental Appeals Reviewer
May 2024 — Present · Boston, MA, US
Review radiographs and other dental records to determine the medical necessity of pre-authorizations for dental procedures•Utilize experience and knowledge to either uphold or overturn initial denials by dental insurance vendors•Contact the member\'s dental office to obtain any additional documentation needed for a final decision•Assist the dental director with responding to IRE cases
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