Job Description:
• Authorize or deny predeterminations and claims by reviewing radiographs and/or other supporting documentation, in accordance with member plan benefits and with support from Overjet’s dental AI technology
• Evaluate appeals, request additional information, make revised claim decisions and make further recommendations
• Communicate claim review outcomes to participating Dentists and plan members
• Participate in training and calibration sessions and provide regular feedback to improve productivity and accuracy of claims review
Requirements:
• D.D.S. or D.M.D. from an accredited dental school.
• Board certification in Oral and Maxillofacial Surgery.
• Minimum of 5 years of clinical experience.
• Prior claims review experience strongly preferred (2+ years).
• Active, unrestricted dental license.
• Proficiency with CDT codes and dental procedures.
• Strong computer skills and comfort with remote platforms (e.g., Zoom).
• Excellent written and verbal communication skills.
Benefits:
• Remote
• Part-time 1099 Contractor
• 15-20 hours per week
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