The Role
Complementing our dental AI review services, Overjet provides licensed dental claims review for insurers through our nationwide network of dental consultants. As part of this team, you will apply your clinical expertise to review insurance claims based on medical necessity and eligibility, process claim appeals, and confer with providers. Your claims review work will utilize Overjet’s industry-leading dental AI technology to support your decision making.
Responsibilities
- 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
Qualifications
- D.D.S. or D.M.D. from an accredited dental school
- 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
Position Details
- Location: Remote
- Type: Part-time/Full time, 1099 Contractor
- Hours: 30+ hours per week
Overjet\'s Values
- Excellence: We set ambitious goals and strive for excellence.
- Velocity: We focus, act with urgency, and deliver results.
- Ownership: We take ownership, dive deep and solve problems.
- Win-win: We play to win, setting ourselves and our customers up for success.
- Growth: We stay curious, seek feedback, and continuously learn and grow.
EEOC
Overjet is an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. We believe diversity enriches our team so we hire people with a wide range of identities, backgrounds, and experiences. Even if you don\'t meet 100% of the qualifications for this job, we strongly encourage you to apply!
If you are a Colorado resident: Please contact us by emailing to receive compensation and benefits information for this role. Please include the job title in the subject line of the email.
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