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.
• 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:
• 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.
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