Dental Consultant- General Dentist

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

Requirements

D.D.S. or D.M.D. from an accredited dental school; Minimum of 5 years of clinical experience; 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; US-based with licensure required

Nice to have

Prior claims review experience (2+ years)