About The Position

Overjet is the world-leader in dental AI, providing a platform used by thousands of dental providers and insurers to deliver optimal care. The company is seeking talented individuals to join its mission of improving oral health for all. Overjet offers a dynamic environment for career acceleration, where employees contribute to building new products, partnerships, content, and AI technology. The role involves complementing Overjet's dental AI review services by providing licensed dental claims review for insurers through a nationwide network of dental consultants. This position requires applying clinical expertise to review insurance claims based on medical necessity and eligibility, processing claim appeals, and conferring with providers. The claims review work will be supported by Overjet’s industry-leading dental AI technology.

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.

Nice To Haves

  • Prior claims review experience strongly preferred (2+ years).

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

Benefits

  • Compensation and benefits information for Colorado residents available upon request via email.
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