About The Position

Overjet is the world-leader in dental AI, providing a platform for dental providers and insurers to improve oral health. The company is seeking talented individuals to join their mission. Overjet is a fast-growing company where employees can accelerate their careers. 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. As a Board-Certified Orthodontist, you will apply clinical expertise to review insurance claims for medical necessity and eligibility, process appeals, and confer with providers, utilizing Overjet's dental AI technology to support decision-making.

Requirements

  • D.D.S. or D.M.D. from an accredited dental school.
  • Board certification in Orthodontics.
  • 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.
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