About The Position

Overjet provides licensed dental claims review for insurers through a nationwide network of dental consultants. In this part-time, remote contractor role, you will apply your clinical expertise as a Board-Certified Oral Surgeon to review insurance claims for medical necessity and eligibility, process claim appeals, and confer with providers. You will use Overjet’s dental AI technology to support your decision-making. The position requires an active, unrestricted Florida dental license and is expected to take 5–10 hours per week.

Requirements

  • D.D.S. or D.M.D. from an accredited dental school.
  • Board certification in Oral and Maxillofacial Surgery.
  • Minimum of 5 years of clinical experience.
  • Active, unrestricted dental license in Florida.
  • Proficiency with CDT codes and dental procedures.
  • Strong computer skills and comfort with remote platforms such as 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, with support from Overjet’s dental AI technology.
  • Evaluate appeals, request additional information, make revised claim decisions, and provide further recommendations.
  • Communicate claim review outcomes to participating dentists and plan members.
  • Participate in training and calibration sessions and provide regular feedback to improve claims review productivity and accuracy.

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What This Job Offers

Job Type

Part-time

Career Level

Senior

Education Level

Ph.D. or professional degree

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