The Role
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.
