СШАDental Consultant- General Dentist
6 дн. назад
СШАRemote
Apply clinical expertise to review dental insurance claims using AI technology, authorize or deny claims, and communicate decisions to providers and plan members.
Обязанности
- Complementing our dental AI review services, 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 ’s industry-leading dental AI technology to support your decision making.
- Authorize or deny predeterminations and claims by reviewing radiographs and/or other supporting documentation, in accordance with member plan benefits and with support from ’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
Требования
- D.D.S. or D.M.D. from an accredited dental school.
- Minimum of 5 years of clinical experience.
- Prior claims review experience strongly preferred (2+ years).
- 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.
Другое
- is the world-leader in dental AI. Already, thousands of dental providers and insurers rely on our platform to deliver the best possible care. Now, we’re looking for talented people to fulfill our mission: improve oral health for all.
- is where builders become leaders. Everyone here loves to make new things: new products, new partnerships, new content, and a new category of AI technology. And as grows ridiculously fast, so will you.
- Simply put, there’s no better place to accelerate your career. Come join us!
- Location: Remote
- Type: Part-time/Full-time, 1099 Contractor
- Hours: 30+hours per week
- Excellence: Aim Higher
- Velocity: Quickly Deliver Results
- Ownership: Go the Extra Mile
- Win-win: Care Deeply
- Honored as one of the 2025 Best Places to Work by Built In and 2024 Best Places to Work by Built In
- #4 on FastCompanys's Most Innovative Companies list in Healthcare for 2026
- Named one of the TIME Best Inventions of 2024
- Recognized in Newsweek ’s Most Loved Workplaces in America 2024
- Won the Dental Health category at the Digital Health Awards 2024 and 2024 Best Places to Work by Built In
- Recognized as one of the Top Startups of 2023 by LinkedIn
- Included on the definitive 2022 Forbes AI 50
- Featured in Bloomberg , Forbes , Fast Company , and TechCrunch