Dental Consultant – Oral Surgeon
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Job Description
Part-time Oral Surgeon reviewing dental insurance claims and appeals for insurers. Applying clinical expertise and Overjet’s dental AI technology to support claim decisions.
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
- Provide regular feedback to improve productivity and accuracy of claims review
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
- Prior claims review experience strongly preferred (2+ years)
- Active, unrestricted dental license in the state of Florida
- Proficiency with CDT codes and dental procedures
- Strong computer skills and comfort with remote platforms (e.g., Zoom)
- Excellent written and verbal communication skills
Benefits:
- Remote work arrangement
- Flexible part-time schedule of 5–10 hours per week
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