Physician Reviewer
Blank StreetPart Time
Expert & Leadership (9+ years)
Candidates must possess a DDS or DMD from an accredited dental school and have a minimum of 5 years of clinical experience. Prior claims review experience of at least 2 years is strongly preferred, along with an active, unrestricted dental license. Proficiency with CDT codes and dental procedures is required, as are strong computer skills and comfort with remote platforms like Zoom. Excellent written and verbal communication skills are also necessary.
The Dental Consultant will authorize or deny predeterminations and claims by reviewing radiographs and supporting documentation, utilizing Overjet's dental AI technology. They will evaluate appeals, request additional information, make revised claim decisions, and communicate outcomes to dentists and plan members. The role also involves participating in training and calibration sessions and providing feedback to improve claims review accuracy and productivity.
AI for dental care and claims
Overjet.ai focuses on enhancing oral health through artificial intelligence solutions tailored for the dental industry. The company offers two main products: the Clinical Intelligence Platform and the Claim Intelligence Platform. The Clinical Intelligence Platform assists dental providers by integrating AI insights from dental radiographs with patient and treatment data, which helps improve clinical performance and patient outcomes. Meanwhile, the Claim Intelligence Platform aids insurance companies by analyzing radiographic claims to streamline the claims review process, allowing for quicker approvals and enabling examiners to concentrate on more complex claims. Overjet.ai distinguishes itself from competitors by specifically targeting the dental sector and providing tailored solutions that enhance both clinical care and administrative efficiency. The company's goal is to create a future where dental care is more precise, efficient, and centered around patient needs.