Overview
Employer Industry: Independent Review Organization (IRO) specializing in Utilization Review (UR) services
Why consider this job opportunity
- Competitive compensation paid per case, with an average case taking only 15-20 minutes
- Flexible scheduling allows you to set your own availability and case volume
- 100% remote work opportunity providing maximum flexibility
- Comprehensive onboarding and continuous support from the employer
- No administrative burden, as the employer handles all case setup and communication
- Opportunity to contribute to high-quality, evidence-based dental care decisions
Responsibilities
- Conduct Utilization Reviews to assess the medical necessity of requested dental treatments and procedures
- Review prior authorization and appeal cases in accordance with clinical guidelines and standards of care
- Provide objective, evidence-based written determinations regarding dental cases
- Utilize the employer's secure, user-friendly online platform for case management
- Maintain an advisory role without direct patient care or in-person evaluations
Qualifications
- Board Certification in a dental specialty (e.g., Oral Surgery, Endodontics)
- Active, unrestricted New York Dental License
- Current or recent engagement in clinical practice
- Strong analytical skills alongside excellent written communication abilities
- Familiarity with evidence-based guidelines and electronic dental records
Preferred Qualifications
- Experience in reviewing dental cases or prior authorization processes
- Familiarity with various dental procedures and treatment plans
- Previous experience working remotely in a similar role
- Additional certifications or training in dental specialties
Tags
- #IndependentReview
- #UtilizationReview
- #DentalSpecialists
- #RemoteWork
- #FlexibleSchedule
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