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Sarah Jenkins
Remote Dental Claims Reviewer jobs in the United States
Job type
Min. salary, $/year
Level
The healthcare industry across the USA continues to expand, creating steady demand for professionals who can review and process claims accurately. Employers are currently filling 500+ remote dental claims reviewer jobs, reflecting the growing need for skilled specialists in this field. This role offers a flexible, work-from-home opportunity for detail-oriented individuals ready to support insurance accuracy nationwide.
Successful candidates bring strong analytical skills, a solid understanding of dental terminology, coding systems such as CDT, and insurance policy guidelines. Attention to detail, excellent communication, and the ability to navigate review software are essential for identifying discrepancies and ensuring timely, accurate processing. Employers seeking to hire a dental claims reviewer often look for candidates who combine technical knowledge with strong organizational habits and a commitment to compliance standards.
Remote work has become the standard arrangement for dental claims reviewer positions throughout the USA, allowing professionals to collaborate with insurance providers and clinical offices from virtually anywhere. Companies increasingly favor distributed teams, which has expanded hiring outlooks and created more flexible schedules for experienced reviewers. This shift reflects a broader trend toward digital processing systems and remote-friendly healthcare administration roles nationwide.
If you're ready to advance your career in healthcare administration, exploring current dental claims reviewer vacancies is a great place to start. Global Work AI connects motivated professionals with employers seeking reliable, detail-driven talent for remote opportunities across the country. Take the next step toward a rewarding role today.
Mass General Brigham
Evaluate claims submitted by healthcare providers and patients, ensuring proper coding and documentation. Analyze diagnosis codes (ICD-10) and procedure codes (CPT) for accuracy. Conduct audits of medical claims for compliance with billing regulations and payer policies.
remote, United States$36k – $51k/yrFull TimeJunior (<2 years)
Dental Care Alliance
Manage the credentialing process for providers, ensuring timely completion of applications. Serve as a contact for insurance payor relationships, resolving credentialing issues. Ensure compliance with regulations and maintain accurate records of credentialing activities.
remote, United StatesFull TimeLead / Manager
Cotiviti
Support the accuracy and maintenance of dental payment policy sets by reviewing change requests and recommending updates. Conduct analyses of payer policy and clinical standards, and assist in preparing payment policy documents for client presentation.
remote, United States$78k – $106k/yrFull TimeJunior (<2 years)
BlueCross BlueShield of South Carolina
Perform medical reviews using clinical information and established guidelines. Document decisions and provide support for medical claims and utilization practices. Educate staff on medical reviews and participate in quality control activities.
remote, United StatesFull TimeJunior (<2 years)
Liberty Dental Plan Careers
Recruit and retain General Dentists and Specialists to meet network adequacy. Analyze provider networks for recruitment needs and develop strategic plans. Negotiate contracts and fee schedules, support providers with claims issues, and conduct orientations.
remote, United States$80k – $95k/yrFull TimeMiddle (2-4 years)
UnitedHealth Group
Conduct coverage reviews based on member plan benefits and coverage review policies, rendering coverage determinations. Document clinical review findings and engage in peer-to-peer discussions with providers.
remote, United States$249k – $373k/yrFull TimeDirector
Dane Street, LLC
Conduct comprehensive reviews of dental records, clinical examinations, diagnostic imaging, and treatment plans. Evaluate medical necessity and appropriateness of dental services, prepare clinical summaries, and respond to client inquiries.
remote, TX, United StatesFull TimeSenior (5+ years)
Devoted Health
Perform first-level clinical reviews of dental claims and pre-treatment estimates, ensuring compliance with clinical guidelines. Evaluate radiographs and treatment records, document findings in claims systems, and apply ADA CDT coding.
remote, United States$58k – $75k/yrFull TimeSenior (5+ years)
MICHIGAN PEER REVIEW ORGANIZATION
Conduct objective peer reviews of clinical cases, determining medical necessity and quality of care. Ensure decisions align with current standards of practice and submit reviews using provided IT systems in a timely manner.
remote, United StatesFull TimeSenior (5+ years)
MedPro Group
Manage claims and lawsuits against policyholders, confirming coverage and resolving coverage issues. Select and manage legal counsel, oversee litigation costs, and post reserves for losses. Negotiate settlements and provide service to insureds while assisting in sales and retention efforts.
remote, United States$80k – $150k/yrFull TimeSenior (5+ years)
Gainwell Technologies LLC
Coordinate and perform appeal-related duties, including analyzing and responding to provider appeals. Review documentation to ensure all aspects of the appeal are addressed accurately. Prepare case files and summaries for hearings, and participate in virtual and on-site hearings.
remote, United States$69k – $99k/yrFull TimeSenior (5+ years)Liberty Dental Plan Careers
Coordinate dental wellness education, conduct oral health screenings, and support outreach initiatives. Provide education on dental benefits and best practices, build relationships with community organizations, and assist members in navigating dental services.
remote, NY, United States$68k – $100k/yrFull TimeJunior (<2 years)
Overjet
Review and authorize or deny dental claims based on radiographs and documentation, utilizing Overjet’s dental AI technology. Evaluate appeals, request additional information, and communicate outcomes to dentists and plan members.
remote, FL, United StatesFull TimeSenior (5+ years)
SmartLight Analytics
Analyze hospital claims and itemized bills for accuracy, identifying billing errors and DRG misassignments. Review high-cost claims to detect overpayments and negotiate adjustments with claims administrators. Prepare documentation to support claim adjustments and track disputes through resolution.
remote, Plano, TX, United StatesFull TimeSenior (5+ years)
Guardian Life Insurance
Manage day-to-day operations for key account leasing relationships, serving as the primary contact for partner coordination and issue resolution. Develop provider communications, coordinate audits and compliance activities, and maintain operational records.
remote, United States$59k – $89k/yrFull TimeMiddle (2-4 years)
Metro Public Adjustment
Conduct property inspections to identify damage covered by insurance, review and interpret insurance policies for clients, provide service and communication throughout the claims process, and complete necessary paperwork to support claims efficiently.
remote, OH, United StatesPart TimeJunior (<2 years)
HealthMinds Consulting Private Limited
Lead the identification and substantiation of promotional claims, ensuring compliance with regulatory standards. Manage the MLR workflow, including submission and approval processes, while mentoring junior reviewers.
remote, United StatesFull TimeSenior (5+ years)
Avesis
Oversee Claims Supervisors and processing staff, ensuring timely and accurate claims processing. Lead workflow oversight, error reduction initiatives, and execution of claim payment procedures.
remote, United States$74k – $145k/yrFull TimeLead / Manager
Group SSI
Conduct audits of dental records, x-rays, and treatment plans to ensure compliance with CDT, ICD-10-CM, and CPT/HCPCS codes. Identify billing errors and provide training as needed. Generate summary reports of findings and recommend corrective actions.
remote, United StatesFull TimeSenior (5+ years)Cotiviti
Perform daily audits on client data for coding accuracy and completeness, ensuring appropriateness for reimbursement. Respond to provider appeals and client educational needs, monitor acceptance rates, and provide feedback to management.
remote, United States$40k – $50k/yrFull TimeMiddle (2-4 years)
Triton Medical Solutions
Manage dental insurance accounts receivable, investigate outstanding claims, and resolve billing issues. Follow up with insurance providers regarding claim status and discrepancies. Review and interpret Explanation of Benefits (EOBs) and maintain organized documentation of account records.
remote, United StatesPart TimeMiddle (2-4 years)
Resourceful Talent Group
Verify medical insurance coverage for dental procedures, contact insurance companies for benefits confirmation, assist with medical billing codes and claims processing, and maintain accurate HIPAA-compliant records while collaborating with the dental billing team.
remote, United StatesFull TimeJunior (<2 years)
SKYGEN
Manage daily work plans and distribute tasks to ensure timely client turnaround for claims. Provide second tier support to data entry processors and manage specialized workflows for client requests. Ensure reporting is reviewed and open issues are resolved prior to claim payment.
remote, United StatesPart TimeJunior (<2 years)
Counterpart
Conduct thorough investigations into coverage, liability, and damages for assigned claims. Manage claims to ensure timely and cost-effective resolutions. Collaborate with internal teams and external partners, directing assignments to experts and outside counsel.
remote, United States$120k – $160k/yrFull TimeLead / Manager
Delta Dental of Michigan
Recruit and retain dentists in Delta Dental networks, logging all contacts in SalesForce. Visit dentists to explain programs and resolve claims issues. Analyze competitor data to support recruitment efforts.
remote, MI, United StatesFull TimeJunior (<2 years)Liberty Dental Plan Careers
Process dental claims, pre-authorizations, and referral requests according to established guidelines. Review claims for eligibility and coverage, ensuring accurate data entry in claims systems. Communicate with providers and members regarding claim statuses and resolve discrepancies.
remote, United States$40k – $44k/yrFull TimeJunior (<2 years)
HelpSquad, LLC
Support U.S.-based dental offices and orthodontic practices by managing front desk operations, scheduling appointments, verifying insurance, and handling dental billing. Coordinate patient communications and assist with treatment plans and follow-ups.
remote, United StatesFull TimeJunior (<2 years)
Elsevier
Review AI-generated content on dental and head/neck anatomy, oral pathology, and other dental topics. Apply structured evaluation metrics to assess accuracy and clinical relevance. Provide expert feedback to enhance educational value for dental hygiene learners.
remote, United States$111k/yrPart TimeJunior (<2 years)
Osmosis
Collaborate with multidisciplinary teams to create and curate content on emerging medical technologies. Review and assess the impact of technologies on medical practice and patient care. Provide feedback throughout the content development cycle and ensure content accuracy.
remote, United States$91k – $111k/yrPart TimeJunior (<2 years)
North American Dental Group
Process dental claims for payment, ensuring timely coding, billing, and collections. Perform manual and electronic posting functions, cash balancing, and reconciliation. Handle follow-up and collections, including phone calls and accessing payer websites.
remote, United StatesFull TimeMiddle (2-4 years)
CoventBridge Integrity Systems
Conduct clinical reviews of medical records for fraud investigations and program integrity initiatives. Analyze claims history and provider files to detect fraudulent billing practices.
remote, OH, United States$78k – $85k/yrFull TimeMiddle (2-4 years)The Smile Institute
Verify dental insurance eligibility and benefits, process and post Explanation of Benefits (EOBs), manage accounts receivable, follow up on unpaid or denied claims, and resolve discrepancies. Maintain accurate patient accounts and billing records while communicating effectively with the office team.
remote, NJ, United StatesPart TimeJunior (<2 years)
Vector Outsourcing Solutions Phils. Inc.
Create and submit accurate dental insurance claims to ensure maximum reimbursement. Track and manage the status of insurance claims, including appealing and correcting rejected claims.
remote, United States$4k – $7k/yrFull TimeJunior (<2 years)
Ameritas
Evaluate and authorize complex claims dispositions. Analyze medical records and financial documents, and initiate medical reviews and examinations. Correspond with policyholders, attorneys, and medical facilities, and collaborate with Legal and Medical/Underwriting departments.
remote, United StatesFull TimeSenior (5+ years)
CorVel Corporation
Manage non-complex medical only Workers’ Compensation claims, confirming policy coverage and claim acknowledgment. Determine claim validity and compensability, establish reserves, and authorize payments.
remote, United States$34k – $54k/yrFull TimeJunior (<2 years)
Treantly
Review and verify patient insurance information using CareStack, contact insurance providers for eligibility and benefits, and follow up on outstanding claims. Resolve billing discrepancies, maintain accurate patient records, and assist with appointment scheduling and patient recalls.
remote, United StatesPart TimeJunior (<2 years)Gainwell Technologies LLC
Perform clinical reviews of medical records to assess medical necessity and appropriateness of care. Document review decisions and rationale, determine approvals, and process consultant decisions.
remote, United States$78k – $88k/yrFull TimeSenior (5+ years)
Nobility LLC
Manage the dental billing process, including submitting and tracking insurance claims, posting payments, and reconciling accounts. Resolve claim denials and billing discrepancies while addressing outstanding claims and aged receivables.
remote, AL, United StatesFull TimeSenior (5+ years)
Crawford & Company
Administers non-complex short term claims, conducting investigations to confirm coverage and determine liability. Verifies policy coverage, establishes reserve requirements, and approves payments of medical bills.
remote, Boise, ID, United StatesFull TimeJunior (<2 years)Overjet
Review and authorize or deny dental claims based on radiographs and documentation, utilizing Overjet’s dental AI technology. Evaluate appeals, request additional information, and communicate outcomes to dentists and plan members.
remote, United StatesFull TimeSenior (5+ years)10,000,000+ more jobs available!
