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Part Time Claim Reviewer Jobs (NOW HIRING)

Cotiviti

Professional Dental Claim Specialist II

$34 - $45.75/hr

Review dental claims as assigned by the company. * Authorize or deny claims based on medical ... This is a part-time role with flexible hours approximately 15-20 per week (early morning hours ...

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How much do part time claim reviewer jobs pay per hour?

As of May 31, 2026, the average hourly pay for part time claim reviewer in the United States is $21.05, according to ZipRecruiter salary data. Most workers in this role earn between $18.03 and $22.84 per hour, depending on experience, location, and employer.

What is the difference between Part Time Claim Reviewer vs Full Time Claim Reviewer?

AspectPart Time Claim ReviewerFull Time Claim Reviewer
CredentialsHigh school diploma or equivalent; some roles may require insurance or claims processing certificationsSame as part time, often with additional experience
Work EnvironmentRemote or office-based, flexible hoursTypically full-time, office or remote
Employer & IndustryInsurance companies, government agencies, third-party administratorsSame as part time, with more comprehensive responsibilities
Search & Comparison IntentPart Time Claim Reviewer vs Full Time Claim Reviewer

The main difference between a Part Time Claim Reviewer and a Full Time Claim Reviewer lies in hours worked and sometimes scope of responsibilities. Part time roles offer flexible schedules and fewer hours, while full-time positions require a standard workweek. Both roles typically require similar credentials and are found within insurance and claims processing industries.

More about Part Time Claim Reviewer jobs
What are the most commonly searched types of Claim Reviewer jobs? The most popular types of Claim Reviewer jobs are:
What job categories do people searching Part Time Claim Reviewer jobs look for? The top searched job categories for Part Time Claim Reviewer jobs are:
Part Time Claim Reviewer jobs near you
Infographic showing various Part Time Claim Reviewer job openings in the United States as of May 2026, with employment types broken down into 100% Part Time. Highlights an 67% In-person, and 33% Hybrid job distribution, with an average salary of $43,783 per year, or $21 per hour.
Professional Dental Claim Specialist II

Professional Dental Claim Specialist II

Cotiviti

Remote

$34 - $45.75/hr

Part-time

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired 1 day ago. Applications are no longer accepted.

Cotiviti rating

8.3

Company rating: 8.3 out of 10

Based on 33 frontline employees who took The Breakroom Quiz

37th of 203 rated it services

Job description

Overview
The Dental Claims Specialist reviews claims based on medical necessity, in accordance with client contracts, evaluate appeals, counsel providers, identify providers with aberrant utilization patterns, provide clinical support for provider outreach, and act as a clinical SME (or liaison) for internal entities.
Responsibilities
  • Review dental claims as assigned by the company.
  • Authorize or deny claims based on medical necessity and eligibility, in accordance to contract language after clinical review enters claim status into the system.
  • Evaluate appeals and determine if proper documentation has been obtained to deny or approve claim. Make further recommendations, request additional information, review charts, and make revised or reiterate claim decision.
  • Review initial claims, appealed reviews, and pre-authorizations.
  • Attend and participate in monthly consultant meetings, where claim review, technology, processes, innovations, specific procedure review of both old and new procedure codes, and any other pertinent business associated with the review of claims will be discussed.

This job description is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties, and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and the requirements of the job change.
Qualifications
  • Graduate of an ADA accredited dental school (DDS or DMD).
  • Current and maintained unrestricted dental/dentist licensure in a U.S. state. If a specialist, board certification is preferred.
  • 10 years of clinical dental experience preferred.
  • Knowledge of general dentistry.
  • Efficient computer skills.
  • Organizational and time management skills.
  • Ability to work with a team and independently to complete assigned tasks without supervision.
  • Ability to make independent determinations on all types of dental claims.
  • Excellent written and verbal communication skills.

Job Demands:
  • This is a part-time role with flexible hours approximately 15-20 per week (early morning hours preferred).
  • This role will work from home within the continental United States.
  • Access to high-speed internet is required.
  • After hours and/or weekend work may be required where necessary for major deliverables /deadlines.
  • Must be able to sit and use a computer keyboard for extended periods of time.
  • Must have flexibility and willingness to participate in the work processes of an international organization, including conference calls scheduled to accommodate global time zones.

Mental Requirements:
  • Communicating with others to exchange information.
  • Assessing the accuracy, neatness, and thoroughness of the work assigned.

Physical Requirements and Working Conditions:
  • Must have flexibility and willingness to participate in the work processes of an international organization, including conference calls scheduled to accommodate global time zones.
  • Remaining in a stationary position, often standing or sitting for prolonged periods.
  • Repeating motions that may include the wrists, hands, and/or fingers.
  • Must be able to provide a dedicated, secure work area.
  • Must be able to provide high-speed internet access/connectivity and office setup and maintenance.
  • No adverse environmental conditions expected.

Base compensation ranges from $34.00 to $45.75 per hour. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. This role is eligible for discretionary bonus consideration.
Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page.
Date of posting: 5/21/2026
Applications are assessed on a rolling basis. We anticipate that the application window will close on 7/21/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.
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