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Remote Dental Claim Reviewer Jobs in Rio Rancho, NM

... and water claim settlements, housing improvement, disaster relief, replacement and repair of ... Remote work (with a preference that the candidates conduct their duties in the offices at either ...

Our benefits include physical and mental health, dental, vision, 401(k) with a match, 16 weeks ... Such requests will be subject to review and approval by the Company, and exemptions will be granted ...

Call Centre Agent

Albuquerque, NM · Remote

$19 - $19.90/hr

Remote (Local to State of New Mexico) Expected Duration: 12+ months contract (with possible ... review customer inquiries. · Research information using multiple systems. · Relay research ...

New

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Remote Dental Claim Reviewer information

See Rio Rancho, NM salary details

$32.9K

$82.6K

$130.7K

How much do remote dental claim reviewer jobs pay per year?

As of Aug 14, 2026, the average yearly pay for remote dental claim reviewer in Rio Rancho, NM is $82,643.00, according to ZipRecruiter salary data. Most workers in this role earn between $64,000.00 and $98,800.00 per year, depending on experience, location, and employer.

What does a remote dental claim reviewer do?

A typical workday for a Remote Dental Claim Reviewer involves reviewing dental insurance claims, verifying the accuracy of submitted information, and ensuring compliance with policy guidelines. You’ll spend much of your time analyzing patient records, coordinating with dental offices to resolve discrepancies, and documenting claim decisions in specialized software. Collaboration with other reviewers and quality assurance teams is common to ensure consistency and accuracy. While the work is largely independent, you may participate in regular virtual meetings and training sessions to stay current with policy updates and industry standards.

What is a remote dental claim reviewer?

A Remote Dental Claim Reviewer evaluates dental insurance claims to determine coverage eligibility and ensure accuracy based on policy guidelines. They review documentation, such as X-rays and treatment notes, to verify procedures and identify potential fraud or coding errors. This role requires knowledge of dental terminology, coding (such as CDT codes), and insurance policies. Typically, the job is performed from home using secure access to claim processing systems.

What are the key skills and qualifications needed to thrive as a remote dental claim reviewer?

To thrive as a Remote Dental Claim Reviewer, you need a solid understanding of dental terminology, insurance policies, and claim processing, often supported by experience in dental billing or dental assisting. Familiarity with dental claims management software such as Dentrix, Eaglesoft, or payer-specific online portals is typically required, and certification such as Certified Dental Coder (CDC) can be a plus. Strong attention to detail, analytical thinking, and effective written communication skills help set candidates apart when evaluating complex claims and corresponding with providers. These capabilities are crucial for ensuring accurate claim adjudication, minimizing errors, and maintaining a high standard of service for both patients and insurance carriers.

What are popular job titles related to Remote Dental Claim Reviewer jobs in Rio Rancho, NM?

For Remote Dental Claim Reviewer jobs in Rio Rancho, NM, the most frequently searched job titles are:

What job categories do people searching Remote Dental Claim Reviewer jobs in Rio Rancho, NM look for?

The top searched job categories for Remote Dental Claim Reviewer jobs in Rio Rancho, NM are:

Psychologist with PSYPACT Authority- Remote

Ria Health

Albuquerque, NM • On-site, Remote

Full-time

Medical, Dental, Vision, PTO

Posted 19 days ago


Job description

Description
ABOUT RIA HEALTH
Ria Health, recognized as the leading national telehealth provider specializing in alcohol use disorder (AUD) treatment, recently raised $12.5 million through a Series B financing led by Peloton Equity. Our existing investors SV Health, BPEA and SOSV also participated in the Series B. Ria Health will enable patients to achieve long term success in reducing or eliminating their alcohol consumption, and live healthier and happier lives. We are seeking a Psychologist to join our rapidly growing team. Ria Health, recognized as the leading national telehealth provider specializing in alcohol use disorder (AUD) treatment, recently raised $18 million in Series A led by SV Health Investors, LLC. The investment will further the momentum of commercial partnerships that include regional and national health plans, including Anthem Blue Cross Blue Shield, UnitedHealth Group Optum, Beacon Health Options, Highmark Health, and Magellan Health.
ROLE OVERVIEW
Ria Health is seeking a full-time Licensed Psychologist with PSYPACT authority to provide telepsychology services within our virtual care model.
This role is fully remote and embedded within a collaborative, interdisciplinary care team. The psychologist will deliver evidence-based psychotherapy, support patient outcomes, and contribute to a high-quality, patient-centered care experience.
CA license preferred but not required.
REQUIREMENTS
  • Licensed Clinical Psychologist (PhD or PsyD) at the independent practice level
  • Active PSYPACT authorization to practice telepsychology across participating states (E.Passport required)
  • 3-5+ years of experience delivering evidence-based psychotherapy (CBT, MI, trauma-informed care)
  • Experience treating alcohol use disorder, depression, and anxiety
  • Experience working with older adults (65+) and individuals with co-occurring medical conditions preferred
  • Experience with Medicare/Medicaid populations preferred
  • Strong comfort with telehealth platforms, EMR systems, and virtual care delivery
  • Ability to work collaboratively in a multidisciplinary team environment

PRINCIPAL DUTIES & RESPONSIBILITIES
  • Conduct psychological and psychosocial assessments
  • Develop, implement, and adjust individualized treatment plans
  • Deliver evidence-based psychotherapy for AUD and co-occurring conditions
  • Lead the psychological aspects of patient care within an interdisciplinary team
  • Coordinate care internally and with external providers
  • Conduct risk assessments and provide crisis intervention as needed
  • Monitor patient progress and adjust care plans accordingly
  • Participate in weekly case review rounds and team meetings
  • Maintain timely and accurate clinical documentation
  • Ensure compliance with clinical, regulatory, and company standards

ADDITIONAL RESPONSIBILITIES
  • Communicate with patients via phone, secure messaging, and video
  • Support patient engagement and continuity of care
  • Collaborate with clinical, product, and coaching teams
  • Participate in training and ongoing professional development
  • Maintain compliance with HIPAA, CFR 42 Part 2, and all applicable regulations

WORK ENVIRONMENT & EXPECTATIONS
  • Fully remote, full-time position
  • Must maintain a private, secure workspace suitable for telehealth sessions
  • Reliable high-speed internet required
  • Participation in team meetings, rounds, and collaborative workflows

BENEFITS & PERKS
  • Become part of a mission-driven team delivering innovative, next-generation care for alcohol use disorder
  • Grow professionally within a rapidly scaling tech-enabled healthcare organization
  • Competitive compensation packages
  • Comprehensive medical, dental, and vision insurance
  • Paid time off (PTO) that supports work-life balance
  • Remote position
  • Ongoing telehealth training, development, and learning opportunities

EQUAL EMPLOYMENT OPPORTUNITY
Ria Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
Ria Health Vision:
A world with accessible, compassionate, and effective treatments to reduce the burden of all those who suffer from Alcohol Use Disorder.
Ria Health Mission:
We combine medical science, technology, and human compassion to deliver private, evidence-based, telehealth alcohol treatment programs for anyone who wants to drink less and live better.
Ria Health Values:
Compassion - we promote a culture of empathetic care and communication. We actively listen, we always encourage, and we provide support.
Integrity - We are honest, open, ethical, and fair. We hold ourselves accountable when we make mistakes.
Teamwork - working together, we will achieve great things.
Embrace Change - we work to drive improvement over perfection, measuring and questioning the status quo to make progress and enhancement.
Always Learning - We celebrate curiosity and discovery through development and research.