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Remote Dental Utilization Review Jobs (NOW HIRING)

Dane Street, LLC

Utilization Review Physician

Remote work from home * Full-time, Monday-Friday * Availability for occasional weekends and holiday ... We offer a range of benefits including medical, dental, and vision coverage for you and your family.

R1

Utilization Review Author-Remote

$65K - $96K/yr

The Utilization Review Specialist will be part of our Physician Advisory Team providing first level initial admission and continued stay case reviews. The Utilization Review Specialist will determine ...

Mindful Health

Utilization Review Specialist

$25 - $30/hr

Utilization Review Specialist Mindful Health is a fast-growing company with the goal of providing ... Comprehensive medical and supplemental health insurance, including vision, dental, life insurance ...

Bracane Co

Utilization Review Nurse

Plano, TX · Remote

***REMOTE - Candidates must be based in Texas: Austin area - Travis/Williamson Counties or Richardson ... This position is responsible for performing initial, concurrent review activities; discharge care ...

ERC Pathlight

Utilization Review Manager

Denver, CO · On-site +1

$93K - $117K/yr

This position is posted as remote; however, per company policy, candidates residing within a ... We offer competitive compensation; comprehensive medical, dental, and vision coverage; generous ...

Umpqua Health

Utilization Review Nurse

Roseburg, OR · On-site +1

$85K - $105K/yr

UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR ... Medical, dental, and vision insurance * 401(k) with company match (fully vested immediately)

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Remote Dental Utilization Review information

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How much do remote dental utilization review jobs pay per hour?

As of Jun 14, 2026, the average hourly pay for remote dental utilization review in the United States is $31.94, according to ZipRecruiter salary data. Most workers in this role earn between $22.36 and $40.62 per hour, depending on experience, location, and employer.

What is the difference between Remote Dental Utilization Review vs Remote Dental Claims Examiner?

AspectRemote Dental Utilization ReviewRemote Dental Claims Examiner
CredentialsDental background, certifications in utilization reviewDental coding, claims processing certifications
Work EnvironmentRemote, review-focusedRemote, claims processing
Industry UsageInsurance companies, healthcare providersInsurance companies, third-party administrators

Remote Dental Utilization Review professionals focus on evaluating the necessity and appropriateness of dental services, often requiring clinical knowledge and utilization review certifications. In contrast, Remote Dental Claims Examiners primarily process and adjudicate dental insurance claims, emphasizing coding and claims knowledge. Both roles are remote and serve the dental insurance industry, but their core responsibilities and required credentials differ.

What are the typical challenges faced by a Remote Dental Utilization Review specialist and how can they be managed?

Remote Dental Utilization Review specialists often encounter challenges such as interpreting complex dental claims without direct patient interaction, staying updated with continually evolving dental coding and insurance policies, and effectively communicating findings with both providers and insurance teams. Managing these challenges requires strong attention to detail, continuous professional development through training, and leveraging secure digital communication tools to collaborate with other team members. Building organizational skills and seeking feedback from peers can also help in efficiently handling a high volume of cases while maintaining accuracy.

What is a Remote Dental Utilization Review job?

A Remote Dental Utilization Review job involves evaluating dental claims and treatment plans submitted by dentists to ensure that they are necessary, appropriate, and in line with insurance policies and clinical guidelines. Professionals in this role, often dental hygienists or dentists, work from home to review documentation and make determinations about coverage or reimbursement. They may also communicate with providers for additional information and help prevent fraud or unnecessary procedures. This job requires knowledge of dental terminology, insurance processes, and strong attention to detail.

Do remote dental billers need a home office?

Remote dental billers typically need a dedicated home office space with reliable internet and computer equipment to perform billing tasks efficiently. A quiet, organized environment helps ensure accuracy and productivity while working remotely.

How to become a utilization reviewer?

To become a remote dental utilization reviewer, candidates typically need a dental or healthcare background, such as a dental assistant, hygienist, or dental office staff, along with knowledge of insurance policies and medical coding. Relevant certifications like the Certified Professional Coder (CPC) or dental-specific credentials can enhance prospects. Strong attention to detail, analytical skills, and familiarity with review software are also important for success in this role.

What are the key skills and qualifications needed to thrive as a Remote Dental Utilization Review Specialist, and why are they important?

To thrive as a Remote Dental Utilization Review Specialist, you need a solid background in dental hygiene or dentistry, typically supported by a dental degree or RDH license, and experience in clinical or insurance review settings. Familiarity with dental coding systems (such as CDT codes), electronic health records, and utilization review software is crucial. Strong analytical skills, attention to detail, effective communication, and the ability to work independently are standout soft skills for this role. These competencies ensure accurate claim assessments, regulatory compliance, and clear communication between providers, insurers, and patients.

What are some remote dental jobs?

Remote dental jobs include roles such as dental utilization review specialists, where professionals assess insurance claims and treatment plans remotely. These positions often require knowledge of dental procedures, insurance policies, and relevant certifications, and they typically involve working with digital records and communication tools from home.

What is the highest paying job in dental?

In dental, the highest paying roles are typically specialized practitioners such as oral and maxillofacial surgeons, who often earn the highest salaries due to their advanced training and surgical expertise. These professionals usually require additional certifications and perform complex procedures, often working in private practices or hospitals. General dentists and dental specialists like orthodontists also earn high salaries but generally less than oral surgeons.
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What states have the most Remote Dental Utilization Review jobs? States with the most job openings for Remote Dental Utilization Review jobs include:
What job categories do people searching Remote Dental Utilization Review jobs look for? The top searched job categories for Remote Dental Utilization Review jobs are:
Remote Dental Utilization Review jobs near you

Utilization Review Specialist

Cutting Edge Staffing LLC

Pompano Beach, FL • Remote

Full-time

Posted 8 days ago

Job description

Exciting Opportunity with Banyan Treatment Centers!

We are seeking a Utilization Review Specialist to join our corporate team in Pompano Beach, FL. The position is responsible for contacting external case managers and managed care organizations for pre-authorization and concurrent reviews for the duration of a patient’s treatment stay. They also establish and maintain contracts with managed care companies and requests rate increases when deemed appropriate.

Position Details:
  • Reports To: Director of Utilization Review
  • Schedule: Full-Time, Weekdays (Weekend availability as needed).
  • Location: Remote
Key Responsibilities:

  • Manage a caseload of 50–75 patients and authorize 15–25 cases daily, ensuring timely utilization reviews and appropriate level of care.

  • Verify insurance benefits, coordinate authorizations, and communicate effectively with managed care providers.

  • Conduct admission and continuing-stay reviews to assess medical necessity and ensure compliance with treatment standards.

  • Collaborate with clinical and billing departments to support discharge planning, documentation, and timely reimbursement.

  • Identify and address over/underutilization trends and assist in resolving outstanding case issues with insurers.

Requirements:
  • High School diploma or equivalent; graduate degree in a health or behavioral health related field preferred.
  • Minimum of one-year experience working in a utilization review position (psychiatric or chemical dependency).
    Why Join Banyan Treatment Centers?

    This is more than a job, it’s a chance to be a vital part of what recovery looks like after treatment. As a Utilization Review Specialist, you’ll help ensure that each client leaves treatment with a clear plan, strong connections, and the resources they need to continue their recovery journey with confidence.

    • Join a Mission-Driven, Nationally Recognized Organization: We’re accredited by the Joint Commission and backed by TPG’s Rise Fund, with 18 locations and Telehealth services nationwide.
    • Champion the Continuum of Care: Be a key player in ensuring clients transition successfully from treatment into long-term recovery supports.
    • Work in Partnership: Collaborate with clinical, operational, and business development teams, as well as families and external partners, to make sure no detail is missed.
    • Enjoy Comprehensive Benefits: Including medical, vision, and dental insurance; whole and term life insurance; short- and long-term disability coverage; 401(k) with employer match; paid time off and holidays; and wellness, assistance, and referral programs.
    Apply Now!

    If you're passionate about building bridges to lasting recovery and ensuring every patient has a plan beyond our doors, apply today and help us continue making a difference at Banyan Treatment Centers.

    We are an Equal Opportunity Employer and welcome applicants of all backgrounds. We encourage veterans, active-duty military, and first responders to apply in support of our First Responders Program.