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Remote Dental Utilization Review Jobs (NOW HIRING)

Gateway Rehab

Utilization Review Liaison - REMOTE

... utilization reviews, and collaborating with clinical teams and insurance providers to support treatment coverage and reimbursement. This position is fully remote and offers the opportunity to make a ...

Sentara Healthcare

UTILIZATION REVIEW NURSE

Norfolk, VA · On-site +1

Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility ... For positions that are available as remote work, Sentara Health employs associates in the following ...

Emory Healthcare

Utilization Review Specialist

Atlanta, GA · Remote

$47.40 - $54.95/hr

The Utilization Review (UR) Specialist is a Registered Nurse responsible for conducting thorough ... Work Type: This position is a remote position outside traditional office, often from home or ...

New

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 ...

silvercross

Utilization Review Nurse

$34.73 - $45.15/hr

Days, Primarily remote; onsite orientation requirement; weekend and holiday rotation; on site ... Medical, Dental and Vision plans Life Insurance Flexible Spending Account Other voluntary benefit ...

Cobalt Benefits Group

Utilization Review Nurse

Utilization Review Nurse Join our team at Cobalt Benefits Group and start an exciting new career in ... Fantastic medical, dental, and vision insurance* * Twice annual employer HSA contributions ...

Charlie Health

Utilization Review Specialist

Nashville, TN · Remote

$62K - $70K/yr

Knowledge of utilization review processes, medical necessity criteria, and healthcare regulations ... REMOTE Please note that this role is not available to candidates in Alaska, Maine, Washington DC ...

Slate Healthcare

RN - Utilization Review

Job Title In this remote role, you will perform utilization reviews, ensuring compliance with ... Benefits Weekly Pay, Referral Bonus, Medical benefits, Dental benefits, Vision benefits, 401K ...

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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 Sep 15, 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 a remote dental utilization review specialist?

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.

What are the key skills and qualifications needed to thrive as a remote dental utilization review specialist?

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 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 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.

More about Remote Dental Utilization Review jobs

What cities are hiring for Remote Dental Utilization Review jobs?

Cities with the most Remote Dental Utilization Review job openings:

What are the most commonly searched types of Dental Utilization Review jobs?

The most popular types of Dental Utilization Review jobs are:

What states have the most Remote Dental Utilization Review jobs?

States with the most job openings for Remote Dental Utilization Review jobs include:

What are popular job titles related to Remote Dental Utilization Review jobs?

For Remote Dental Utilization Review jobs, the most frequently searched job titles are:

Infographic showing various Remote Dental Utilization Review job openings in the United States as of September 2026, with employment types broken down into 93% Full Time, and 7% Contract. Highlights an 100% Remote job distribution, with an average salary of $66,436 per year, or $31.9 per hour.

Utilization Review Liaison - REMOTE

Remote

Gateway Rehab
Health Care and Social Assistance • 501 - 1,000 employees
Learn more about Gateway Rehabexternal

Full-time

Medical

Posted 13 days ago

Job description

Job Type
Full-time
Description
Gateway Rehab Center (GRC) is hiring a full-time Utilization Review Liaison! In this important administrative and clinical support role, you will help ensure patients receive the appropriate level of care by coordinating authorizations, conducting utilization reviews, and collaborating with clinical teams and insurance providers to support treatment coverage and reimbursement. This position is fully remote and offers the opportunity to make a meaningful impact on patient access to care from your home office. To be considered for the position, you must live within the Pittsburgh, PA area or surrounding counties.
If you're detail-oriented, organized, and enjoy working at the intersection of patient care, insurance, and healthcare operations, keep reading!
Why You'll Love Working at GRC
  • Mission-driven work supporting individuals and families impacted by addiction.
  • Opportunity to play a vital role in ensuring access to treatment services.
  • Collaborative environment working alongside clinical, admissions, and billing teams.
  • Meaningful work that helps patients receive the care they need throughout their recovery journey.
  • Comprehensive benefits package, including contribution toward the medical insurance plan of your choice: Highmark or UPMC, plus access to employee discount programs and additional supportive benefits!

Why This Role is Important to SUD Treatment
GRC's Utilization Review team is changing lives, and as a Utilization Review Liaison, you'll be at the forefront of this effort. By securing and maintaining treatment authorizations, monitoring coverage, and advocating for continued care when needed, you help remove barriers to treatment and ensure patients have access to critical recovery services. Your work directly supports quality patient care, treatment continuity, and organizational success. This is more than an administrative role. It's an opportunity to make a lasting impact on recovery every day.
Responsibilities:
  • Gather clinical information needed for concurrent and retrospective reviews.
  • Complete concurrent and retrospective review processes with payors for treatment authorization.
  • Collaborate with utilization review team members and clinical staff to prepare for reviews and maintain daily workflow.
  • Enter authorization information into the patient database.
  • Communicate authorization status updates to clinical staff.
  • Monitor patients' last covered day of treatment and notify appropriate staff of upcoming coverage expirations.
  • Investigate and resolve issues involving incomplete or missing authorizations.
  • Identify errors that could negatively impact reimbursement for patient treatment.
  • Collaborate with multiple departments to ensure continuity of treatment coverage.
  • Educate clinical and support staff regarding county-funded, managed care, and commercial insurance procedures.
  • Complete peer-to-peer reviews as needed.
  • Communicate discharge information to funding sources when required.
  • Coordinate with clinical teams to ensure funding sources are notified of patient status changes.
  • Investigate denied claims and assist in efforts to recover payment for services rendered.
  • Attend managed care provider meetings as needed.
  • Participate in required GRC trainings and in-service programs.

What You Bring
  • Strong understanding of utilization review, insurance authorization processes, and managed care practices.
  • Excellent verbal and written communication skills.
  • Strong organizational skills and attention to detail.
  • Ability to manage multiple priorities in a fast-paced environment.
  • General understanding of ASAM Criteria.
  • Familiarity with substance use disorder, mental health, and behavioral healthcare treatment services.
  • Strong problem-solving and critical-thinking abilities.
  • Proficiency in Microsoft Office applications, including Word, Excel, and email systems

Requirements
What Do We Require?
  • Bachelor's degree.
  • Familiarity with drug and alcohol treatment, mental health treatment, and/or managed care processes.
  • Proficiency with computer systems and Microsoft Office applications.

Preferred Qualifications
  • Master's degree.
  • Registered Nurse (RN) with current Pennsylvania licensure.
  • Previous experience with utilization review, managed care, insurance authorizations, or healthcare reimbursement processes.

Additional Requirements
  • Pass a PA Criminal Background Check.
  • Obtain PA Child Abuse and FBI Fingerprinting Clearances.
  • Pass a Drug Screen.
  • Complete a 2-Step TB Test.

What Are the Work Conditions?
  • Remote.
  • Prolonged periods of sitting and working on a computer.
  • Minimal physical demands.
  • Significant attention to detail required.
  • Mental demands include problem-solving complex coverage issues, analyzing authorization requirements, and coordinating information across multiple departments.

GRC is an Equal Opportunity Employer committed to diversity, equity, inclusion, and belonging. We value diverse voices and lived experiences that strengthen our mission and impact.

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