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Remote Dental Utilization Review Jobs in Delaware

ChristianaCare

Coding Coordinator IV - (Remote)

Newark, DE · Remote

$32.77 - $52.43/hr

Timely prebill review and audit patient medical records (inpatient primarily) and correctly capture ... Full Medical, Dental, Vision, Life Insurance, etc. * 403(b) with company match. * Generous paid ...

Danaher

Sales Representative Medical Device

Wilmington, DE · On-site +1

$90K - $100K/yr

... be remote, responsible for a territory in and around Pennsylvania, Maryland and Delaware. The ... Conduct annual customer business reviews of top accounts and assist in managing escalated accounts ...

Mantis Innovation

BMS Estimator

Wilmington, DE · On-site +1

$125K - $155K/yr

Review construction drawings, specifications, submittals, and bid packages to determine actual BMS ... Value Engineering Recommendations Working Conditions Work is performed in office, remote, and ...

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Remote Dental Utilization Review information

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.

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

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

What job categories do people searching Remote Dental Utilization Review jobs in Delaware look for?

The top searched job categories for Remote Dental Utilization Review jobs in Delaware are:

What cities in Delaware are hiring for Remote Dental Utilization Review jobs?

Cities in Delaware with the most Remote Dental Utilization Review job openings:

Remote Dental Utilization Review jobs near you

Clinical Admissions Therapist (Delaware)

Charlie Health

Delaware City, DE • Remote

$55K - $67K/yr

Full-time

Re-posted 19 days ago

Charlie Health rating

8.5

Company rating: 8.5 out of 10

Based on 12 frontline employees who took The Breakroom Quiz

Job description

 Why Charlie Health?

Millions of people across the country are navigating mental health conditions, substance use disorders, and eating disorders, but too often, they're met with barriers to care. From limited local options and long wait times to treatment that lacks personalization, behavioral healthcare can leave people feeling unseen and unsupported.

Charlie Health exists to change that. Our mission is to connect the world to life-saving behavioral health treatment. We deliver personalized, virtual care rooted in connection—between clients and clinicians, care teams, loved ones, and the communities that support them. By focusing on people with complex needs, we're expanding access to meaningful care and driving better outcomes from the comfort of home.

As a rapidly growing organization, we're reaching more communities every day and building a team that's redefining what behavioral health treatment can look like. If you're ready to use your skills to drive lasting change and help more people access the care they deserve, we'd love to meet you.

About the Role

Charlie Health is looking for a dynamic individual to serve as Clinical Admissions Therapist. The Clinical Admissions Therapist will be responsible for meeting with clients upon admission, building rapport, completing biopsychosocial assessments, and establishing treatment needs.

We're a mission-driven team working to expand access to life-saving behavioral healthcare for people who need it most. Across all departments, we collaborate to deliver meaningful outcomes and build a more connected, effective model of care. If you're inspired by our mission and excited to help transform the behavioral health landscape, we encourage you to apply.

Responsibilities
  • Demonstrate personable and competent communication skills to develop rapport with clients and referral sources
  • Present programming information in a thorough and supportive manner to help clients gain access to care
  • Complete virtual biopsychosocial assessments for a wide range of ages, including children, teens, young adults, and adults with various mental health concerns 
  • Determine appropriateness and fit for virtual intensive outpatient program (IOP) level of care 
  • Construct provisional mental health diagnoses utilizing DSM-V criteria 
  • Document client information in accordance with regulatory standards using electronic medical record  
  • Assign treatment team members and group schedules while informing staff of new admissions
  • Interface with Admissions, Verification of Benefits, Utilization Review, and Clinical teams in facilitating intake  
  • Collaborate with referral sources: hospitals, treatment centers, psychiatrists, therapists, and other behavioral health providers upon admission
  • Looking to cover the following shifts to meet the schedules and needs of our clients:
    • Mornings and Afternoons - Must be available 11am - 7pm MT
    • Afternoons and Evenings - Must be available 12pm - 8pm MT
    • Weekends encouraged
    • Will consider alternative availability on individual basis
  • Work authorized in the United States and native or bilingual English proficiency
  • Strong communication and interpersonal skills
  • Access to reliable technology resources to deliver uninterrupted, confidential, and compliant telehealth services
  • Ability to thrive in fast-paced environment while maintaining high attention to detail and quality of care
Requirements
  • Experience working with a wide range of ages, including children, teens, young adults, and adults preferred
  • Experience completing behavioral health assessments and admissions preferred
  • Independent licensure in a mental health field required
  • An independent license is preferred, but we're happy to work with associate-level clinicians who are eager to grow and work toward full licensure.
Benefits

Charlie Health is pleased to offer comprehensive benefits to all full-time, exempt employees. Read more about our benefits here.

Additional Information

Note to Colorado applicants: applications will be accepted and reviewed on a rolling basis

The expected base pay for this role will be between $55,000 and $67,500 per year at the commencement of employment. However, base pay will be determined on an individualized basis and will be impacted by location and years of experience. Further, base pay is only part of the total compensation package, which, depending on the position, may also include incentive compensation, discretionary bonuses, other short and long-term incentive packages, and other Charlie Health-sponsored benefits.#li-remote

Based on the nature of this role, you will need to complete several state background checks for clearance to see clients. Florida requires a fingerprint based background check, with more information found here. Please note that the cost for this background check will be paid for in full by Charlie Health.

Our Values
  • Connection: Care deeply & inspire hope.
  • Congruence: Stay curious & heed the evidence.
  • Commitment: Act with urgency & don't give up.

Please do not call our public clinical admissions line in regard to this or any other job posting.

Please be cautious of potential recruitment fraud. If you are interested in exploring opportunities at Charlie Health, please go directly to our Careers Page: https://www.charliehealth.com/careers/current-openings. Charlie Health will never ask you to pay a fee or download software as part of the interview process with our company. In addition, Charlie Health will not ask for your personal banking information until you have signed an offer of employment and completed onboarding paperwork that is provided by our People Operations team. All communications with Charlie Health Talent and People Operations professionals will only be sent from @charliehealth.com email addresses. Legitimate emails will never originate from gmail.com, yahoo.com, or other commercial email services.

Recruiting agencies, please do not submit unsolicited referrals for this or any open role. We have a roster of agencies with whom we partner, and we will not pay any fee associated with unsolicited referrals.

At Charlie Health, we value being an Equal Opportunity Employer. We strive to cultivate an environment where individuals can be their authentic selves. Being an Equal Opportunity Employer means every member of our team feels as though they are supported and belong. We value diverse perspectives to help us provide essential mental health and substance use disorder treatments to all young people.

Charlie Health applicants are assessed solely on their qualifications for the role, without regard to disability or need for accommodation.

By clicking "Submit application" below, you agree to Charlie Health's Privacy Policy and Terms of Service.

By submitting your application, you agree to receive SMS messages from Charlie Health regarding your application. Message and data rates may apply. Message frequency varies. You can reply STOP to opt out at any time. For help, reply HELP.

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