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Remote Dental Utilization Review Jobs in Silver Spring, MD

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Remote Dental Utilization Review information

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$16

$33

$55

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

As of Aug 31, 2026, the average hourly pay for remote dental utilization review in Silver Spring, MD is $33.02, according to ZipRecruiter salary data. Most workers in this role earn between $23.12 and $42.02 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.

What are the most commonly searched types of Dental Utilization Review jobs in Silver Spring, MD?

The most popular types of Dental Utilization Review jobs in Silver Spring, MD are:

What are popular job titles related to Remote Dental Utilization Review jobs in Silver Spring, MD?

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

What job categories do people searching Remote Dental Utilization Review jobs in Silver Spring, MD look for?

The top searched job categories for Remote Dental Utilization Review jobs in Silver Spring, MD are:

What cities near Silver Spring, MD are hiring for Remote Dental Utilization Review jobs?

Cities near Silver Spring, MD with the most Remote Dental Utilization Review job openings:

Remote Dental Utilization Review jobs near you

Utilization Review, RN Flex

University of Maryland Medical System

Towson, MD • Remote

Full-time

Posted 12 days ago

Job description

Job Requirements
  • Weekend only position. 
  • 4 - eight hour weekend shifts a month required. 
  • At least 1 major holiday required.
  • Only serious applicants should apply. 
  • Recent UR / MCG experience.
  • Most of the training will be remote however you will be required to start onsite

A Utilization Review (UR) Nurse is a registered nurse who bridges the gap between healthcare providers and insurance companies. They evaluate patient medical records to ensure treatments, procedures, and hospital stays are clinically necessary, cost-effective, and meet established insurance guidelines.

  • Medical Necessity Reviews: They verify that admissions, surgeries, and treatments are medically necessary by comparing patient charts to standardized, evidence-based guidelines like Milliman Care Guidelines (MCG) or InterQual.
  • Concurrent & Retrospective Reviews: They review ongoing hospital stays (concurrent) to authorize continuing care, and review charts after discharge (retrospective) to prevent claim denials and ensure accurate billing.
  • Insurance Liaison: They act as a go-between, submitting clinical data to insurance companies to secure prior authorizations and ongoing approvals so the hospital gets properly reimbursed.
  • Resource Optimization: They monitor the patient's progress to ensure they are in the appropriate level of care (e.g., observation vs. inpatient) and help coordinate discharges to lower levels of care.

Work Experience

Education

* 4 year/ Bachelor's degree in Nursing (Required)

Master's Degree in Nursing (Preferred)

Experience and Skills

Recent UR / MCG experience.

Required Skills: Strong Verbal Communications Skills, Strong Written Communications Skills, Excel Intermediate Level, PowerPoint - Intermediate Level, MS Word - Intermediate Level, Excellent Organizational Skills


Employment Type: OTHER

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