Staff Dentist – Part-Time, New Jersey License

Liberty Dental Plan

Staff Dentist reviewing dental claims and service requests at Liberty Dental Plan. Collaborating with providers and teams to ensure quality oral healthcare and regulatory compliance remotely.

Posted 7/22/2026part-timeRemote • New Jersey • 🇺🇸 United StatesLead💰 $74 - $82 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in dental claims review, clinical evaluation, and adherence to regulatory standards while effectively communicating with peers and leadership. Maintains proficiency in dental procedures, coding standards, and Medicaid programs to ensure accurate clinical decision-making.

Highest-signal resume keywords

DDS Or DMD DegreeNew Jersey Dental LicenseSix Years Of Experience As A Practicing DentistKnowledge Of Dental Procedures And Clinical GuidelinesAbility To Review And Interpret Dental Radiographs

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Dental Claims ReviewClinical EvaluationTreatment Plan AssessmentRadiograph InterpretationDocumentation QualityMedical Necessity CriteriaADA CDT Coding UpdatesRegulatory ComplianceQuality ImprovementCredentialing Requirements

Soft Skills

Excellent Written CommunicationExcellent Verbal CommunicationCollaborationTime Management

Certifications & Qualifications

Active New Jersey Dental License

Industry Keywords

Liberty Dental PlanMedicaid ProgramsClinical GuidelinesAccreditation RequirementsPeer-To-Peer Consultations

About the role

Key responsibilities & impact

Review dental claims, referrals, and prior authorization requests across multiple lines of business.
Apply clinical expertise to evaluate treatment plans, radiographs, chart notes, and supporting documentation.
Make coverage determinations based on benefit plans, clinical guidelines, medical necessity criteria, and applicable policies.
Meet established productivity, quality, and turnaround-time standards.
Document clinical rationale clearly and accurately in accordance with regulatory and accreditation requirements.
Participate in calibration sessions to promote consistency and accuracy in clinical decision-making.
Complete inter-rater reliability assessments and support ongoing quality improvement efforts.
Collaborate with leadership and peers to address complex clinical scenarios and interpretation questions.
Incorporate audit findings and feedback to continuously enhance determination accuracy and documentation quality.
Conduct peer-to-peer consultations with treating providers regarding clinical determinations and treatment alternatives.
Participate in grievance, appeal, and secondary review activities.
Consult with dental specialists and subject matter experts as needed to support informed clinical decision-making.
Maintain expertise in Liberty Dental Plan benefit structures and applicable Medicaid programs.
Support regulatory reporting and accreditation-related activities.
Stay current with ADA CDT coding updates, evidence-based treatment guidelines, and state-specific requirements.
Participate in required training programs, departmental meetings, and organizational initiatives.

Requirements

What you’ll need

DDS or DMD degree from an accredited dental school.
Current, active, and unrestricted New Jersey dental license in good standing.
Minimum of six (6) years of experience as a practicing dentist.
Ability to successfully complete Liberty Dental Plan credentialing and recredentialing requirements.
Strong knowledge of dental procedures, clinical guidelines, coding standards, and medical necessity criteria.
Ability to review and interpret dental radiographs, treatment plans, and chart documentation.
Excellent written and verbal communication skills.
Ability to manage review volumes efficiently while maintaining quality and compliance standards.

Benefits

Comp & perks

Competitive pay structure and savings options to help you reach your financial goals.
Excellent 401(k) retirement benefits , including employer match, Roth IRA options, immediate vesting during the Safe Harbor period, and access to professional financial advice through Financial Engines.
Employee Assistance Program (EAP) to support mental health and well-being.
Generous vacation and sick leave policies, with the ability to roll over unused time.
Paid company holidays.
Remote or hybrid work options available for various positions.