Clinical Reviewer

Cincinnati Metro Area
Insurance Operations
Full Time
About Beam

Beam Dental was founded in 2012 by three engineers who saw the opportunity to make dental services more accessible using technology. The Beam Brush, which launched the company, was one of the earliest examples of the ‘Internet of Things’, where everyday objects can enable incredible new understanding and capability. Today, Beam Dental has parlayed its industry passion into the fastest growing provider of dental insurance in the US, with a mission to offer businesses best in class dental coverage and close the gap on the over 100 million Americans who don’t have dental insurance today.

Joining Beam Dental Means

• Working for a complex and dynamic business, simultaneously operating across insurance, CPG manufacturing, IOT, and dental services
• Being challenged to improve every day by a diverse and diversely skilled team
• Engaging in an active, intense, and fun work environment
• Being a decision maker and ‘owner’ of your subject matter
• Joining in our mission to forever change the way people access dental services
• Being a person of high character, high EQ, and amazing talent

What We're Looking For:​

As Beam’s client base continues to scale quickly, Clinical review of claims and utilization management is an increasingly important segment of the business at Beam. A Clinical Reviewer today focuses on the clinical review of claims function for Beam to operate as a world class dental benefits provider. This comprises managing claims through their entire lifecycle, reviewing claims that are not auto-adjudicated, analyzing provider and member inquiries on finalized claims including appeals, reviewing x-rays, charting, and narratives for clinical efficacy of treatment plans.
The goal of Clinical Review is to develop an in-depth knowledge base of the workings of our claims’ coverage rules and clinical efficacy requirements and to translate that understanding into actionable process development to increase the effectiveness and efficiency of our claims’ deliverables to both our customers and our internal teams.

Qualities That We Feel Are Essential for Success Include:

    • Willingness to execute a high volume and variety of processes/activities which vary throughout the month and year in support of operational efficiency and effectiveness
    • Ability to drive efficiency to scale limited resources to the furthest extent possible
    • A history of driving efficiency gains/operational improvements
    • Insurance back office experience and/or clinical experience is required
    • Experience as a dental hygienist, dental assistant, or other dental practitioner is a major plus
    • Ability to interpret dental health from x-rays, charting, narratives, and dental history
    • Experience with familiarization with new technology products and platforms
    • Experience with dental insurance coding and claims process
    • Self-motivated with a demonstrated desire to learn new technologies and skills
    • Ability to work with a remote team and to maximize face-to-face time
    • Demonstrated track record of completing large amounts of important work
    • Excellent organizational skills and attention to detail to manage an increasingly complex set of activities related to clinical review
Your Deliverables:

What should be the fruit of your labor? In short, you should help execute the necessary underpinning of what it means to be a world class insurance company, driving the claims team to increased efficiency and effectiveness. If you are successful in your role, Beam makes the complex, nuanced, idiosyncrasies of being an insurance/benefits provider look like a walk in the park. Without Clinical Review, Beam isn’t a world-class benefits company!

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Beam believes a diverse and inclusive environment is key to building a great company and a great product. We are committed to creating an environment that is welcoming for people of all backgrounds, and encourage everyone to apply. Beam is an Equal Opportunity Employer and does not discriminate on the basis of race, color, gender, sexual orientation, gender identity or expression, religion, disability, national origin, protected veteran status, age, or any other status protected by applicable national, federal, state, or local law.