Authorization and Referral Coordinator

This is a fully remote position, open to applicants in Missouri.

📋 Description

• Confirm dental insurance benefits, coverage limitations, deductibles, exclusions, frequencies, and annual maximums.

• Conduct insurance verification and keep precise insurance and demographic details in the EHR.

• Create treatment cost estimates and effectively communicate expected financial responsibilities to patients.

• Manage both internal and external dental referrals and prior authorizations, collecting documentation and submitting necessary information.

• Monitor referrals and authorizations until completion, providing updates and follow-up to patients, providers, and dental teams.

• Organize specialty appointments, follow-up care, and documentation from external providers.

• Collaborate with dentists, hygienists, dental assistants, front desk teams, insurance carriers, and specialty offices.

• Keep insurance, referral, and authorization documentation well-organized.

• Prepare and share pre-authorization status reports for dental leadership and assigned providers.

• Enhance the patient experience by delivering responsive, professional, and compassionate service.

• Adhere to organizational policies, payer requirements, and HIPAA standards while promoting efficient clinic operations.

⛳️ Requirements

• High School diploma or GED is required.

• Preferred three (3) to five (5) years of dental experience.

• Strong attention to detail with accurate and organized work practices.

• Capability to manage multiple tasks and see them through to completion.

• Clear and compassionate communication with patients, families, providers, and insurance representatives.

• Comfort in navigating insurance benefits, referrals, authorizations, and financial information, or a willingness to develop expertise.

• A respectful, strengths-based approach to patient care.

• Ability to excel in a collaborative environment and act as a dependable resource.

• Adhere to organizational policies, payer requirements, and HIPAA standards.

🏝️ Benefits

• Comprehensive health benefits package.

• Competitive salary and performance bonuses.

• Opportunities for professional development and continued education.

• Supportive work environment with a focus on teamwork.

• Flexible scheduling options available.