Authorization and Referral Coordinator

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

📋 Description

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

• Execute insurance verification and ensure accurate insurance and demographic data is maintained in the EHR.

• Generate treatment cost estimates and convey expected patient financial responsibilities.

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

• Monitor referrals and authorizations until completion, providing timely follow-ups and updates.

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

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

• Keep organized records of insurance, referrals, and authorization documentation.

• Prepare and distribute reports on pre-authorization status for dental leadership and designated providers.

• Foster a positive patient experience through responsive communication, professionalism, and compassionate service.

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

⛳️ Requirements

• High School diploma or GED is required.

• Three (3) to five (5) years of dental experience is preferred.

• Strong attention to detail with a focus on accurate and organized work.

• Ability to coordinate multiple tasks and see them through to completion.

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

• Comfort in navigating insurance benefits, referrals, authorizations, and financial information, or a strong desire to develop expertise in these areas.

• A respectful, strengths-based approach that acknowledges patients’ ability to make informed decisions regarding their care.

• Capacity to flourish in a collaborative environment and act as a reliable resource for patients and the dental team.

• Compliance with organizational policies, payer requirements, and HIPAA standards.

🏝️ Benefits

• Competitive salary and comprehensive benefits package.

• Opportunities for professional development and continuing education.

• Supportive work environment focused on collaboration and teamwork.

• Employee wellness programs and resources.