Offer summary

Qualifications:

High school diploma or equivalent required., 1 year of experience in an administrative or customer service role preferred., Excellent computer literacy with strong proficiency in Microsoft Office., Strong organizational, problem-solving, and communication skills. .

Key responsabilities:

Provide administrative support for the authorizations team, including reviewing submissions for completeness.

Maintain accurate notes and documentation in company systems and spreadsheets.

Contact provider offices to obtain missing clinical information for pre-authorization processes.

Respond to internal customer inquiries and modify authorizations as needed.

Job description

What are important things that YOU need to know about this role?

Remote: This position is eligible to be fully remote
Schedule: Typically 8 AM - 5 PM CST, with occasional weekend and holiday rotations.
Holidays & Weekends: On a rotation with other staff members – typically about 4 weekends per year
- Saturdays: 8 AM - 12 PM
- Sundays: 8 AM - 12 PM
- Thurs/Tues typical days of time off when working the weekend
- Holidays: 8AM – 12PM
Dental Experience is strongly preferred

What will YOU be doing for us? Responsible for administrative support for the authorizations team including initial review of authorizations to ensure completeness of submission.

What will YOU be working on every day?

Maintain accurate and detailed notes of work performed in the company system and in other appropriate documents/spreadsheets.
Contact provider offices via phone and written communication to obtain missing clinical information needed in support of the pre-authorization determination process.
Provide administrative support to team by performing various duties including but not limited to pulling information for audits, entering denial reasons and authorization schedules into internal systems, following up on non-clinical issues/requests, etc.
Modify authorizations as required/requested
Respond to questions from internal customers in a thorough and timely manner utilizing communication that is easily understood by others.
Identify authorizations that require provider or member outreach in an effort to obtain additional information.

What qualifications do YOU need to have to be GOOD candidate?

Required Level of Education, Licenses, and/or Certificates
- High school diploma or equivalent.
Required Level of Experience
- 1 year of experience in an administrative or customer service role or other similar related experience.
Required Knowledge, Skills, and Abilities
- Excellent Computer literacy including strong proficiency in Microsoft Office
- Excellent organizational skills to ensure required deadlines are met.
- Excellent problem solving skills to allow for the correct diagnosis of a problem along with potential solutions for resolution.
- Excellent communication skills

What qualifications do YOU need to have to be a GREAT candidate?

Preferred Level of Experience
- 1-3 years administrative/clerical experience in a dental office or similar related experience.
Preferred Knowledge, Skills, and Abilities
- Strong proficiency in Microsoft Office Suite
- Ability to quickly learn and incorporate new software into daily duties
- Excellent verbal and written skills
- Knowledge of Enterprise system
- Willingness to learn dental procedures, terminology and codes