Authorization Support Representative III

Important things YOU should know:

• Fully Remote Opportunity!

• Work Schedule: Monday - Friday - 8:00am - 4:30pm

• Weekend/Holiday coverage required on a rotational basis.

What will YOU be doing for us? Responsible for complex, non-routine administrative functions within the Authorizations Department. This position does not conduct any clinical reviews or initial clinical screenings.

What is in it for YOU?

• Career growth in an inclusive culture

• Paid training

• Health benefits

• 401 (k)

What will YOU be working on?

• Ability to perform all Authorization Support Representative duties
• Attend meetings with internal and external customers as subject matter experts
• Respond to complex, escalated questions from internal and external customers in a thorough and timely manner utilizing communication that is easily understood by others.
• Review monthly and quarterly reports for accuracy as assigned
• Enter new authorization schedules, guidelines and denial reasons into company systems to ensure successful implementation of new clients.
• Monitor quality of outreaches by ASR's
• Monitor inventory management
• Utilize resources available to assess issues (set up, system, etc.) follow through to resolution and root cause analysis.
• Assist/lead training of new processes and new team members
• Assist in delegation of daily market assignments due to volume fluctuation as needed

Additional Responsibilities:

• Identify trends related to provider submissions of dental services and refer on to internal resources for appropriate research and follow through to resolution.
• Coordinate/participate in testing for new processes and system upgrades
• Act as liaison for department during implementation of new clients by attending cross functional meetings, understanding deliverables for department, communicating appropriately to team members, and ensuring completion of deliverables timely and accurately.

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

Required Level of Education, Licenses, and/or Certifications

• High school diploma or equivalent

Required Level of Experience

• 1+ year of Authorizations experience within Dental industry

Required Knowledge, Skills, and Abilities

• Knowledge of Dental Procedures, Terminology and Codes

• Excellent Computer literacy including strong proficiency in Microsoft Office

• Excellent organizational skills to ensure required deadlines are met

• Demonstrated 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 Education, Licenses, and/or Certifications

• Postsecondary education in a related field

Preferred Level of Experience

• 3+ years of Administrative/Authorizations experience in dental industry

• Previous experience working with Medicare/Medicaid

• Leadership/Mentoring Experience

• Successful experience working in a remote capacity

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 and/or Electronic Medical Record system

• Willingness to learn dental procedures, terminology and codes