Authorization Support Representative II - Remote

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

• Remote: This position is eligible to be fully remote

• Schedule: Flexible Hours between 10am-6pm, 10:30am-6:30pm , or 11-7pm 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 CST

  • Sundays: 8 AM - 12 PM CST

  • Thurs/Tues typical days of time off when working the weekend

  • Holidays: 8AM – 12PM CST

• 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

The salary range and midpoint is listed below for your reference. Please keep in mind that your education and experience along with your knowledge, skills and abilities are taken into consideration when determining placement within the range.

Compensation Range:

$38,475.00 - $57,712.00

Compensation Midpoint:

$48,093.00