Authorization and Referral Coordinator
About The Position
The Authorization and Referral Coordinator – Dental plays an important role in supporting timely access to dental services by coordinating insurance verification, treatment estimates, referrals, and prior authorizations. Serving as a key connection point between patients, dental teams, specialty providers, and insurance carriers, this role helps ensure information is accurate, communication is clear, and patients understand their coverage and anticipated financial responsibility before receiving care. This is a great opportunity for someone who enjoys bringing organization and clarity to complex processes, building positive relationships, and helping patients navigate the details that can impact their access to care. Your attention to detail and follow-through will help keep referrals and authorizations moving while supporting smooth, efficient dental clinic operations.
Requirements
- High School/GED required
- Three (3) to five (5) years dental experience preferred
- Strong attention to detail and pride in accurate, organized work.
- Ability to coordinate multiple moving pieces and follow tasks through to completion.
- Clear and compassionate communication with patients, families, providers, and insurance representatives.
- Comfort navigating insurance benefits, referrals, authorizations, and financial information—or eagerness to build expertise in these areas.
- Respectful and strengths-based approach to patients, recognizing their ability to make informed decisions about their care.
- Thrive in a collaborative environment and enjoy being a reliable resource for both patients and your dental team.
- Desire to make a meaningful difference by helping people navigate the path to the dental care they need.
Responsibilities
- Verify dental insurance benefits, coverage limitations, deductibles, exclusions, frequencies, and annual maximums.
- Complete insurance verification and maintain accurate insurance and demographic information in the EHR.
- Prepare treatment cost estimates and communicate anticipated patient financial responsibility in a clear, compassionate manner.
- Coordinate internal and external dental referrals and prior authorizations, including gathering documentation and submitting required information to payers and specialty providers.
- Track referrals and authorizations from submission through completion, providing timely follow-up and updates to patients, providers, and dental teams.
- Coordinate specialty appointments, follow-up care, and documentation from external providers.
- Collaborate closely with dentists, hygienists, dental assistants, front desk teams, insurance carriers, and specialty offices to keep care coordination moving forward.
- Maintain organized, accurate insurance, referral, and authorization documentation.
- Prepare and distribute pre-authorization status reports for dental leadership and assigned providers.
- Support a positive patient experience through responsive communication, professionalism, and compassionate service.
- Follow organizational policies, payer requirements, and HIPAA standards while supporting efficient clinic operations.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
