Authorization Support Representative III

SKYGEN•United States,

3d•$21 - $31•Remote

About The Position

Responsible for complex, non-routine administrative functions within the Authorizations Department. This position does not conduct any clinical reviews or initial clinical screenings.

Requirements

High school diploma or equivalent
Minimum of one year Authorizations Support Representative or equivalent work experience
Proficient in all Authorization Support Representative duties
Knowledge of dental procedures, terminology and codes
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.
Proficient computer skills

Nice To Haves

Understanding of the authorization process, supervisory experience
Excellent verbal and written skills
Proficient Knowledge of Enterprise system

Responsibilities

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
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.