Dental Patient Authorization Specialist

Tampa Family Health Centers•Tampa, FL

About The Position

The Dental Patient Authorization Specialist has the responsibility to oversee all patient treatment scheduling coordination by submitting and tracking preauthorization and referrals, bill and reconciled charges and any duties related to revenue cycle.

Requirements

High school diploma or equivalent
Minimum (1) year academic training in an allied health related field. Two or more preferred
Ability to navigate and enter data into an electronic health record
Strong communication skills, both written and oral
Excellent Computer Skills
Outstanding customer service skills

Responsibilities

Guarantees all Tampa Family Health Center patients are treated with quality customer service.
Bills and reconcile charges and any duties related to revenue cycle.
Verifies insurance coverage, limitation and utilization, and coordinate referrals.
Researches, corrects, and re-submits rejected and denied claims.
Collects and/or updates all patient’s insurance or income information to bill patients or their insurance companies properly including arranging payment plans.
Assists Social Worker to identify and address unmet needs and access to specialty care.
Submits all Referrals and Preauthorization to the specialist and/or to the proper insurances
Maintains tracking sheets that demonstrate evidence of compliance with assignments, routine referrals to be initiated within 10 working days; ASAP referrals initiated within 3 working days; urgent referrals to be initiated within 24 hours. Communication of referral status to dentist as appropriate, serves as a resource person to other staff regarding the referral process. Stays up to date on the changes in managed care policies as related to the processing of referrals and scheduling referral appointments timely.
Calls for authorization for all insurance requiring prior “auth” or those assigned to other providers
Identifies referrals to be schedule by other staff in accordance with the referral degree of difficulty
Trains dental front specialist with all insurances aspect to assure proper collection of documents for billing, referrals and preauthorization follow up.
Coordinates pre-visits identifying patients’ responsibilities and insurance coverage.
Stores all patient records securely and handled in compliance with HIPAA and all TFHC, accreditation agency, State and Local rules and regulations.
Guarantees all referrals are up to date.
Support the Mission, Vision and Values of TFHC
Perform all duties and tasks efficiently and effectively, as assigned by Director of Revenue Cycle