Junior Dental Coordinator

Astiva Health•Orange, CA

8h•$25 - $28•Onsite

About The Position

The Junior Dental Coordinator role assists with dental claims processing, provider support, and authorization review to ensure accurate and timely adjudication. This position reviews claims for completeness, follows up on required documentation, supports providers with portal use and clean submissions, and helps identify and resolve issues prior to formal review. The role also supports member services with dental-related inquiries and reimbursements, escalating complex cases as needed.

Requirements

Experience in dental claims processing, dental billing, or dental office administration experience preferred
Familiarity with CDT codes, dental documentation requirements, and dental prior authorizations
Experience working with payer portals or dental practice management systems experience preferred
Strong organizational, communication, and follow-up skills
Detail-oriented with ability to identify trends and discrepancies
Medicare Advantage or managed care experience a plus
Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.
Ability to write routine reports and correspondence.
Ability to speak effectively before groups and customers or employees of the organization.
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.
Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.
Ability to interpret a variety of instructions furnished in written, oral, diagram or schedule form.

Responsibilities

Process and review dental paper claims for completeness and accuracy
Request missing documentation (e.g., X-rays, narratives, periodontal charting) to ensure timely claims adjudication
Track and follow up on outstanding documentation to meet regulatory turnaround timelines
Assist in dental claims check run report
Assist dental providers and office staff on proper use of the Astiva Health online portal
Assist providers in submitting clean claims and complete authorization requests
Assist PR staff with common dental claims and portal-related questions
Preview dental prior authorization submissions on the provider portal
Identify missing documentation or administrative deficiencies prior to formal review
Flag incomplete or non-compliant submissions to reduce delays and denials
Escalate complex or high dollar claims to senior coordinators
Assist MS team with dental related issues
Adjudicate member direct reimbursement and escalate complex, high dollar cases to senior coordinators