Schedule: Flexible between Monday - Friday
Hours: Flexible between hours of 8am - 5pm
Job Purpose: Responsible for administrative support for the dental review team with some dental authorization review using eligibility and contract requirements.
Essential Job Responsibilities:
- Maintain accurate and detailed notes of provider phone calls, authorization status changes, and automated call logs and results in the company system.
- Contact provider offices to obtain additional information as needed.
- Administrative support for Dental Review processes, including pend processes, facility and date changes made to authorizations, assisting in creating Dental Review process documents.
- Handle any exceptions (incorrect fax number, fax system issues, etc.) individually to ensure correct delivery.
- Ensure any additional supporting information sent with appeals is attached to the appropriate authorization prior to review
- Required Level of Education, Licenses, and/or Certificates
- Pursuing an Associates or above Degree in Business or related field.
- Required Level of Experience
- Required Knowledge, Skills, and Abilities
- Computer literacy including Microsoft Office
- Good communication skills.