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SKYGEN is the trusted partner for specialty benefits payers and government agencies responsible for the delivery and administration of dental and vision benefits. Through cutting-edge technology and service solutions, SKYGEN empowers clients to become the most efficient, effective healthcare organizations in the country.
Authorization Support Representative III
Location
United States
Posted
82 days ago
Salary
$21 - $31 / hour
Seniority
Mid Level
No structured requirement data.
Job Description
Authorization Support Representative III
SKYGEN
Important things YOU should know: - Fully Remote Opportunity! - Work Schedule: Monday – Friday – 8:00am – 4:30pm - Weekend/Holiday coverage required on a rotational basis. What will YOU be doing for us? Responsible for complex, non-routine administrative functions within the Authorizations Department. This position does not conduct any clinical reviews or initial clinical screenings. What is in it for YOU? - Career growth in an inclusive culture - Paid training - Health benefits - 401 (k) What will YOU be working on? - 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 Additional Responsibilities: - 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. What qualifications do YOU need to have to be a GOOD candidate? Required Level of Education, Licenses, and/or Certifications - High school diploma or equivalent Required Level of Experience - 1+ year of Authorizations experience within Dental industry Required Knowledge, Skills, and Abilities - Knowledge of Dental Procedures, Terminology and Codes - Excellent Computer literacy including strong proficiency in Microsoft Office - Excellent organizational skills to ensure required deadlines are met - Demonstrated problem solving skills to allow for the correct diagnosis of a problem along with potential solutions for resolution - Excellent communication skills What qualifications do YOU need to have to be a GREAT candidate? Preferred Level of Education, Licenses, and/or Certifications - Postsecondary education in a related field Preferred Level of Experience - 3+ years of Administrative/Authorizations experience in dental industry - Previous experience working with Medicare/Medicaid - Leadership/Mentoring Experience - Successful experience working in a remote capacity Preferred Knowledge, Skills, and Abilities - Strong proficiency in Microsoft Office Suite - Ability to quickly learn and incorporate new software into daily duties - Excellent verbal and written skills - Knowledge of Enterprise and/or Electronic Medical Record system - Willingness to learn dental procedures, terminology and codes
Job Requirements
- High school diploma or equivalent
- 1+ year of Authorizations experience within Dental industry
- Knowledge of Dental Procedures, Terminology and Codes
- Excellent Computer literacy including strong proficiency in Microsoft Office
- Excellent organizational skills to ensure required deadlines are met
- Demonstrated problem solving skills to allow for the correct diagnosis of a problem along with potential solutions for resolution
- Excellent communication skills
- Postsecondary education in a related field
- 3+ years of Administrative/Authorizations experience in dental industry
- Previous experience working with Medicare/Medicaid
- Leadership/Mentoring Experience
- Successful experience working in a remote capacity
- Preferred Knowledge, Skills, and Abilities
- Strong proficiency in Microsoft Office Suite
- Ability to quickly learn and incorporate new software into daily duties
- Excellent verbal and written skills
- Knowledge of Enterprise and/or Electronic Medical Record system
- Willingness to learn dental procedures, terminology and codes
Benefits
- Career growth in an inclusive culture
- Paid training
- Health benefits
- 401 (k)
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Dental Admin Assistant – BIL
Berry VirtualWe moved to a different page! Follow us at www.linkedin.com/company/berryvirtual
• Appointment Scheduling and Calendar Management: Coordinate and schedule appointments for healthcare providers and patients. Manage calendars to ensure efficient use of time and resources. • Patient Communication: Facilitate communication between patients and healthcare providers, including relaying messages, scheduling follow-up appointments, and addressing inquiries. • Documentation and Record Keeping: Maintain accurate and up-to-date medical records, including patient histories, treatment plans, and test results. Ensure compliance with regulatory standards and protocols for medical documentation. • Billing and Coding Support: Assist in coding procedures and diagnoses accurately for billing purposes. Collaborate with billing department to resolve any discrepancies and ensure timely reimbursement. • Medication and Prescription Management: Manage prescription refills, including coordinating with pharmacies and obtaining prior authorizations when necessary. Maintain medication records and ensure patients receive necessary prescriptions in a timely manner. • Virtual Team Collaboration: Engage in virtual team meetings and collaborate with colleagues to coordinate patient care and administrative tasks effectively. Utilize virtual communication tools to facilitate seamless collaboration and information sharing. • Data Entry and Organization: Input patient information, treatment plans, and other medical data into electronic health record (EHR) systems accurately and efficiently. Organize medical records and documentation to ensure easy retrieval and accessibility. • Insurance Verification: Verify patient insurance coverage and eligibility for medical services. Communicate with insurance providers to obtain necessary authorizations and resolve coverage-related issues. • Insurance Pre-Authorizations: Assist in obtaining pre-authorizations for medical procedures and services from insurance companies. Follow up on authorization requests and ensure timely approvals to facilitate patient care.
