Authorization Support Representative III

Title: Authorization Support Representative III

Location: United States

Job Description:

Important things YOU should know: 

• Schedule: Monday – Friday -  8:00am -5:00pm CST
• Holiday/weekend coverage required on a rotational basis  
• Fully Remote Role
• Familiarity with SQL is preferred

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 Certificates
  • High school diploma or equivalent
• Required Level of Experience
  • Minimum of one year Authorizations Support Representative or equivalent work experience
• Required Knowledge, Skills, and Abilities 
  • 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 

What qualifications do YOU need to have to be a GREAT candidate? 

• Preferred Level of Experience
  • Understanding of the authorization process, supervisory experience
• Preferred Knowledge, Skills, and Abilities
  • Excellent verbal and written skills
  • Proficient Knowledge of Enterprise system

The salary range and midpoint is listed below for your reference. Please keep in mind that your education and experience along with your knowledge, skills and abilities are taken into consideration when determining placement within the range.

Compensation Range:

$20.65 - $30.98 / $ 42,955 - $64,432 

Compensation Midpoint:

$25.81 / $53,694

About Us

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.

Job Info

• Job Identification3277
• Job CategoryClerical
• Job ScheduleFull time
• Locations United States(Remote)
• Pay Range$20.65 - $30.98