Authorization and Referral Coordinator

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🔥 0 minutes ago

🏰 Missouri – Remote

🏰 Missouri – Remote

💵 $17 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

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Compass Health Network

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1972

🏥 Healthcare

🤝 Non-profit

🧘 Wellness

Healthcare • Non-profit • Wellness

Compass Health Network is a nonprofit community health organization based in Missouri that provides integrated, whole-person healthcare including behavioral health, substance use disorder treatment, pediatric and family medicine, dental services, crisis intervention, and wellbeing/recovery support. It operates certified community mental health services, 24/7 behavioral health crisis lines and crisis centers, youth urgent care, outreach and case management, and offers sliding-fee and Medicaid enrollment assistance to serve diverse, underserved communities.

📋 Description

• Verify dental insurance benefits, coverage limitations, deductibles, exclusions, frequencies, and annual maximums • Complete insurance verification and maintain accurate insurance and demographic information in the EHR • Prepare treatment cost estimates and clearly communicate anticipated patient financial responsibility • Coordinate internal and external dental referrals and prior authorizations, gathering documentation and submitting required information • Track referrals and authorizations through completion, providing follow-up and updates to patients, providers, and dental teams • Coordinate specialty appointments, follow-up care, and documentation from external providers • Collaborate with dentists, hygienists, dental assistants, front desk teams, insurance carriers, and specialty offices • Maintain organized insurance, referral, and authorization documentation • Prepare and distribute pre-authorization status reports for dental leadership and assigned providers • Support a positive patient experience through responsive, professional, and compassionate service • Follow organizational policies, payer requirements, and HIPAA standards while supporting efficient clinic operations

🎯 Requirements

• High School/GED required • Three (3) to five (5) years dental experience preferred • Strong attention to detail and accurate, organized work • Ability to coordinate multiple tasks and follow them through to completion • Clear, compassionate communication with patients, families, providers, and insurance representatives • Comfort navigating insurance benefits, referrals, authorizations, and financial information, or willingness to build expertise • Respectful, strengths-based approach to patient care • Ability to thrive in a collaborative environment and serve as a reliable resource • Follow organizational policies, payer requirements, and HIPAA standards