Campus Pride Jobs

Career Opportunities: Dental Referral & Authorization Assistant - (Temp) (24737) Requisition ID 24737 - Posted 12/13/2024 - CareOregon - Full Time- Contingent (up to 9 months) - Portland - Multi Location (9) Job Description Print Preview Candidates hired for remote positions must reside in Oregon, Washington, Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Dental Referral and Authorization Assistant - Temp Exemption Status Non-Exempt Department Dental Manager Title Operations Manager - CareOregon Dental Direct Reports n/a Requisition # 24737 Pay & Benefits Estimated hiring range $46,540 - $56,880 / year, 5% bonus target, full benefits. www.careoregon.org/about-us/careers/benefits Posting Notes This is a 4-month contingent role that is also a fully remote position, but you must reside in one of the listed 9 states. General Statement of Duties This position is responsible for assisting the dental access team with dental referrals and pre-authorizations for PDP and specialty network affiliates. Core tasks include reviewing, processing, approving and matching members to the most appropriate specialty dental services in order to improve member access to specialty care and specialty provider network stability. This position also provides customer service and general support to the dental team as assigned. Essential Position Functions Monitors and supports dental team access email. Assures all clinical documentation has been received from the dental provider to assess, evaluate and complete referral and authorization request. Supports the dental access team with ensuring all referral and prior authorization requests are entered into the referral system. Supports the dental access team with responding to final referral and prior authorization requests. Assists the dental access team with weekly member assignments to PDP clinics. Requests, organizes and prepares charts for quality and/or payment integrity chart reviews. Assists with sending care coordination member lists to primary dental providers and delegated dental partners. Runs the weekly referral reports and update referrals, as needed. Essential Department and Organizational Functions Propose and implement process improvements. Meet deadlines for completion of workload. Maintain agreed upon work schedule. Demonstrate cooperation and teamwork. Provide cross-training on specific job responsibilities. Meet identified business goals that contribute to departmental goals. Perform other duties as needed. Knowledge, Skills and Abilities Required Ability to work independently and take direction Ability to present a positive and professional image Ability to support and comply with organizational policies, procedures and guidelines Strong customer service, written and verbal communication skills Basic data entry skills Strong attention to detail and accuracy Basic computer skills including Microsoft Office Ability to work in an environment with diverse individuals and groups Ability to manage and prioritize multiple tasks Ability to work in a fast-paced environment Exceptional interpersonal and organizational skills that foster collaboration and problem solving Ability to effectively solve unique problems as they arise or identify when to escalate issues to appropriate department/supervisor Ability to develop and maintain excellent professional working relationships with primary dental providers and specialists Physical Skills and Abilities Lifting/Carrying up to 0 Poun