Website SKYGEN USA

What are important things that YOU need to know about this role?

This position is eligible to be fully remote
Holiday and weekend rotation will be required (those shifts are no more than four hours)

What will YOU be doing for us? Responsible for complex, non-routine administrative functions within the Authorizations Department.

What will YOU be working on every day?

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 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
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
Results Oriented – The ability to focus on the desired result of one's own or one's unit's work, setting challenging goals, focusing effort on the goals, and meeting or exceeding them.

Diagnostic Information Gathering- The ability to identify the information needed to clarify a situation, seek that information from appropriate sources, and use skillful questioning to draw out the information, when others are reluctant to disclose it.
Time Management – The ability to manage several competing tasks at once effectively while still meeting deadlines.
Analytical Thinking – The ability to tackle a problem by using a logical, systematic, sequential approach.
Initiative – Identifying what needs to be done and doing it before being asked or before the situation requires it.

URL: https://www.indeed.com/viewjob?jk=bc81001b881d58c3

To apply for this job please visit www.indeed.com.

Authorizations Support Rep III | rEMOTE