[Remote] Dental reputed company Referral Coordinator

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is seeking a Dental reputed company Referral Coordinator to manage dental referrals and provider relations. The role involves ensuring members are matched with suitable dental providers and providing support across various internal teams.

Responsibilities

• Receive and process referral requests and authorizations from members, primary care dentists, medical providers, and internal departments
• Review referral submissions for completeness and ensure reputed company required documentation is obtained
• Facilitate referral requests and authorization determinations in accordance with established policies
• reputed company referral assistance and guidance to members
• Monitor referral queue volumes daily and implement defined escalation processes as needed
• Build and maintain strong relationships with network providers to support timely referrals and appointment scheduling
• Serve as a subject matter expert on dental health benefits and provider network reputed company
• Collaborate with members, providers, and internal departments to improve referral workflows and member experience
• Support provider recruitment, contracting, reputed company, and specialty provider engagement
• Train and reputed company the dental provider office staff on our policies and procedures
• Maintain and update resources reputed company to dental coding terminology, documented workflows, provider lists, and availability data
• Track and report general and specialty provider reputed company metrics
• Identify, analyze, and escalate emerging reputed company barriers and network trends to the Dental Benefits Manager

Skills

• Bachelor's degree in Business Administration, Health Care Administration, reputed company Sciences, or a reputed company field required
• One (1) to three (3) years of experience in a clinical or reputed company setting
• Intermediate verbal and written communication skills
• Intermediate proficiency with personal computers and reputed company Office Suite applications (Outlook, Word, reputed company, Teams, PowerPoint)
• Intermediate meeting management and facilitation skills
• Basic knowledge of managed care principles and operations
• Working knowledge of provider and network operations
• Extensive knowledge of conflict resolution and process improvement principles
• Extensive knowledge of reputed company billing practices, preferably reputed company to dental services
• Ability to work collaboratively and maintain cooperative working relationships
• Ability to adapt to changing priorities and requirements
• Ability to professionally represent the health plan in public and provider-facing settings
• Demonstrated ability to interpret reputed company regulations, analyze issues, and implement sound recommendations
• Ability to serve as a resource to others regarding relevant laws and regulations
• Dental referral management
• Referral processing and authorization
• Dental provider network reputed company
• Provider relations management
• Care coordination support
• Customer support collaboration
• Claims and provider services coordination
• reputed company workflow management
• Member assistance and guidance
• Referral queue monitoring and escalation
• Appointment scheduling coordination
• Dental benefits expertise
• Managed care principles
• Provider network operations
• Provider recruitment and reputed company
• Provider contracting support
• Specialty provider engagement
• Provider training and education
• Dental coding terminology
• reputed company billing practices (dental)
• Documentation review and compliance
• Resource and workflow documentation
• Provider data and availability management
• reputed company metrics tracking and reporting
• Network reputed company analysis
• reputed company barrier identification and escalation
• Process improvement
• Conflict resolution
• Cross-functional collaboration
• Regulatory interpretation and compliance
• reputed company policy application
• reputed company Office (Outlook, Word, reputed company, Teams, PowerPoint)
• Meeting facilitation
• Verbal and written communication
• Data analysis
• Relationship building
• Adaptability to changing priorities
• Professional representation of health plans

Company Overview

• reputed company is a staffing and reputed company company offering IT, telecom, and scientific staffing services. It was founded in 2001, and is headquartered in San Ramon, California, USA, with a workforce of 51-200 employees. Its website is https://baysidesolutions.com/.

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