Authorization and Referral Coordinator

Department: FQHC-Specific Administration

Employment Type: Full Time

Location: Clinton, Missouri, Any Compass Location, Remote

Key Responsibilities

• 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 communicate anticipated patient financial responsibility in a clear, compassionate manner. 
•  Coordinate internal and external dental referrals and prior authorizations, including gathering documentation and submitting required information to payers and specialty providers. 
•  Track referrals and authorizations from submission through completion, providing timely follow-up and updates to patients, providers, and dental teams. 
•  Coordinate specialty appointments, follow-up care, and documentation from external providers. 
•  Collaborate closely with dentists, hygienists, dental assistants, front desk teams, insurance carriers, and specialty offices to keep care coordination moving forward. 
•  Maintain organized, accurate 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 communication, professionalism, and compassionate service. 
•  Follow organizational policies, payer requirements, and HIPAA standards while supporting efficient clinic operations.

Requirements, Skills, Knowledge and Expertise

• High School/GED required
•  Three (3) to five (5) years dental experience preferred 

You’ll be a great fit for this role if you:

•  Bring strong attention to detail and take pride in accurate, organized work. 
•  Enjoy coordinating multiple moving pieces and following tasks through to completion. 
•  Communicate clearly and compassionately with patients, families, providers, and insurance representatives. 
•  Are comfortable navigating insurance benefits, referrals, authorizations, and financial information—or are eager to build your expertise in these areas. 
•  Approach patients with respect and a strengths-based mindset, recognizing their ability to make informed decisions about their care. 
•  Thrive in a collaborative environment and enjoy being a reliable resource for both patients and your dental team. 
•  Want your work to make a meaningful difference by helping people navigate the path to the dental care they need.