Authorizations Support Representative IV (Team Lead)

• Become a trusted expert who drives solutions, supports critical business operations, and serves as a key resource across the organization.
• Share your expertise by training and mentoring team members, helping others succeed while shaping operational excellence.
• Work from almost anywhere in the US with a 100% remote setup.
• Standard Monday through Friday schedule typically 8 am - 5 pm CST, with opportunities to support client audits/escalations before or after normal business hours and/or on the weekend occasionally.

What will YOU be doing for us? As an Authorizations Support Representative IV, you’ll do more than process authorizations-you’ll be a trusted advisor, trainer, and operational expert. This role offers the opportunity to lead cross-functional initiatives, support client implementations, mentor team members, solve complex challenges, and drive process improvements that directly impact organizational success. If you’re passionate about continuous improvement, collaboration, and sharing your expertise with others, this is an opportunity to make a lasting impact. What will YOU be working on every day?

• Provide training departmental employees on processes, systems, and applicable client information to ensure successful operations.
• Inform Chief Dental Officer and/or designee of compliance results. Provide assistance and training to new and current dental consultants regarding system capabilities and requirements. Ensure consultants have all necessary resources (e.g. - clinical criteria documents, etc.,) to complete the job.
• Act as liaison for the team during implementation of new clients by attending cross functional meetings, understanding deliverables for department, communicating appropriately to team members, and ensuring completion of deliverables are timely and accurately.
• Act as a subject matter expert on behalf of the team. Triaging requests, responding to questions and escalations from internal and external customers in a thorough and timely manner, resolving matters that may fall outside of the established workflows and serving as the main point of contact for live and desktop audits
• Assist manager and supervisor with projects related to staffing, time studies, process improvements and workflows.
• Work collaboratively with manager and supervisor to identify staff quality trends that require additional training or documentation updates.
• Utilize resources available to assess issues (set up, system, etc.) and locate appropriate resolution.
• Update existing resources available to maintain current knowledge and understanding of dental plans coverage provided and departmental processes.
• Regularly attend and participate in client and internal meetings as a representative of the team.
• Review client reports and serve as the subject matter expert for accuracy.
• Maintain accurate and detailed notes of work performed in the company system, as needed.
• Work with the team to ensure process documents, resource tools and policies and procedures are accurate and up to date.

• High school diploma or equivalent.
• 3 - 5 years of experience in a clinical dental role or other similar related experience.
• 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.
• Basic computer skills.
• Ability to work effectively with various personalities and work styles.
• Good verbal and written communication skills.

What qualifications do YOU need to have to be a GREAT candidate?

• Knowledge of Enterprise system.
• Authorization processing experience.
• Project coordination.

The salary range is listed below for your reference. Please keep in mind that your education and experience along with your knowledge, skills and abilities are taken into consideration when determining placement within the range.