Dental Authorization Specialist (Remote)

Job Description

An employer is seeking experienced Dental Authorization Specialists to support increased authorization volume resulting from expanded members in the client's health plan ecosystem. This role is responsible for reviewing and processing dental pre-estimates, prior authorizations, referrals, and related benefit requests while maintaining quality, accuracy, and productivity standards in a fast-paced environment. Candidates may come from dental insurance, managed care, health plan, or dental practice settings.

Key Responsibilities

• Review and process dental pre-estimates, prior authorizations, referrals, and related requests in accordance with established guidelines.
• Verify member eligibility, benefits, and supporting documentation.
• Research discrepancies and resolve issues to ensure timely processing.
• Maintain established production and quality metrics.
• Accurately document and update information within internal systems.
• Collaborate with providers, dental offices, and internal teams to obtain necessary information.
• Ensure compliance with plan requirements and turnaround time standards.
• Work independently in a remote environment while managing a high-volume workload.

Location: Remote (U.S.) - Schedule: Monday–Friday, 8:00 AM – 4:30 PM (any U.S. time zone) Pay Rate: $20.00–$21.00/hour Start Date: 10/13/2026 (6 month contract with possible extensions/conversion)

Skills and Requirements

• Minimum 6 months to 1 year of experience in one or more of the following: Utilization management, Dental prior authorizations, Pre-estimates, Referrals, Dental claims processing, Treatment authorizations

• Dental industry experience required.

• Ability to work independently and meet performance expectations in a production-driven environment.

• Strong attention to detail and organizational skills.

• Excellent written and verbal communication skills.

• Proficiency in Microsoft Outlook, Word, and Excel. -Typing speed of at least 40 WPM preferred.

• Experience working for a dental insurance carrier, health plan, managed care organization, TPA, or dental practice.

• Commercial or Medicaid dental authorization experience.

• Front-office or back-office dental office experience.

• Experience with HSP and/or Meditrac.

• Experience supporting high-volume processing environments.

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to [email protected].