Dental Prior Authorization and Front Office Coordinator (Telangana)

Job Summary: Dental Prior Authorization and Front Office Coordinator - Manage the complete dental prior authorization process for commercial and Medicaid payers. - Verify dental insurance eligibility, advantages, annual maximums, deductibles, waiting periods, and frequency limitations. - Prepare and submit prior authorizations, pre-treatment estimates, and supporting documentation (radiographs, narratives, photos, treatment plans). - Track and follow up on pending authorizations; process approvals, denials, appeals, and resubmissions. - Maintain accurate authorization and patient records using Open Dental software. - Schedule, reschedule, and confirm patient appointments; manage recall lists and treatment plan scheduling. - Handle patient and insurance-related inbound and outbound calls. - Maximize provider productivity by filling schedule gaps and cancellations. - Ensure all documentation meets HIPAA compliance standards. - Prepare daily scheduling and authorization reports. - Collaborate with dental providers and clinical teams for documentation needs. - Maintain up-to-date patient demographics, insurance, and account information. - Provide excellent verbal and written communication with patients, payers, and the dental team. .