Dental Medicaid Prior Authorization Specialist / Front Desk Coordinator Union Healthcare Services Inc Washington, DC Job Details Full-time $27.33 - $29.10 an hour 2 hours ago Benefits Disability insurance Health insurance Dental insurance 401(k) Paid time off Vision insurance Life insurance Qualifications Medicare HMO health insurance Scanning Medical scheduling Attention to detail Medicaid Documentation review Full Job Description Job Overview This is not a traditional dental receptionist position . Approximately 80% of this role is dedicated to Medicaid prior authorizations , with particular emphasis on preparing, submitting, tracking, and following up on DC Medicaid

DHCF 719A

Prior Authorization Requests . The remaining portion of the position supports front desk operations, scheduling, patient coordination, and communication with group homes and caregivers. The ideal candidate is organized, persistent, detail-oriented, and comfortable managing a high-volume authorization workload. Primary Responsibilities - Prior Authorization Prepare complete

DHCF 719A

Prior Authorization Request packets . Review beneficiary information, DCID, diagnosis and procedure codes, tooth numbers, quadrants, clinical narratives, radiographs, and supporting documentation. Prepare Waiver and ICF authorization requests using the appropriate provider information and NPI. Coordinate anesthesia authorization requests for general anesthesia and deep sedation cases. Submit authorization requests through the required DC Medicaid/utilization management channels. Confirm receipt and track every submitted authorization. Maintain an accurate authorization tracking system including submission dates, status, authorization numbers, approval dates, expiration dates, and scheduled treatment dates. Follow up on pending authorizations and promptly address returned or denied requests. Correct and resubmit requests requiring additional documentation. Verify Medicaid eligibility and appropriate program enrollment. Monitor authorization expiration dates. Coordinate approved sedation cases with the treatment schedule. Work systematically through the practice's existing authorization backlog. Provide weekly reporting regarding submissions, approvals, denials, outstanding authorizations, and turnaround times. Front Desk & Patient Coordination Answer and route incoming calls. Communicate with group homes, caregivers, guardians, and care coordinators. Check patients in and out. Schedule and confirm appointments. Coordinate transportation-dependent appointments and group-home scheduling. Maintain accurate patient demographics, insurance information, and guardian/contact information. Scan and properly file documentation, consents, and correspondence. Maintain recall and reappointment lists. Assist with patient payments and daily reconciliation when applicable. Support billing staff with documentation and claim follow-up. Help maintain a professional, welcoming, and accessible front office.

Pay:

$27.33 - $29.10 per hour Expected hours: 40.0 per week

Benefits:

401(k) Dental insurance Disability insurance Health insurance Life insurance Paid time off Vision insurance

Work Location:

In person