Authorization and Referral Coordinator

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.

About
About Compass Health Network Compass Health Network is a nonprofit organization dedicated to delivering accessible, high-quality care throughout Missouri. We provide a comprehensive range of integrated services, including behavioral health, substance use treatment, primary care, and dental care. As both a Federally Qualified Health Center (FQHC) and a Community Mental Health Center (CMHC), Compass Health is uniquely positioned to meet the complex and evolving needs of the communities we serve.Our network includes Royal Oaks Hospital and Adapt of Missouri, allowing us to expand our impact and reach across the state. Each part of our organization contributes to our mission: Inspire Hope. Promote Wellness. Adapt of Missouri, a subsidiary of Compass Health Network, has been serving the St. Louis metropolitan area since 1982. While Adapt operates as a for-profit organization, it shares our commitment to providing high-quality, person-centered mental health services. Adapt specializes in community-based support for adults with mental health conditions, focusing on recovery-oriented services such as psychosocial rehabilitation and case management that foster independence and meaningful community engagement. Royal Oaks Hospital serves all acute behavioral health care inpatient needs for children and adolescents 24 hours a day, 7 days a week. Our multi-disciplinary team continually strives to set the standards in patient safety and are committed to providing the highest quality of care. Royal Oaks Hospital believes in the health and wellbeing of our patients and it shows in the care they receive each and every day.  Why Join Us?Whether you're joining Compass Health Network or Adapt of Missouri, you’ll become part of a dedicated, mission-driven team committed to transforming lives through compassionate, innovative care. We foster a supportive, collaborative environment where your work is valued and your professional growth is encouraged.We offer:Competitive BenefitsOpportunities for career advancementPersonal and professional developmentLicensure supervisionTuition reimbursement & scholarshipsEmployee Assistance Program (EAP)Wellness program with Xponential accessGenerous paid time off and holidaysNational Health Service Corp loan repayment eligibility* *Please note: While Compass Health Network is eligible for the National Health Service Corps (NHSC) Loan Repayment Program, positions with Adapt of Missouri are not eligible due to its for-profit status. Your Career, Your ImpactWhether you're beginning your career or looking to take the next step, you’ll find purpose and opportunity with us. Join a team where your skills and compassion make a meaningful impact—every single day. Ready to make a difference? We’d love to hear from you! Equal Opportunity Statement Compass Health Network is an Equal Opportunity/Affirmative Action Employer and an E-Verify participant.