Pediatric OR Scheduler/Insurance Plan Builder

Key ResponsibilitiesPediatric OR SchedulingCoordinate all aspects of pediatric operating room (OR) casesCommunicate with patients/parents regarding procedures, expectations, and timelinesSchedule pre-operative appointments and confirm OR dates and start timesFacilitate medical clearances with Primary Care Physicians (PCPs)Ensure all required documentation (H&P, hospital forms, etc.) is completed and submitted on timeCollaborate with providers to review medical histories and confirm appropriate case placementSubmit and track medical insurance pre-authorizationsMaintain accurate records and ensure all case details are complete prior to surgeryInsurance Plan Building — Dentrix AscendBuild and maintain insurance plans in Dentrix Ascend with accurate fee schedules, coverage tables, and plan detailsSet up new insurance carriers and update existing plans as benefit information changesVerify insurance plan accuracy to support clean claim submission and reduce denialsCoordinate with the billing team to resolve plan discrepancies and ensure proper claim routingReview and update coverage percentages, frequencies, and limitations within Dentrix AscendMaintain organized records of insurance plan documentation and benefit breakdownsBilling & Follow-UpEnter treatment accurately into the patient ledgerSupport proper billing and documentation for OR casesFollow up on outstanding balances after claim processingAdditional ResponsibilitiesManage the full provider credentialing process to obtain and maintain hospital privileges, enabling the doctor to treat patients in the hospital settingComplete and submit credentialing applications to hospitals and credentialing bodies on behalf of the providerTrack credentialing timelines, expiration dates, and renewal requirements to ensure uninterrupted hospital accessMaintain an organized credentialing file, including malpractice insurance, DEA certificate, state dental license, BLS/ACLS, and all required hospital-specific documentationServe as the primary point of contact between the practice and hospital medical staff offices throughout the credentialing and re-credentialing processEnsure compliance with all office and hospital credentialing requirementsRequirementsQualificationsPrevious dental or medical office experience preferred (pediatric experience a plus)Experience with Dentrix Ascend or similar dental practice management software strongly preferredFamiliarity with dental insurance plans, fee schedules, and benefit structuresStrong organizational and time management skillsExcellent communication and customer service abilitiesExperience with insurance verification and pre-authorizations preferredAbility to manage multiple priorities in a fast-paced environmentSalary Description $22-24 per hour (doe)