Coordinator, Patient Relations

PDS Health•Irvine, CA

5d•$23 - $29

About The Position

Now is the time to join PDS Health. You will have opportunities to learn new skills from our team of experienced professionals. If you're ready to take your career to the next level and gain valuable experience, apply today! The Coordinator, Patient Relations core function entails compiling, processing and sending all patient documentation to insurance plans and other agencies as requested for the grievance process. The coordinator is the key compiler and expeditor of patient information for the Patient Relations department. The coordinator is responsible for ensuring records are pulled and organized for analysis as well as compressed and viewable for insurance plans and other agencies. Additionally, the coordinator is also responsible for supporting dental offices by drafting form letters when required.

Requirements

1+ year of related work experience in dental front and/or back office settings
Equivalent to high school diploma or general education degree (GED)
Knowledge of WORD, EXCEL, POWERPOINT
Ability to multi-task effectively without compromising the quality of the work
Excellent interpersonal, oral and written communication skills
Detail oriented, organized, process focused, problem solver, self-motivated, proactive, ambitious, customer service focused
Ability to draw conclusions and make independent decisions with limited information
Self-motivated, reliable individual capable of working independently as well as part of a team
Demonstrated experience providing customer-driven solutions, support or service
Demonstrated experience in an administrative support role
Possesses ability to perform all aspects of position with little direction
Be a proactive problem-solver identifying and participating in solutions
Be able to keep appropriate team members informed while maintaining high level of confidentiality

Nice To Haves

Prior coursework or on-the-job training in the fields of dentistry, business, or training
Operational knowledge of medical/ dental offices
Knowledge of EPIC and QSI software applications
Bachelor’s Degree from an accredited college or technical school; or equivalent combination of education and experience. In lieu of degree, 4+ years of experience is required
Field Office experience

Responsibilities

Retrieve, correlate, condense and save patient records from various sources: EPIC, QSI, CPS, Ortho systems, etc.
Send patient records to insurance carriers by grievance deadlines
Participate as a team member on unit and department projects to provide project specific subject matter expertise
Contribute to the development and distribution of Best Practices within the department
Research, retrieve and compile information (Internet, division Web sites, Company Web sites) as required by the management team and direct reports
Send out all HIPAA related requests
Categorize all resolution outcomes
Send winning resolution response letter to offices
Back-up to fielding incoming Patient Relations calls
Back-up to department case logging activates
Back-up monthly reporting
Draft standardized letters (releases/dismissals) for pre-grievances
Draft a variety of grievance response letters
Send analytical instructions for resolution loss letters
Other duties assigned by Management