Dental Care & Referral Coordinator

Swope Health•Kansas City, MO

About The Position

Swope Health Services emphasizes a team-based approach to health care delivery. This is accomplished by delivering proactive, planned and coordinated evidence-based dental and medical care. The dental care and referral coordinator will accomplish this by their primary functions for high-risk patients as identified by our important conditions (Diabetes & chronic health conditions, OB patients and any other additional that may be added). The referral coordinator will also be highly instrumental in dental insurance coding and processing. PRIMARY FUNCTIONS Pre-visit planning that includes verifying accurate demographic and insurance coverage, or other information as directed by the dental clinic manager. Track and follow-up with dental treatment visits and dental preventive visits – ensuring patient compliance. Documents refusal or barriers by the patient. This includes scheduling visits and obtaining consent forms when indicated. Ensure internal and external dental referrals have been sent, including additional information if needed (i.e. dental x-ray images). Track and follow-up on referrals – ensuring compliance and results are in the chart. Document refusal or barriers by the patient. Enter accurate data in the patient management system and check-in patients to the appropriate clinic for service. Completes all necessary forms, daily logs and other clerical duties as assigned. Patient follow-up monitoring – calling patient when appointments are not kept. Able to schedule appointments for patients within the EMR. Using data for population management – running reports from the registry and notifying patients via telephone calls, letters, patient portal etc… when they are overdue for services. Demonstrate understanding of Medicaid, MC+, Medicare, private insurance and self-pay requirements that include specifics in specialty i.e. pediatrics, adults, seniors, and foster care. Contribute to the quality of patient care and assist with warm hand offs when indicated. Will check insurance benefits and is able to submit pre-authorizations to insurance. Will follow up with patient to explain insurance benefits, pre-authorization results and possible payment expectations. Based on insurance benefits or sliding discount scale can discuss with patient fees for services and complete financial agreements. Provides individual assistance in preparing the patient for their dental care appointment.

Requirements

Familiar with dental procedures and terminology and have extensive knowledge in dental coding and insurance processing.
Excellent communication skills, customer service oriented, telephone etiquette and exhibit the ability to work with people (staff, visitors and clients).
2-3 years experience in customer service in clinical setting preferred
Insurance experience preferred
Application of New Skills – Makes it a point to put new skills and knowledge to use on the job in a timely and effective manner. Apply new skills on the job before forgetting what was learned, ensuring that these skills are used to create a positive impact on a day-to-day basis.
Communication – Communicates effectively and appropriately. Use good judgment as to what to communicate and to whom, as well as the best way to get that accomplished. Speaks in a clear and concise manner, selecting the right tone for the situation and audience. Listens to others and allowing them to make their point.
Cross-Cultural Sensitivity – Demonstrates an awareness of, and sensitivity to, the needs and concerns of individuals from different cultures. Adjusts in how he or she communicates out of respect for cultural differences and minimizes the number of cross-cultural misunderstandings.
Equipment Skills – Demonstrates the essential skills related to the use of all equipment connected to job responsibilities. Displays an appropriate level of concern for various safety factors when using equipment.
Computer Skills – Able to log, track and enter information into electronic record and other registries and logs as determined for outcome tracking and reporting.
Flexibility – Adjusts quickly and effectively to changing conditions and demands. Discusses change as a necessary and inevitable aspect of organizational life as well as an opportunity to learn new things. Has a similar view and approach to potentials stressful situations. Invest personal energy toward accepting and adapting to change that others use toward resisting or resenting it.
Listening Skills – Tends to listen more than talk. Leaves others with the impression that their thoughts, opinions, feelings and needs are important. Helps others understand their feelings and their needs.
Quality of Work – Has established a track record of producing work that is highly accurate, demonstrates attention to detail and reflects well on the organization. Is personally committed to high quality work and encourages others to have similar standards.
Quantity of Work – Produced an amount of work that meets or exceeds job expectations. Make sure that quality does not suffer as the quantity of work increases. Works effectively with peers and carries own share of team workload.
Safety – Makes sure to understand every safety practice expected by the organization. Takes no shortcuts that increase the risks of accidents, personal injuries or equipment failures. Looks for unsafe practices in the workplace and takes responsibility to ensure that others are aware of the potential impact.
Seeking Feedback – Tends to seek our feedback for the purpose of improving work performance and listens to such feedback with an open mind. Leaves those who provide feedback satisfied that they have been heard and that their suggestions will be used.
Technical Skills – Possesses the technical skills and knowledge required to perform essential tasks in an efficient and effective manner. Demonstrates the willingness and ability to train or coach others in the technical arena.
Dependability – Makes and fulfills commitments. Establish a pattern of working independently, meeting reasonable deadlines, and accepting responsibility for his or her actions. Willingly makes promises and fully intends to keep them. Arrives at work on time and ready to contribute. Shows up for meetings well-prepared.
Understanding Role and Responsibilities – Takes responsibility for clarifying his or her job responsibilities, including the need to understand performance standards and other expectations. Communicate with his or her supervisor regularly to ensure that there is no misunderstanding about how performance will be measured and how expectations relate to particular job levels.
Integrity - Open and honest and delivers what is promised. Meets the highest ethical standards in all work. Takes personal responsibility for actions and treats everyone fairly and with trust and respect.
Teamwork - Has a commitment to shared goals, full engagement in problem solving, and willingness to hold myself and others accountable for producing results in the most efficient and effective manner.
Compassion - Responds with care and concern to the needs of all individuals.
Accountability - Responsible as individuals and as members of the community for the consequences of our actions.
Respect - Acknowledges and honors the individual differences and the rights of all people.
Excellence - Is committed to providing individuals and the community with the best healthcare; delivered by patient-focused, highly qualified and respected associates. Continuously strives to exceed expectations of those served.

Responsibilities

Pre-visit planning that includes verifying accurate demographic and insurance coverage, or other information as directed by the dental clinic manager.
Track and follow-up with dental treatment visits and dental preventive visits – ensuring patient compliance.
Documents refusal or barriers by the patient.
This includes scheduling visits and obtaining consent forms when indicated.
Ensure internal and external dental referrals have been sent, including additional information if needed (i.e. dental x-ray images).
Track and follow-up on referrals – ensuring compliance and results are in the chart.
Document refusal or barriers by the patient.
Enter accurate data in the patient management system and check-in patients to the appropriate clinic for service.
Completes all necessary forms, daily logs and other clerical duties as assigned.
Patient follow-up monitoring – calling patient when appointments are not kept.
Able to schedule appointments for patients within the EMR.
Using data for population management – running reports from the registry and notifying patients via telephone calls, letters, patient portal etc… when they are overdue for services.
Demonstrate understanding of Medicaid, MC+, Medicare, private insurance and self-pay requirements that include specifics in specialty i.e. pediatrics, adults, seniors, and foster care.
Contribute to the quality of patient care and assist with warm hand offs when indicated.
Will check insurance benefits and is able to submit pre-authorizations to insurance.
Will follow up with patient to explain insurance benefits, pre-authorization results and possible payment expectations.
Based on insurance benefits or sliding discount scale can discuss with patient fees for services and complete financial agreements.
Provides individual assistance in preparing the patient for their dental care appointment.

Benefits

Medical benefits (including a Health Savings Account option), dental and vision
401(k) retirement plan with company match
Company-paid benefits such as life insurance, Accidental Death & Dismemberment, and Short- and Long-Term Disability
Flexible Spending Account
Paid Days Off beginning at 20 days annually, effective the first day of employment
Eight annual company-paid holidays; One annual paid personal day
Up to $3000 for continuing education expenses
Eligibility for NHSC Loan repayment program

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