Dental Support Specialist

Borinquen Health Care Center•Miami, FL

12d

About The Position

Under general supervision, registers and/or oversees the registration of patients for treatment in a clinic, ensuring that all policies and procedures are observed. Prepares forms, verifies insurance benefits, and explains financial requirements to patients. Manages patient referrals and secures insurance pre-authorizations for dental procedures.

Requirements

High School Diploma, or equivalent.
3-5 years of experience.
Strong interpersonal skills.
Ability to interact effectively with consumers, administration, faculty, and staff.
Handle the information with high level of confidentiality.

Nice To Haves

Bilingual preferred.

Responsibilities

Confirms patient services needed, schedules evaluations and admissions.
Records patient demographic, insurance, and billing codes into registration and billing system; research missing information on intake forms; obtains signatures and release forms.
Provides assistance in the planning, coordination, and implementation of clerical, data entry, and operating procedures within the department.
Provides general information; receives and directs visitors and/or patients.
Schedules patient appointments for treatment.
Confirms services needed by patients, and orients patient to specific dental procedure(s) and nature of treatment involved.
Enroll and dis-enroll Medicaid patient.
Follows established departmental policies, procedures, and objectives, continuous quality improvement objectives, and safety, environmental, and/or infection control standards.
May contact attending physicians regarding services required by patients, evaluations needed and obtain relevant medical records.
Performs miscellaneous job-related duties as assigned.
Assist the supervisor as unusual problems arise.
Assists in processing authorized referrals for enrollees.
Submit pre-authorizations to dental insurance companies with supporting documentation (x-rays, narratives, periodontal charting, etc.)
Track and follow up on pending authorizations and referrals
Communicate approval, denial, or additional information requests to providers and patients
Ensure those functions are done within the established policies, procedures and guidelines of BHCC.
Develops and maintains a professional rapport with health care providers in the community (i.e.: physicians, hospitals, ancillary staff and support staff).
Assist the supervisor as unusual problems arise.
Support staff in assigned project-based work.
Monitor fax for new referrals, document attachments, and results to scan into Dentrix or tie to current referrals
Other duties as assigned by immediate supervisor as required.