Patient Care Coordinator

University of the Pacific•Stockton, CA

1d•Onsite

About The Position

Under the immediate supervision of the Clinic Manager, performs various patient and financial management functions. University of the Pacific recognizes that diversity, equity, and inclusion is foundational to the success of our valued students and employees. We prioritize policy and decision-making that demonstrates awareness of, and responsiveness to, the ways socio-cultural forces related to race, gender, ability, sexuality, socio-economic status, etc. impede or propel students, faculty, and staff.

Requirements

Knowledge of: Dental terminology and treatments.
Dental insurance procedures.
Accounts receivable management.
Principles of dental office management or general office methods and procedures.
Ability to: Communicate effectively with faculty, staff, students, and patients.
Explain to patients their financial obligations to the School of Dentistry for dental procedures in appropriate terms.
Utilize patient management system to run financial reports.
Pay close attention to detail.
Communicate with insurance companies to ascertain patient coverage.
Clarify patient accounts when patients have billing concerns.
Evaluate and resolve patient care management problems satisfactorily.
Maintain professional composure and demeanor.
Coordinate a variety of responsibilities in stressful situations.
Minimum of three years of dental insurance billing experience in a group practice or dental school setting.
High school diploma or equivalent.

Nice To Haves

AA or Bachelor degree.
Bilingual skills helpful.
Experience and sensitivity in working with people of diverse backgrounds and cultures.
Demonstrated experience in advancing social justice, equity, and inclusion in a university setting.
Ability to engage and integrate culturally responsive practices and knowledge in their work.

Responsibilities

Discuss financial cost with patients regarding their dental treatment and provide financial clearance; obtain management approval for large treatment plans; complete electronic fund transfer forms as needed.
Verify eligibility and plan benefits for private and public insurance; prepare, submit, trace and process pre-determinations to insurance company; input and scan all benefit information onto patient file.
Estimate and explain out of pocket cost to patients based on insurance benefits and limitations; interview patients inquiring about financial payment plans; execute financial payment plan for qualified applicants and explain contract agreement.
Provide account summary and complete forms as requested by patient (i.e. verification of dental expenses for housing purposes, HRAs).
Collect, process, and balance payments; correspond with third party payees/organizations regarding payment; validate credits and progress refund request for approval.
Ensure that all necessary forms, documentation and x-rays meet Denti-cal guidelines prior to approving treatment; provide and assist students and residents with compliant CDT coding.
Audit and maintain patient financial accounts for accuracy; provide information to students, residents and patients regarding billing problems or resolutions; assist students with financial chart locks and billing issue forms.
Run monthly reports for accounts on payment plans and modify as needed.; contact patients to collect past due payments and process return statements; review delinquent account report to determine collection proceeding.
Research, contact and provide information as requested by insurance companies; notify insurance department regarding insurance billing and claim status.
Support processing needs of special grant programs and special discounts offered annually during Mock Boards.
Respond to all patient inquiry/dispute regarding their account in a timely manner; refer patient issues and concerns related to treatment to appropriate Group Practice Leader or Patient Relations Liaison as needed.
Grade students quarterly based on professionalism, patient management skills and knowledge of financial protocol; participate in 1st/2nd year student orientation; providing guidance regarding clinic financial policies and approvals; participate in year-end clearing progress.
Provide back up for CARE Coordinator as needed for treatment approval.
Order, stock and dispense CAMBRA products.
Maintain student/patient sign up list in a timely manner.
Perform all other duties as assigned by the Manager, Clinic Financial Operations.