Patient Service Representative - Dental Clinic

OLV Human Services • Lackawanna, NY

8d • Onsite

About The Position

The Baker Victory HealthCare Center provides high quality and affordable dental care to our patients. We serve a variety of patients from the community, including individuals with intellectual and developmental disabilities or other special needs. The Patient Service Representative will perform front desk responsibilities related to the check-in, check-out, insurance verification, scheduling of patients, and preparing the office for next day’s patients. This position is fast paced and high volume, serving up to 100 patients per day.

Requirements

• 1-2 years of administrative experience
• Strong customer service and multitasking skills
• Comfort using computers
• High school diploma required
• Computer/database Experience (Eaglesoft)
• Customer Service skills
• Multi-tasking skills
• Knowledge of dental procedures
• 1-2 years of administrative experience, dental office experience preferred

Nice To Haves

• dental office a plus
• NextGen experience a plus
• Associate’s degree preferred

Responsibilities

• Answering phones, scheduling and confirming appointments, collect appropriate demographic and insurance information from patient or representative.
• Performs administrative duties such as copying correspondence, insurance cards, preparing mailings and the collection and distribution of mail and messages.
• Ensures accurate data entry.
• Managing patient insurance verifications utilizing other 3rd party payer portals verification systems.
• Demonstrates friendly, courteous attitude in all communications.
• Operating computer using dental practice management software, internet and other vendor related programs.
• Maintain a neat and orderly work environment.
• Check patients in and out.
• Runs daily reports consistent with the needs of the dental center
• Any other duty as assigned by your Supervisor.
• Verifies and analyzes insurance plans, benefits, and coverage and updates insurance master in Eaglesoft.
• Communicates appropriate and relevant information to healthcare center team.
• Reviews patient accounts and evaluates balances owed; negotiates payment terms collecting outstanding balances prior to next scheduled visit/treatment
• Requests, verifies, and scans prior authorizations/referrals
• Stays abreast of plan coverage changes educating team members
• Coordinates scheduling efforts with department dental professionals
• Prepares and submits pre-determination inquires to 3rd party payers including radiology films and additional clinical documentation
• Provides follow up notification to patient on approval or denial of coverage; schedules approved procedures
• Prepares patient pre-determination financial responsibility letter according to coverage and plan cost share guidelines; informs patient of financial responsibility
• Reviews terms of services with patient, guardian and notifies dental team of the approval or denial of the predetermination
• Post payments and denials
• Utilizes denial reports to assess root causes of dental claim denials monitor denials for frequency, eligibility, clinical; takes necessary action to correct denial and allow for resubmission.
• shares findings with all department stakeholders
• Monitors specific frequency denials and keeps dental leadership informed
• Serves as a Liaison between patient, dental professional, and financial team
• Maintains accurate and timely review of clinical documentation against posted charges; engages provider to mitigate documentation and coding errors
• Reconciles daily schedules and charges
• Creates electronic claim for submission to 3rd party payors
• Provides ongoing education on support to the Dental Professionals on changes
• Generates daily reports documenting the history of the daily department clinical documentation activities
• Responsible for answering phone calls and scheduling patient appointments.
• Conduct patient pre-certification to ensure coverage for appointments and medical care.
• Schedule tests, procedures, and referral appointments.
• Communicate with patients regarding appointments and instructions for procedures and tests.

Benefits

• Competitive pay and benefits

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED