UNIV - Treatment Care Coordinator, Special Needs - College of Dental Medicine

Medical University of South Carolina • Charleston, SC

3d • $39,300 - $66,800 • Onsite

About The Position

The Treatment Care Coordinator (TCC) supports patients through consultation, treatment acceptance, insurance prior authorization, financial clearance, and OR scheduling for the College of Dental Medicine (CDM) Special Health Care Clinic. Reporting to the Senior Manager of Care Coordination & Access Services, this role works closely with providers, Patient Service Representatives (PSRs), and the Billing Office to ensure patients clearly understand their treatment plan, insurance benefits, and available payment options. This position plays a critical role in keeping the OR schedule full, promoting case acceptance by ensuring patients have a clear understanding of treatment recommendations and financial commitments. The Treatment Care Coordinator will follow up with patients who do not commit to treatment at the consultation visit to answer questions and support treatment decisions. This position also addresses patient concerns and questions about finances and any balances they may become past due.

Requirements

• A high school diploma and four years relevant experience in business management, public administration or administrative services; or a bachelor's degree and two years experience in business management, public administration or administrative services.

Responsibilities

• Coordinate and schedule all Operating Room cases including preparation, submission, and tracking of required documentation and insurance prior authorization paperwork. Act quickly to fill cancellations and openings to ensure all OR openings are fully utilized.
• Enter referrals in EHR. Ensure images and all referral information is added to the EHR. Register patients, verify insurance benefits, and prepare treatment cost estimates. Contact patients to schedule consultation appointments. Ensure insurance information and patient records are accurate and complete. Coordinate with the Billing Office when clarification of insurance benefits or coverage is required.
• Meet with patients during or immediately following their consultation appointment to review recommended treatment plans. Submit insurance prior authorizations for OR cases as needed. Explain treatment costs, insurance coverage, patient financial responsibility, and available payment options. Educate patients on CDM financial policies. Ensure patients clearly understand treatment expectations, timeline, and financial commitment prior to initiating treatment. Document insurance verification and financial estimates accurately in the Electronic Health Record (EHR). Accurately document treatment acceptance or financial discussions within the EHR. Support case acceptance by addressing patient questions related to treatment plans, insurance coverage, and payment options.
• Serve as a communication liaison between providers, PSRs, and the Billing Office regarding treatment plans, insurance coverage, and financial arrangements. Coordinate with front desk staff to ensure patients are scheduled appropriately for treatment start appointments. Work with providers to clarify treatment recommendations when patients have additional questions regarding their treatment plan. Facilitate resolution of patient questions related to financial estimates, insurance benefits, or payment arrangements and past due balances. Assists front desk areas with PSR duties as needed.
• Ensure all financial discussions, insurance verification, and treatment acceptance documentation are recorded accurately in the EHR. Maintain compliance with HIPAA privacy regulations and CDM financial policies. Participate in departmental meetings, training, and quality improvement initiatives related to patient access and care coordination. Support operational improvements aimed at enhancing case acceptance and patient experience. All other duties as assigned by manager.

What This Job Offers

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