UNIV - Treatment Care Coordinator - College of Dental Medicine

Medical University of South Carolina•Charleston, SC

2d•$39,300 - $66,800•Onsite

About The Position

Positions assigned to this class are responsible for the administrative activities of a division, department, facility or major section of a state agency. They do not have programmatic responsibilities. While supervision is not required, positions may be responsible for supervising administrative, technical, support and/or professional personnel. Coordinates general administrative, business management and/or support activities. Performs or supervises the performance of activities related to fiscal management, personnel management, procurement, supply services, auxiliary services, etc. Develops and monitors compliance with annual budgets; consults with program personnel regarding the availability of funds and preparation of funding requests. Conducts confidential investigations and complex special assignments; prepares and maintains specialized records and reports. Establishes and provides consultation on administrative policies and procedures. Coordinates personnel activities for the division, department or facility; serves as resource person on personnel policies and procedures.

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

Coordinates all OMFS referrals in the appropriate EHR.
Accurately register and schedule patients for Faculty and Resident clinics by; verifying patient demographics, collecting medical and dental insurance information, obtaining additional documentation or images from referring provider, providing clinic contact information, and answering questions prior to initial consultation and throughout anticipated treatment.
Responsible for answering all incoming phone calls and returning patient voicemails for your assigned clinic area using the assigned Avaya Agent login ID.
Contact insurance companies to determine benefit and authorization requirements.
Verify insurance using Real Time Eligibility, payer website or phone number.
Ensure accuracy of all insurance information and input into appropriate EHR.
Reviews insurance approvals for main OR procedures and works as liaison between the UMA Revenue Cycle Team and insurance companies to develop patient estimates for inpatient and outpatient procedures based on provider recommended treatment plans.
Assists in tracking Share points for cases without established funding.
Work with financial counselors to ensure non-covered patients understand their financial options and responsibilities.
Work with providers to ensure that coding is accurate.
Aids in billing issues and solutions.
Schedule Faculty surgical cases going to the Main Hospital OR and cases in the ambulatory surgical clinic.
Schedule Resident surgical cases in the ambulatory surgical clinic.
Ensure OR and ambulatory clinic maintain optimal utilization while remaining cognizant of patents needs, insurance, and provider availability.
Schedule or help facilitate pre and post-op appointments with chosen providers.
Assists in coordinating “piggyback” cases with ENT, Plastics, Pediatric Dentistry, AEGD, etc.
Communicate all appointment information to the patient and ensure the patient is aware of any out-of-pocket costs for upcoming visits.
Explains the next steps and timelines for scheduling procedures after initial consultation.
Input all external communications into patient’s EHR including; consents, additional imaging, authorizations, pre-op testing, post-op instruction, etc.
Provides an elevated level of support to the clinic and serves as back-up to the front desk as needed.
Provides support for provider correspondence, to include patient letters, work/school excuses, disability forms, etc.
Performs additional duties as assigned by the Clinic Manager.