Dental Access Rep III

Responsibilities

• Performs functions associated with patient information processing for dental visits.
• Completes the tasks of reception, registration, charge reconciliation, appointment scheduling, telephone encounter management, processing of referrals and pre-determination of benefits, and medical and dental insurance verification.
• Affirms patient satisfaction with information processing and reception service.
• Ensures accuracy in generating a billable service for the provider.
• Maintains accuracy, efficiency, and customer friendliness in completing assigned tasks.
• Might serve as a resource to new staff.
• Might monitor own performance on assigned tasks.
• Might make complex decisions independently.
• Might train new or less experienced support staff.

Job Duties And Responsibilities

• Reception: Greets patients to initiate positive experience, requests patient identification, verifies patient identity, identifies healthcare provider, obtains signatures, assesses patients' special needs, updates patients regarding waiting time, ensures cleanliness and order in the waiting room/lobby, protects PHI for patients as indicated by HIPAA regulations.
• Customer Interaction: Assesses the urgency of a situation and routes appropriately, handles complaints, utilizes service recovery concepts, solves problems.
• Registration: Collects patient demographic and financial information efficiently, verifies information accuracy, enters information into the electronic medical record and patient access and revenue cycle system, requests patient e-mail address for confirmation, assures completion of appropriate forms.
• Appointment Scheduling: Schedules new and return visits, monitors schedules, reports problems to Supervisor, pre-registers patients, coordinates appointments for ancillary testing or referrals, follows-up missed appointments and cancellations, prepares correspondence or forms, schedules interpreters, schedules outside services, assures patient satisfaction with visit prior to discharge, prints After Visit Summary, collects patient payments, prepares end of day deposits, reconciles any discrepancies.
• Telephone Management: Answers phone in a timely and courteous manner, manages incoming clinic calls, sorts calls to various providers, coordinates outgoing calls, provides information to patients, forwards calls, pages providers, takes messages.
• Insurance Management: Initiates insurance preauthorization, verification, and/or service authorization, maintains working knowledge of various insurance policies and regulations.
• Referrals: Processes all internal and external referrals, prioritizes referrals based on department policies, employs tracking mechanism to ensure referral approvals and appointments are obtained in a timely manner.

Qualifications

• High School diploma required.
• One year of related work experience in an administrative office or customer service field required or an equivalent combination of education and experience.
• Demonstrated ability to word process documents and enter data into a database preferred.
• Demonstrated skills related to achievement of customer satisfaction preferred.
• Demonstrated ability to act as a resource to less experienced staff preferred.