Patient Services Representative III

Patient Reception/Patient Registration/Dental Billing

• Greets new and returning patients and clients entering the health center and checks them in for scheduled and walk-in appointments.
• Updates patient records to verify contact information.
• Greets other visitors to the health center and directs them to the appropriate offices or individual staff.
• Provides general information to patients concerning functions of FCCH.
• Answers the telephone and connects callers to the appropriate offices or individual staff.
• Schedules new office appointments and return appointments over the telephone and in person.
• Pulls and files dental charts when necessary.
• Other duties as assigned.

Proficient in all dental billing practices

• Collects patients’ copay/coinsurance/deductible/deposit at time of service.
• Verifies insurance eligibility for Medicaid, Medicare, and third-party payors.
• Verifies personal income according to established guidelines for all patients.
• Follows appropriate computer downtime procedures.
• Scans patient registration documents as directed.
• Merges duplicate patient files in PWPM, if assigned.
• Verifies in detail all dental benefits to include frequency limitations, deductibles, wait periods, percentages of coverages per procedure.

Patient Billing

• Answers telephone billing inquiries and resolves problems in a timely manner.
• Demonstrates ability to maintain daily record of all billing receipts and prepares the bank deposit and cash reconciliation report for the Finance department.
• Affixes to the Health Center Manager with collection calls and letters.
• Works closely with Dental Central Billing office in all aspects of billing/collections.
• Responsible for maintaining a 90-day AR (Insurance and Self Pay), to ensure that no claim “goes timely” at the site and no patient balance is ignored.
• Consistently follows the checkout guidelines when checking a patient out after a dental appt.
• Will with regularity attend billing meetings with the Dental Operations Manager and Dental Central Billing Manager.
• Will stay in close communication with the Dental Central Billing Team, when needed.
• Ability to research a claim to get claim status, when needed.
• Ability to recognize when referral assistance is needed and the ability to recognize the need for a DPCF referral.
• Will track your site errors and conduct meetings with PSRI’s and II’s at your site when needed.
• Upon request by the HCM this position will be required the auditing some pt. statements prior to them being sent.
• Other duties as assigned.

Requirements

• MINIMUM EDUCATION AND EXPERIENCE: High School graduate or GED certificate Two years of onsite dental billing experience.
• Bi-lingual English/Spanish is preferred.
• Must possess all PSR II knowledge.
• Must possess the ability to accurately understand dental benefit knowledge and the ability to articulate them to patient in layman’s terms, with ease.
• Licenses/Certifications Required: None