Patient Service Representative Float - Dental (JK)
Summary
Title: | Patient Service Representative Float - Dental (JK) |
---|---|
ID: | 5077 |
Department: | Dental - Operations |
Location: | Jackson |
Starting Rate: | $17.00 |
Description
Rural Health Group is seeking a full-time Patient Service Representative that will float as needed between Roanoke Rapids and Jackson dental clinics.
Candidate will work a Monday thru Friday schedule. NO WEEKENDS at $17.00/hr
Must demonstrate the Rural Health Group Core Competencies, which include:
- Good Judgment
- Communication/Customer Service/Teamwork
- Passion
- Honesty
- Responsibility
- Job-Specific Skill Set - including knowledge, skills, and ability to fulfill the following essential job responsibilities:
- Oversees the scheduling of STAT and urgent referrals, managing both routine and high-risk cases, along with necessary follow-up actions.
- Secures prior authorization from insurance companies
- Maintains the confidentiality of patient health records as per relevant laws. Processes referrals by urgency and request date, directing patients to suitable specialists.
- Accurately documents referrals in patient health records and discusses details with patients to ensure understanding.
- Ensures providers document the rationale for referrals and complete necessary evaluations.
- Compiles and submits comprehensive documentation, continuously monitoring all referrals.
- Manages incoming calls and participates in quality improvement meetings.
- Manages phone calls professionally, scheduling and triaging them to the front desk.
- Schedules appointments and handles cancellations per guidelines, including prior approvals and provider note reviews.
- Makes reminder calls for appointments, informing patients about co-payments and next visit requirements.
- Interviews patients to record personal and payment details.
- Triages urgent appointments, forwarding calls to the front desk.
- Verifies coverage and explains office policies.
- Documents no-shows and cancellations and assists with billing issues.
- Completes and scans patient history, serving as a backup receptionist.
- Follows prior authorization procedures, ensuring all information is complete and supporting documents are attached.
- Manages communication with insurance companies.
- Ensures compliance with HIPAA regulations and advises providers on authorization issues.
- Stays informed about insurance criteria changes and takes on additional duties as needed.
- Dental office experience is preferred.
- High school diploma or GED.
- Candidate should be adept at multitasking and functioning effectively in high-pressure environments.
- Ability to apply common sense understanding when carrying out detailed written or oral instructions.
- Ability to use good judgment when carrying out responsibilities
- Ability to stoop, kneel, bend, type on a keyboard, and perform light lifting
- Must be able to sit for extended periods, with frequent hand use and manual dexterity
- Strong preference for candidates with dental office experience
- Must quickly learn to navigate the eClinicalWorks electronic health record system
- Excellent organizational, telephone, and communication skills
- Ability to lift between 25-50 pounds and move for extended periods
- Embrace teamwork and promote a collaborative environment
- 2+ years of related experience is required, with prior authorization experience highly desired
- Understanding of medical terminology and insurance requirements for prior authorization is necessary
- Candidates should possess excellent verbal, written, organizational, and customer service skills, along with the ability to work independently, meet deadlines, and adapt as needed.
- Proficiency in data entry and basic skills in Microsoft Office, Excel, and Outlook is required.
We foster a team-oriented atmosphere and encourage positive teamwork behaviors. Being bilingual (English/Spanish) is a plus but not required; applicants who may serve in a translating capacity will need to take a language assessment.
EOE. Federal and State Criminal Background Checks and Drug Screen required for all positions. Influenza vaccine is a condition of employment.
E-Verify Notice: After accepting employment, new hires are required to complete an I-9 form and present documentation of their identity and eligibility to work in the United States.
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