PATIENT SERVICE REPRESENTATIVE I

3 weeks ago

Oklahoma City OK USA, United States Variety Care Full time
Overview

Department: Administration

Position: Patient Service Representative I - Dental

Employee Category: Non-Exempt

Reporting Relationship: Practice Administrator

Character Core Qualities:

* Attentiveness- Showing the worth of a person or task by giving my undivided concentration.
* Enthusiasm- Expressing my joy in each task as I give it my best effort.
* Joyfulness- Maintaining a good attitude, even when faced with unpleasant conditions.
* Patience- Accepting a difficult situation without giving a deadline to remove it.
* Punctuality- Showing esteem for others by doing the right thing at the right time.

Summary of Duties and Responsibilities:

Processes patient information through the dental and medical information software systems, along with payments. Handles daily office duties i.e. going over treatment plans, insurance, confirming appointments, and answering incoming calls.

Responsibilities

Primary Duties and Responsibilities:

Receives patients at reception window. Obtains required information/documentation from patient at check in. Obtains financial and family information and updates information for each patient on each visit including, address, phone, insurance coverage, and date of birth. Updates patient information and makes changes as necessary in the electronic medical records. Verifies SoonerCare information daily; making sure patients are covered before receiving treatment. Verifies all insurances regularly; making sure that patients do not reach past their maximum benefit. Verifying insurance on new patients and arranges payment for services received. Sends predetermination to insurance to insure payment of service. Schedules appointments in electronic medical records. Schedules patient visits in accordance with any scheduling rules. Reads clinical notes and schedules next appointment when a patient calls. Monitors the schedule ensuring the maximum use of the providers. Answers calls for your location. Calls, as necessary, to remind patients of upcoming appointments or to reschedule appointments. Briefs patients about their benefits. Creates treatment plans and explains plans to the patient. Calls patient to explain what their predetermination covers and/or does not cover. Creates dental contracts. Posts charges and payments at the time of check-out for patient. Verifies any late or open balances and reminds patient of the outstanding balance. Calls billing assistance to help patient with balance owed questions. Accepts payments and assures daily collections are secured. Balances daily transactions. Assures waiting area is good order throughout the day. Calls custodial staff as needed for assistance. Follows HIPAA guidelines and Variety Care Privacy policy and procedure. Assures that office equipment is in good working order. Notifies appropriate staff member if problems arise. Provides back-up and overflow coverage for Front Office Telephone Operator(s). Supports Variety Care's accreditation as a Patient Centered Medical Home and our commitment to provide care to all Variety patients that is Safe, Effective, Patient Centered, Timely, Efficient, and Equitable. Provide leadership and work with all staff to achieve the goals of the Triple Aim of healthcare reform-to improve the experience of care, improve health outcomes, and decrease healthcare costs. Embodies the strength of personal character. Places value on being an open and honest communicator who displays high moral and ethical conduct, integrity, adaptability, and sound judgment. Must be a leader in the department and community. Result-oriented problem solver who is responsible and accountable. Performs other duties as assigned.

Qualifications

Requirements, Special Skills or Knowledge:

High School Diploma or GED. Be able to pass competency test. Possesses legible handwriting and basic mathematic skills. Possesses ability to work with the public. Possesses ability to enter simple data entry and has basic keyboarding knowledge. Able to communicate with patients and staff. Trustworthy handling confidential information. Able to work in an active and stressful environment. Able to work with difficult patients from time to time. Bilingual (English/Spanish).

Preferred Requirements, Special Skills or Knowledge:

Basic knowledge of dental terminology. Basic knowledge of process of dental procedures.

ADA Requirements:

Able to lift a minimum of 25 pounds. Able to sit for long periods of time.

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