Patient Relations Specialist

3 weeks ago

Pittsburgh, United States North American Dental Group Full time

Overview:

Patient Relations Specialist

Remote

Summary

Responsible for the management of escalated patient relation matters from NADG supported practices. This function and its related elements are managed as a part of the NADG Compliance Program to manage risk and identify trends in accordance with the Office of Inspector General recommendations. The patient relations specialist will ensure formal requests regarding patient complaints, attorney records requests, refunds, and patient dismissals are addressed timely, using standard processes, in alignment with company policy and applicable regulations to prevent bias.

Essential Duties

Patient Relations Specialist Duties

  1. Primary/initial contact for patient complaints that need to be escalated beyond the point of regional leadership for appropriate resolution
  2. Maintain reportable database of patient complaints
  3. Ensure documented resolution patient complaints are on file
  4. Provide written response to patient complaints/3rd party complaints on behalf of patients (where required)
  5. Manage 3rd party patient complaint communications, including insurance companies, BBB, state board etc.
  6. Maintain supported documentation for reported patient complaints in structured files
  7. Properly escalate complaints for appropriate clinical or legal review where necessary
  8. Manage patient dismissal process, including dental record documentation and letter assistance at the site level
  9. Maintain database, documentation, and tracking for patient dismissals from NADG supported providers/practices
  10. Maintain database, documentation, and tracking for patient refunds from NADG supported providers/practices and initiate related check requests for refunds
  11. Provide pre-approved state specific resources regarding patient dismissal best practices based on applicable regulations
  12. Point of contact for attorney/corporate dental records requests
  13. Responsible for managing/updating tracking and processing of dental records requests to ensure regulatory compliance in relation to the HIPAA privacy rule, as well as any applicable state guidance

Experience/Requirements

  1. Preferred minimum 2 years experience in administrative role
  2. Preferred minimum 1 year in healthcare role (can include healthcare compliance)

Skill, Knowledge, and Abilities (SKAs)

  1. Customer Service the individual provides exceptional customer service to patients and other team members by meeting quality standards for services
  2. Interpersonal Skillsthe individual is empathetic, objective, and has the ability to remain unbiased
  3. Oral communicationthe individual speaks clearly and persuasively in positive or negative situations, demonstrates group presentation skills and conducts meetings
  4. Written Communicationthe individual edits work for spelling and grammar, presents numerical data effectively and is able to read and interpret written information
  5. Adaptabilitythe individual adapts to changes in the work environment, manages competing demands and is able to deal with frequent change, delays or unexpected events
  6. Dependabilitythe individual is consistently at work and on time, follows instructions, responds to management direction and solicits feedback to improve performance
  7. Safety and securitythe individual actively promotes and personally observes safety and security procedures, and uses equipment and materials properly
  8. Initiative Ability to think and work independently with minimal supervision
  9. Confidentiality- Ability to maintain high-level of confidentiality and discretion when handling sensitive and restricted information related to their job duties

Education/Training

  1. High school graduate, related degree preferred (B.S. Healthcare Administration, B.A. English/Journalism etc.)

Physical/Environmental

  1. Sitting and bending for long periods of time.
  2. Position requires frequent talking, hearing, and vision with moderate standing, walking and reaching.
  3. Potential interactions with general clinical environment with frequent exposure to chemicals, blood borne pathogens, patient body fluids and/or tissue, and physical hazards such as needle sticks.

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice

  • Patient Care Specialist

    7 days ago

    Pittsburgh, United States SSi People Full time

    Job Title: Patient Care Specialist (Hybrid)Locations: Pittsburgh, PA-15275Client: Healthcare and hospitalShortened Job Description:The Patient Care Specialist/ Case Manager supports patients with chronic illnesses by assessing their needs and managing their treatment plans.They collaborate with healthcare professionals, insurance companies, and internal...

  • Patient Care Specialist

    7 days ago

    pittsburgh, United States SSi People Full time

    Job Title: Patient Care Specialist (Hybrid)Locations: Pittsburgh, PA-15275Client: Healthcare and hospitalShortened Job Description:The Patient Care Specialist/ Case Manager supports patients with chronic illnesses by assessing their needs and managing their treatment plans.They collaborate with healthcare professionals, insurance companies, and internal...

  • Client Relations Specialist

    2 weeks ago

    Pittsburgh, Pennsylvania, United States CRJ CONSULTING LLC Full time

    Dynamic Opportunity for Client Relations SpecialistCRJ CONSULTING LLC is on the lookout for a dedicated client relations specialist to enhance our vibrant workforce. In this role, you will serve as the main liaison for our clientele, playing a crucial part in fostering and sustaining client connections while providing exceptional service. Your duties will...

  • Client Relations Specialist

    2 weeks ago

    Pittsburgh, Pennsylvania, United States Tscbank Full time

    Client Relations SpecialistDepartment: Private BankingOverview of the Role:The Client Relations Specialist is responsible for addressing all client inquiries that arise within the Private Banking Service Team. This role involves close collaboration with the entire Sales organization, Portfolio Management, Internal and External Counsel, Compliance, Financial...

  • Patient Access Specialist

    3 weeks ago

    Pittsburgh, United States Metro Community Health Center Full time

    Patient Access Specialist Position Reports To: Patient Access Supervisor FLSA: Non-Exempt Positions reporting into this job: None Job Summary: This position is responsible for patient scheduling, registration, financial collections and the daily clerical support of the health center for the delivery of primary care to the patients and families of Metro...

  • Patient Transition Specialist

    2 weeks ago

    Pittsburgh, Pennsylvania, United States Maxim Healthcare Services Full time

    Overview of the Patient Transition Specialist RoleBecome a vital member of our organization as a Patient Transition Specialist, delivering crucial support during a significant phase in a residential environment. In this temporary role, you will be instrumental in guiding patients from medical facilities back to their homes. This position is not for everyone;...

  • Patient Support Specialists

    2 weeks ago

    Pittsburgh, United States PeopleShare Full time

    PeopleShare is Now Hiring Patient Support Specialists for a Leading Health Care Service Provider in Robinson, PA! Why Work for PeopleShare?:Weekly pay on FridaysQuick, easy hiring processOpportunity for $50.00 referral bonusesVoted Best Places to WorkMedical benefits and 24/7 virtual wellness programJob Details for Patient Support Specialists:Schedule:...

  • Patient Access Specialist

    7 days ago

    Pittsburgh, Pennsylvania, United States Highmark Health Full time

    Position Overview The role of the Patient Access Specialist encompasses a variety of critical functions that ensure seamless scheduling, pre-registration, financial verification, authorization, and referral validation. This position serves as the initial point of contact for patients and their families, providing essential information about the services...

  • Client Relations Specialist

    7 days ago

    Pittsburgh, Pennsylvania, United States Huckestein Mechanical Services Full time

    Job OverviewAbout Huckestein Mechanical ServicesWith over 70 years of excellence in the mechanical contracting sector, Huckestein Mechanical Services stands out for its commitment to service quality. Our focus on delivering tailored solutions ensures that we meet the unique needs of our clients. We are dedicated to optimizing energy efficiency, minimizing...

  • Patient Support Specialist

    1 month ago

    Pittsburgh, United States Careerbuilder-US Full time

    Job Title: Patient Support Specialist Job Location: Pittsburgh, PA 15275 Job Duration: 3 months+ Shift hours: Mon - Fri 11:30 am - 8:00 pm. Pay range: $19.85/hr. on W2 Job Description: The Patient Support Specialist is responsible for providing patient health care services enabling access to care for prescription medications. This...

  • Client Relations Specialist

    1 week ago

    Pittsburgh, Pennsylvania, United States Total Quality Logistics Full time

    About the Position: As a Client Relations Specialist at Total Quality Logistics, you will undergo comprehensive training to become a knowledgeable resource in a specific transportation mode (e.g., Full-truckload, Less-Than-Truckload, Drayage) to assist with daily shipping operations. You will serve as the primary support for our sales team, directly...

  • Client Relations Specialist

    2 weeks ago

    Pittsburgh, Pennsylvania, United States Magnetics Full time

    Job OverviewMagnetics, a division of Spang & Company, is seeking a Client Relations Specialist. This role is pivotal in ensuring professional and effective communication with the Sales department, managing all aspects of customer service from initial contact through to order fulfillment.Key Responsibilities:Deliver accurate pricing and delivery details to...

  • Patient Support Specialist

    3 months ago

    Pittsburgh, United States ConnectiveRx Full time

    **Patient Support Specialist (In-bound call)** Pittsburgh, PA 15275, USA Req #1732 Thursday, October 28, 2021 ConnectiveRx is a leading, technology-enabled healthcare services company. We work strategically with hundreds of biopharmaceutical manufacturers to help commercialize and maximize the benefits of specialty and branded medications. Our mission is to...

  • Patient Support Specialist

    2 weeks ago

    Pittsburgh, United States Careers Integrated Resources Inc Full time

    Job Title : Patient Support Specialist Location : Pittsburgh, PA 15275 Duration : 3 months+ will full possibility of extension Shift : M -F 11: 30 AM -8 PM, 10 AM -6:30 PM, and 10:30 AM -7 PM Pay range: $19.85/hr. on W2 Job Description: The Patient Support Specialist is responsible for providing patient health care services enabling...

  • Patient Care Specialist

    2 weeks ago

    Pittsburgh, Pennsylvania, United States Riverside Health System Full time

    Patient Care Specialist - Riverside Health SystemOverview:As a Patient Care Specialist within our organization, you will operate under the guidance of the Nurse Manager and Director to deliver comprehensive nursing services for designated patients. Your role will encompass the assessment, planning, execution, and evaluation of patient care, alongside...

  • Patient Care Specialist

    2 weeks ago

    Pittsburgh, Pennsylvania, United States Riverside Health System Full time

    Patient Care Specialist - Newport News, VirginiaOverview:As a Patient Care Specialist within our organization, you will collaborate closely with the Nurse Manager and Director to deliver comprehensive nursing services for designated patients. Your role encompasses the assessment, planning, execution, and evaluation of patient care, alongside overseeing...

  • Client Relations Specialist

    2 weeks ago

    Pittsburgh, Pennsylvania, United States Aim Gifts Full time

    Job OverviewAim Gifts is seeking a dedicated Client Relations Specialist to enhance our customer service and sales support efforts. We are a well-established company with a strong presence in the market, committed to delivering exceptional service to our clients across various regions.Key Responsibilities:Support the sales team to guarantee customer...

  • Client Relations Specialist

    7 days ago

    Pittsburgh, Pennsylvania, United States Huckestein Mechanical Services Full time

    Job OverviewAbout Huckestein Mechanical ServicesWith over 70 years of experience, Huckestein Mechanical Services has established itself as a leader in the mechanical contracting sector. Our commitment to service excellence provides a distinctive approach to delivering value to our clients. We focus on evaluating, designing, installing, and maintaining...

  • Patient Support Specialist

    2 weeks ago

    Pittsburgh, Pennsylvania, United States UPMC Full time

    UPMC Community Medicine Incorporated is seeking a full-time Patient Support Specialist to enhance their operations.This role operates within a structured schedule, providing a valuable opportunity for career advancement in a supportive team atmosphere focused on improving patient satisfaction and staff involvement._Familiarity with electronic health records...

  • Patient Support Specialist

    5 days ago

    Pittsburgh, United States Careers Integrated Resources Inc Full time

    Job Title : Patient Support Specialist Location : Pittsburgh, PA 15275 Duration : 3 months+ will full possibility of extension Shift : M -F 11: 30 AM -8 PM, 10 AM -6:30 PM, and 10:30 AM -7 PM Pay range: $19.85/hr. on W2 Job Description: The Patient Support Specialist is responsible for providing patient health care services...