Dental Patient Service Representative

Job Description

Job Description

POSITION PURPOSE

The Dental Patient Services Representative is responsible for reviewing patient accounts to ensure accuracy; maintaining the appearance and order of the Dental office; patient scheduling and patient management; collecting, posting and managing accounts for dental payments; verification of insurances to ensure coverage of our patient base by working with clinical and administrative staff, insurance companies, and referral sources. Position will participate in QI activities as needed.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

· Promote the mission, vision, and values of the organization

· Opening and closing the dental office according to office protocol.

· Greet, welcome and check in patients.

· Check patient back up list to try to fill in cancellation and no-show appointment times.

· Collect payment from patients at the time of treatment.

· Make follow-up appointments as needed.

· Prepares and submits claims to various insurance companies either electronically or by paper.

· Make telephone calls to various dental insurance companies for explanation of benefits

· Identifies and resolves patient billing complaints.

· Evaluates patient’s financial status and reports status of delinquent accounts.

· Works with the patient to guide them through all the necessary steps that their insurance company requires for approval.

· Verifies insurance eligibility with Medicare, Medicaid and private insurance companies.

· Addresses claim denials and questions from third parties.

· Maintains a knowledge base of insurance trends and learn new policy changes within the dental industry.

· Verifies patient treatment plans with clinical staff prior to submission to the insurance company to ensure proper patient coverage.

· Provides excellent customer service and maintains a professional demeanor when working with insurance companies.

· Ensures that HIPAA Notice of Privacy Practices is on display and policies are followed.

· Gathers and accurately records dental, medical, and insurance information from patients.

· Tracks cases and referrals to and from other doctors.

· Updates insurance information on all patients and prepares claim form.

· Submits treatment plans for predetermination of benefits.

· Organizes supporting materials for claim forms, such as radiographs or written narratives.

· Mails and/or submits electronic claim forms.

· Other duties as assigned .

QUALIFICATIONS

EDUCATION/CERTIFICATION: High School diploma or GED. Efficient use of 10-key calculator, copier and computer. Previous Dental Office Experience Strongly Preferred. Previous medical office/customer service experience required.

SKILLS/ABILITIES: Individual must possess the ability to input data into computer for compiling information and basic knowledge of use office equipment.

EQUAL OPPORTUNITY EMPLOYER

OIC, Inc. is an equal opportunity employer. OIC, Inc. offers equal opportunities to applicants and employees and makes all employment-related decisions based exclusively on job-related qualifications, without regard to characteristics such as race, color, national origin, religion, gender, age, marital status, disability, veteran status, citizenship status, sexual orientation, gender identity, political affiliation and/or any other status protected by law.

DIVERSITY STATEMENT

OIC, Inc. is committed to valuing all people throughout our organization, regardless of background, lifestyle, and culture. A diverse and inclusive work environment for staff and culturally appropriate care for our patients, are essential to fulfilling OIC, Inc.’s vision and goals.

Due to the volume of applications received, please do not contact the OIC Human Resources Department to check the status of an application, as we will be unable to provide this information over the phone. All applicants will be reviewed and those deemed most qualified will be contacted for interview.

Thank you for your interest in employment with OIC, Inc.