Description

Our Mission, Vision, & Model of Care

At Union Community Care, our purpose is to spark equity through patient-led healthcare that welcomes and strengthens our communities by integrating body, mind, and heart.

We envision vibrant and healthy communities supported by inclusive healthcare that embraces each member’s unique culture, needs, and values, and emboldens them to make healthful choices that fuel their well-being and the well-being of others.

We believe in whole health. This means we address and heal disease but equally important, we work at the causes of the causes, the social ills that must be addressed to achieve true equity.

We listen, learn, and embrace the complex lives and unique strengths of our patients, and we work hard to break down all barriers to care. This means we look through a grassroots lens. We connect with our communities because we are our communities. Each of us is a neighbor, a friend, a family member, and together, we are a trusted community health center.

Qualifications

SPECIFIC JOB DUTIES

1. Ensure all patients and visitors feel warmly welcomed at all Union Community Care sites. Set the tone for a superb care experience.
2. Provides superior telephone customer service for patients seeking access or assistance. This can include rotation through Call Cloud.
3. Verifies all patient demographic and insurance information and applies predetermined sliding fee discount.
4. Verifies coverage of insurance if needed (must keep password current for PROMISe, Navinet, Department of Public Welfare and other insurances).
5. Answers incoming phone calls (at site or in Call Cloud) professionally and knowledgably about Union Community Care access and services.
6. Fully understands and can apply the Sliding Fee Discount Policy and Procedures. Offers Sliding Fee Discount to all patients. Applies sliding fee in Athena.
7. Monitors Solution Reach appointment communication platform and cancels, schedules and changes appointments as requested by patients.
8. Collects applicable fees or co-payments at the time of registration, prior to the scheduled visit.
9. Performs patient check-in ensuring that all consents are current, patient account is current, and all demographic data is up to date and accurate in the e-HR.
10. Prepares daily batch report and reconciles cash drawer using the registration collection closing procedure.
11. Performs daily importing and scanning of necessary paperwork and forms, labels and routes documents to the appropriate recipient in Athena, deletes duplicate documents and cover sheets.
12. Performs patient exit, scheduling any necessary follow up appointments and providing patients with referral(s) and care instructions.
13. Reviews the accuracy and completeness of the information requested and ensures all supporting documents are present
14. Pre-authorizations
15. Ensures that all authorizations are properly and closely monitored
16. Manages correspondence with in insurance companies, dentists, and patients
17. Develops and implements pre-authorization workflows, policies, and procedures
18. Scans and documents all pre-authorization approvals and denials in Dentrix Ascend
19. Calls and schedules patients when authorizations are received
20. Offers Sliding Fee Discount when pre-authorizations are denied
21. Secure patients demographic and dental information by using discretion and ensuring that all procedures are in sync with HIPPA compliance and regulations
22. Insurance Verifications
23. Reviews the accuracy and completeness of the information requested and ensures all supporting documents are present
24. Secure patients demographic and dental information by using discretion and ensuring that all procedures are in sync with HIPPA compliance and regulations
25. Verifies insurance coverage 1-2 days prior to the patients dental appointment
26. Contacts the patient for updated insurance information
27. Contacts insurance company for updated information
28. Updates insurance in Dentrix Ascend and Athena
29. Helps patients with coordination of benefits
30. Performs other work-related duties as assigned.

POSITION REQUIREMENTS

High School Diploma or G.E.D., Administrative Assistant Degree

Excellent customer service and interpersonal skills

Exhibits excellent communication skills

Attention to detail

Good basic computer skills

English proficiency required

Strong team player

Compliance with HIPAA regulations

Knowledge of medical terminology a plus

English proficiency required