Dental Patient Service Representative

Patient Service Representative – Join Our Dental Care Team

Location: Baker Victory HealthCare Center | Full-Time

Bring your customer service skills and friendly energy to a role that truly makes a difference At Baker Victory HealthCare Center, we provide high-quality, affordable dental care to our community, including individuals with special needs.

As our Patient Service Representative, you'll be the welcoming face at our front desk — greeting patients, scheduling appointments, verifying insurance, and keeping things running smoothly in a fast-paced environment.

What We're Looking For:

• 1–2 years of administrative experience (dental office a plus)
• Strong customer service and multitasking skills
• Comfort using computers (NextGen experience a plus)
• High school diploma required; Associate's degree preferred

Why You'll Love It Here:

• Make a positive impact every day
• Be part of a collaborative, supportive team
• Gain valuable healthcare experience
• Competitive pay and benefits
• Apply today and help us keep smiles healthy

Job Summary:

The Baker Victory HealthCare Center provides high quality and affordable dental care to our patients. We serve a variety of patients from the community, including individuals with intellectual and developmental disabilities or other special needs. The Patient Service Representative will perform front desk responsibilities related to the check-in, check-out, insurance verification, scheduling of patients, and preparing the office for next day's patients. This position is fast paced and high volume, serving up to 100 patients per day.

Essential Job Duties:

• Answering phones, scheduling and confirming appointments, collect appropriate demographic and insurance information from patient or representative.
• Performs administrative duties such as copying correspondence, insurance cards, preparing mailings and the collection and distribution of mail and messages.
• Ensures accurate data entry.
• Managing patient insurance verifications utilizing other 3rd party payer portals verification systems.
• Demonstrates friendly, courteous attitude in all communications.
• Operating computer using dental practice management software, internet and other vendor related programs.
• Maintain a neat and orderly work environment.
• Check patients in and out.
• Runs daily reports consistent with the needs of the dental center
• Any other duty as assigned by your Supervisor.
• Employee is expected to perform specific roles and duties as outlined below:

Specific Roles within the PSR Job Function:Insurance Verifications:

• Verifies and analyzes insurance plans, benefits, and coverage and updates insurance master in Eaglesoft. Communicates appropriate and relevant information to healthcare center team.
• Reviews patient accounts and evaluates balances owed; negotiates payment terms collecting outstanding balances prior to next scheduled visit/treatment
• Requests, verifies, and scans prior authorizations/referrals
• Stays abreast of plan coverage changes educating team members
• Coordinates scheduling efforts with department dental professionals

Predeterminations:

• Prepares and submits pre-determination inquires to 3rd party payers including radiology films and additional clinical documentation
• Provides follow up notification to patient on approval or denial of coverage; schedules approved procedures
• Prepares patient pre-determination financial responsibility letter according to coverage and plan cost share guidelines; informs patient of financial responsibility
• Reviews terms of services with patient, guardian and notifies dental team of the approval or denial of the predetermination

Billing Review:

• Post payments and denials
• Utilizes denial reports to assess root causes of dental claim denials monitor denials for frequency, eligibility, clinical; takes necessary action to correct denial and allow for resubmission. and shares findings with all department stakeholders
• Monitors specific frequency denials and keeps dental leadership informed
• Serves as a Liaison between patient, dental professional, and financial team

Documentation Review:

• Maintains accurate and timely review of clinical documentation against posted charges; engages provider to mitigate documentation and coding errors
• Reconciles daily schedules and charges
• Creates electronic claim for submission to 3rd party payors
• Provides ongoing education on support to the Dental Professionals on changes
• Generates daily reports documenting the history of the daily department clinical documentation activities

Booking Appointments:

• Responsible for answering phone calls and scheduling patient appointments.
• Conduct patient pre-certification to ensure coverage for appointments and medical care.
• Schedule tests, procedures, and referral appointments.
• Communicate with patients regarding appointments and instructions for procedures and tests.

Skills:

• Computer/database Experience
• Customer Service skills
• Multi-tasking skills
• Knowledge of dental procedures

Competency Template: Administrative

Minimum Education Required:

High School Diploma

(Associate's Degree preferred)

Minimum Experience Required:

1-2 years of administrative experience, dental office experience preferred

License/Registration/ Certifications Required:

• None

Training Requirements:

• New Hire Orientation

Physical Requirements:

• The overall nature of the position is sedentary requiring little physical effort with occasional light physical exertion required. There is little, if any, exposure to environmental conditions.
• The constant physical demands of the position are sitting, talking, hearing.
• The frequent physical demands of the position are standing, walking, climbing, repetitive motions, and eye/hand/foot coordination.
• The occasional physical demands of the position are lifting, carrying, pushing, pulling, balancing, stooping, crouching, reaching, handling, grasping, and feeling.