Call Cloud Dental Patient Access Specialist I (62285)

Our Mission, Vision, & Model of Care

At Union Community Care, our purpose is at the forefront of all that we do: we stand for whole health to help you live your fullest life.

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.

JOB SUMMARY

The Dental Patient Access Specialist I functions as part of the clinical care team and is responsible for delivery of excellent customer service and accurately and efficiently performing patient registration, exit and appointment scheduling.

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. Ensures that all pre-authorizations are properly and closely monitored
15. Manages correspondence with in insurance companies, dentists, and patients
16. Develops and implements pre-authorization workflows, policies, and procedures
17. Scans and documents all pre-authorization approvals and denials in Dentrix Ascend
18. Calls and schedules patients when authorizations are received
19. Offers Sliding Fee Discount when pre-authorizations are denied
20. Secure patient’s demographic and dental information by using discretion and ensuring that all procedures are in sync with HIPPA compliance and regulations
21. Reviews the accuracy and completeness of the information requested and ensures all supporting documents are present
22. Secure patient’s demographic and dental information by using discretion and ensuring that all procedures are in sync with HIPPA compliance and regulations
23. Verifies insurance coverage 1-2 days prior to the patient’s dental appointment
24. Contacts the patient for updated insurance information
25. Contacts insurance company for updated information
26. Updates insurance in Dentrix Ascend and Athena
27. Helps patients with coordination of benefits
28. Performs other work-related duties as assigned

POSITION REQUIREMENTS

• High School Diploma or G.E.D., Administrative Assistant Degree
• Dental experience preferred
• Excellent customer service and interpersonal skills
• Exhibits excellent communication skills
• Attention to detail
• Good basic computer skills
• Strong team player
• Compliance with HIPAA regulations
• Knowledge of medical terminology a plus
• English proficiency required                       

ESSENTIAL FUNCTIONS

In order to fulfill the requirements of this position, duties 1-28 are considered essential functions of the job.

ORGANIZATIONAL INVOLVEMENT

This position is required to participate in mandatory all staff meetings, team meetings and trainings.