What are the responsibilities and job description for the Dental Operations Representative- Full time- DC position at Children's National Hospital?

The Dental Operations Representative or Dental Administrative Operations Representative will work with an established team of dentists, dental assistants, dental residents and administrative staff. The dental clinic is fast paced, and candidates must be able to multitask. Position requires the following : courteous communication with the families and dental clinic staff, scheduling appointments, patient registration, insurance verification / authorization, dental software experience as well as other general front office duties as assigned.

This position reports to the Dental Clinic Operations Supervisor or Clinic Operations / Practice Manager. Provide patient services and administrative support in dental clinic operations. Interacts with parents, patients, physicians and other staff under moderate supervision in a courteous manner. Provide assistance to other employees within their department as well as other departments. Collect and verify all demographic information to ensure accuracy. May provide required notification of scheduled services according to dental care requirements. Responsible for scheduling patients for dental specialty appointments. Position requires rotating between phone, front Desk and chart prep. Next step in career ladder is Senior Clinic Operations Rep or Team Lead position.

Qualifications : Minimum Education

High School Diploma or GED.

Minimum Work Experience

1 year At least 1 year of related dental experience required. Experience performing billing, patient registration, scheduling, dental and medical insurance verification.

Required Skills / Knowledge

Broad dental clinic knowledge, customer service skills and of general administrative and clerical procedures, Experience working with dental software programs and Microsoft Office. Knowledge of dental terminology, procedures and diagnosis along with a working knowledge of dental insurance. The ability to type a minimum of 35 words per minute is required

Functional Accountabilities

Patient Services

Demonstrate accuracy of scheduling patients using the applicable scheduling system for the department.
Complete computer aided, on-line registration screen with parent / guardian via telephone or in person in professional & courteous manner.
Collect accurate demographic and insurance information. Update systems as needed in accordance with department standards for registration accuracy.
Reschedule appointment for patients who did not show or for the ancillary services cancellations by providers / dental assistants. Schedule follow up appointments at check out.
Greet patients and parents courteously. Arrive patient in appropriate system based on department policy.
Obtain required consents for department & ensure distribution of compliance related materials (i.e. HIPPA Privacy Notice, Patient Rights). Obtain copy of insurance card and photo ID to be stored in medical and dental record (copy or scan activity required). Ensure applicable insurance company and CNMC HIM department receive copies of appropriate forms / documentation. Complete all documentation in accordance with department policy and procedure.

Information Verification

Verify insurance eligibility using applicable eligibility system. Ensure managed care carve outs (lab and radiology carve outs) are adhered to.

Notify parents of the need for completed insurance referral form or pre-authorization prior to scheduled / unscheduled appointments.

Discuss co-payment, deposits, payment in full, or past due balance collections with parents prior to scheduled appointment in a professional & courteous manner.

Counsel parents or refer parent to Financial Information Center (FIC) for establishing payment schedule or method of payment.

Verify insurance information is complete prior to procedure and collect and verify pre-authorization / referral information : goal is to obtain authorizations 5 days in advance of service.

Utilize all systems where patient information may be stored (EPRS, SCI, Cerner, IDX, McKesson, etc.) to verify that systems are in sync.

Cash Collection

Collect and record co-payments, deposits and payments in full and provide payer with receipt. Responsible for helping department meet 85% of the collection target for the department.

Maintain departmental requirements regarding cash controls and collections.

Billing Preparation

Reconcile schedules for upcoming dental session to include ensuring that accounts are set up for billing and services requiring authorization are completed. Activity should be completed 3-4 days in advance of clinic session; Areas with procedures requiring authorizations work standard may be 5-7 days.

Appropriately clear all emergency walk in's and ensure scheduled / unscheduled appointments are recorded into scheduling system.

Office Support

Answer telephone and address caller needs appropriately. Avoid transferring calls for better service to families. Meet department standards relative to ACD policies if applicable. Manage voice mail messages within same business day.

All staff are responsible for information distributed via e-mail. Staff should check work email a minimum of 3 times daily and respond to inquiries within 24 hours (or next business day).

Maintain office files and office supplies at PAR levels.

Maintain clean reception area and workspace.

Other support as needed.

Organizational Accountabilities

Organizational Accountabilities (Staff)

Organizational Commitment / Identification

Anticipate and responds to customer needs; follows up until needs are met

Teamwork / Communication

Demonstrate collaborative and respectful behavior

Partner with all team members to achieve goals

Receptive to others' ideas and opinions

Performance Improvement / Problem-solving

Contribute to a positive work environment

Demonstrate flexibility and willingness to change

Identify opportunities to improve clinical and administrative processes

Make appropriate decisions, using sound judgment

Cost Management / Financial Responsibility

Use resources efficiently

Search for less costly ways of doing things

Safety

Speak up when team members appear to exhibit unsafe behavior or performance

Continuously validate and verify information needed for decision making or documentation

Stop in the face of uncertainty and takes time to resolve the situation

Demonstrate accurate, clear and timely verbal and written communication

Actively promote safety for patients, families, visitors and co-workers

Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance

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Dental Operations Representative- Full time- DC

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