Patient Access Representative

The Operating Room Coordinator schedules patients for oral rehabilitation services, from the initial contact with patients and families to third party billing and performs a variety of other administrative functions.

PRINCIPAL DUTIES AND RESPONSIBILITIES

* Indicates Essential Job Function – primary responsibilities an employee must perform, with or without reasonable accommodations. List up to six essential functions of the position, in order of importance, and the approximate time spent on each over the course of the year.

• Speaks directly with guardians and gives them appropriate paperwork based on patient’s medical and dental insurance.
• Collects necessary documentation to schedule OR cases prior to scheduling in accordance with the Dental to OR Scheduling Policy.
• Sends Surgical Request Form (SRF) to the Operating Room and insurance paperwork to Outpatient/OR Insurance Coordinator for medical clearance.
• Ensures effective communication between the Operating Room, Patient Access Department, residents, faculty, and guardians regarding scheduled appointments.
• Communicates directly with Department Directors regarding scheduling issues and release of block-time.
• Sends pre-treatment estimates and/or prior authorization requests to dental insurance and pre-payment letters to guardians.
• Sends third party billing company dental insurance, demographic, and billing information.
• Documents all transactions and conversation with guardians in Dentrix Document Center.
• Assists with front desk reception:
• Answers all phone calls into department; retrieves phone messages several times a day and return calls that same day; enters patient demographic and insurance information into Dentrix ; notifies residents of patient arrival utilizing the Dentrix color-coded system; schedule interpreter services appropriately.
• Uses available technology appropriately
• Accepts work responsibilities without reservation and follows through to completion with infrequent reminders.
• Performs assignments accurately, conscientiously and with high standards of quality
• Ability to work independently and be able to prioritize workload
• Maintains a positive working relationship with all members of the healthcare team.
• Participates in Quality Assessment and Performance Improvement activities.
• Responsible for new/current staff training.
• To be crossed trained within the whole department of Patient Access
• Other duties and special projects to be assigned by the Manager and/or Director as needed.

Minimum Requirements

• Speaks directly with guardians and gives them appropriate paperwork based on patient’s medical and dental insurance.
• Collects necessary documentation to schedule OR cases prior to scheduling in accordance with the Dental to OR Scheduling Policy.
• Sends Surgical Request Form (SRF) to the Operating Room and insurance paperwork to Outpatient/OR Insurance Coordinator for medical clearance.
• Ensures effective communication between the Operating Room, Patient Access Department, residents, faculty, and guardians regarding scheduled appointments.
• Communicates directly with Department Directors regarding scheduling issues and release of block-time.
• Sends pre-treatment estimates and/or prior authorization requests to dental insurance and pre-payment letters to guardians.
• Sends third party billing company dental insurance, demographic, and billing information.
• Documents all transactions and conversation with guardians in Dentrix Document Center.
• Assists with front desk reception:
• Answers all phone calls into department; retrieves phone messages several times a day and return calls that same day; enters patient demographic and insurance information into Dentrix ; notifies residents of patient arrival utilizing the Dentrix color-coded system; schedule interpreter services appropriately.
• Uses available technology appropriately