Dental Patient Access Representative (Leadville, CO)

Position Summary

The Summit Community Care Clinic (SCCC) Patient Access Representative (PAR) is the first point of contact for patients, ensuring a seamless experience from the patient's first phone call to check-out and/or rescheduling appointments. The PAR liaises between key Revenue Cycle partners: the patient, billing, and clinical teams. Upholding the ASQ (Access, Stewardship, and Quality) pillars, the PAR ensures timely access to care by accurately managing appointments, patient demographics, accounts, and insurance verification in the Electronic Medical Record (EMR). They provide stewardship by assisting patients with paperwork, consent forms, payments, and other check-in processes while demonstrating quality through knowledge of all clinic programs and a commitment to exceptional service. This role will work at the Lake County Dental office in Leadville, CO, as well as in Summit County.

Essential Functions

• Patient Check-in Process:
• Verify and/or update insurance in the EMR.
• Collect all required paperwork, consent forms, and payment.
• Utilize the state Medicaid portal to verify coverage for patients with the sliding fee or self-pay status.
• Have the patient sign any informed consent or non-covered disclosures.
• Set up a payment plan for any patient who is not paying in full at the time of check-in.
• Pre-appointment preparation:
• Verify information while correcting any misinformation. If misinformation is identified, the party responsible should be contacted to obtain the correct information.
• Review accounts to ensure the accuracy of patient demographic information (SBHC, Title X).
• Confirm that the appointment type is appropriate for the problem listed and the place of service.
• Update/dismiss out-of-date remarks.
• Review notes from the insurance verification specialist to determine amounts due and co-pay and any past due balances.
• Conducted reminder calls for 3 days, 2 days, 1 day out, and again on the morning of, if still not confirmed.
• Call all financial patients 4 days, 3 days, 2 days, 1 day out, and again the morning of if still not confirmed.
• Managing Patient Phone Calls
• Answering phone calls promptly by the second ring.
• Accurately schedule a patient for an appropriate exam and/or procedure.
• Creating detailed appointment notes of patient needs while on the phone with the patient.
• Requesting all necessary documentation for upcoming appointments while on the phone.
• Checking Medicaid enrollment while on the phone with the patient.
• Scrubbing through the edger while on the phone to ensure we inform the patient of any balance or BDWO.
• Works with billers to bill retroactively for changes to insurance.
• Receives returned mail and follows up with the party responsible for obtaining the correct address.
• Respond to billing inquiries from patients, providers, and insurers via task messages, e-mail, and/or telephone as needed.
• Performs general clerical duties and other routine functions.
• Ensures strict confidentiality of patient and financial records.
• Collaboration with various clinic teams to ensure smooth workflows for patient visit experiences.
  
  

Additional Requirements

• Grants are vital to Care Clinic revenues and directly or indirectly support all positions. This role may have responsibilities that are closely associated with grant deliverables. Grants and grant responsibilities may change over time.
• Complete all required training as designated by HR and the position supervisor.
• Adhere to all policies within the organization and those outlined within the SCCC Employee Handbook.
• Comply with all SCCC Vaccine Mandates.
• Willingness to travel and work at other SCCC locations as determined by the supervisor.
• Comply with all applicable Credentialing and Privileging requirements in a timely manner.
• Embrace the SCCC Mission and Vision and agree to work within the SCCC Guiding Principles and the principles set by the position supervisor.
• Must participate in quality assurance/ improvement activities when applicable.
  
  

Qualifications

Qualifications

To perform this job successfully, an individual must be able to engage in each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or abilities required. Reasonable accommodation may be provided to help individuals with disabilities perform essential functions.

Education/Experience

Must Haves to be successful

• High School Diploma or GED, or Equivalent.
• Strong written and verbal communication skills.
• Ability to read, write, and speak the English language.
• Ability to maintain a calm, helpful, and friendly attitude while assisting patients.
• Ability to relate cooperatively and constructively with patients, co-workers, administration, and providers.
• Willingness to learn and be flexible in job duties.
  
  

Nice to Haves

• Customer Service Experience preferred.
• Ability to speak the Spanish language (bilingual).
• Experience working with an Electronic Medical Record (EMR) system is preferred.
  
  

Work Environment

The work environment in a healthcare setting can be fast-paced and involves working directly with patients and healthcare professionals. This role is highly clerical. Requires Ability to work autonomously and stay on task. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions of the job. The noise level in the work environment is usually moderate.

Live, work, and play in 'Colorado's Playground'! Summit County boasts four world-class ski resorts, with Vail Resort just 45 minutes away. With rivers, lakes, hiking, and mountain biking trails, Summit County is a paradise for the outdoor enthusiast. From summer to winter, Summit County is a year-round destination with activities that include skiing, snowboarding, cross-country skiing, snowshoeing, snowmobiling, hiking, biking, rafting, fishing, and boating. Music, art, cultural, and social events are plentiful year-round. The different communities in Summit County include Frisco, Breckenridge, Dillon, and Silverthorne; ski resorts include Breckenridge, Copper Mountain, Keystone, and Arapahoe Basin.

Summit Community Care Clinic

• Provides rewarding, mission-driven careers in the heart of the beautiful Colorado mountains. As a member of the Care Clinic team, you will make an essential difference in the lives of the patients you serve - changing lives every day. We have been nationally recognized for our integrated care model.
• It is a Federally Qualified Health Center (FQHC) that provides a full range of integrated care services, including medical, dental, and behavioral health services through a team-based model of care. It is highly valued as an essential thread in the community fabric. There is an underlying appreciation of what the clinic provides to the community, creating a fulfilling workplace environment.
• The Care Clinic currently offers the following:
• Insured group health, dental, & vision plans.
• Medical and dependent care flexible spending account options.
• 401k retirement plan with an employer contribution match.
• The employer pays for life, AD&D, and Long-term disability plans.
• Free 24/7 access to confidential resources through an Employee Assistance Program (EAP).
• Voluntary benefit plans to complement health care coverage include accident insurance, critical illness, short-term disability, and group pet insurance.
• A generous mix of Paid Time Off (PTO) and paid holidays.
• Lifestyle Spending Account (for full-time employees).
• Offer fringe benefits like ski medallion, rec center discounts, etc.
• Training program for growth potential.
  
  

If we sound like a dynamic, caring organization that meets your requirements, apply now.