Dental Care & Referral Coordinator

Swope Health • Kansas City, MO

7d

About The Position

Swope Health Services emphasizes a team-based approach to health care delivery. This is accomplished by delivering proactive, planned and coordinated evidence-based dental and medical care. The dental care and referral coordinator will accomplish this by their primary functions for high-risk patients as identified by our important conditions (Diabetes & chronic health conditions, OB patients and any other additional that may be added). The referral coordinator will also be highly instrumental in dental insurance coding and processing.

Requirements

• Familiar with dental procedures and terminology and have extensive knowledge in dental coding and insurance processing.
• Excellent communication skills, customer service oriented, telephone etiquette and exhibit the ability to work with people (staff, visitors and clients).
• 2-3 years experience in customer service in clinical setting preferred

Nice To Haves

• Insurance experience preferred

Responsibilities

• Pre-visit planning that includes verifying accurate demographic and insurance coverage, or other information as directed by the dental clinic manager.
• Track and follow-up with dental treatment visits and dental preventive visits – ensuring patient compliance. Documents refusal or barriers by the patient. This includes scheduling visits and obtaining consent forms when indicated.
• Ensure internal and external dental referrals have been sent, including additional information if needed (i.e. dental x-ray images).
• Track and follow-up on referrals – ensuring compliance and results are in the chart. Document refusal or barriers by the patient.
• Enter accurate data in the patient management system and check-in patients to the appropriate clinic for service.
• Completes all necessary forms, daily logs and other clerical duties as assigned.
• Patient follow-up monitoring – calling patient when appointments are not kept. Able to schedule appointments for patients within the EMR.
• Using data for population management – running reports from the registry and notifying patients via telephone calls, letters, patient portal etc… when they are overdue for services.
• Demonstrate understanding of Medicaid, MC+, Medicare, private insurance and self-pay requirements that include specifics in specialty i.e. pediatrics, adults, seniors, and foster care.
• Contribute to the quality of patient care and assist with warm hand offs when indicated.
• Will check insurance benefits and is able to submit pre-authorizations to insurance. Will follow up with patient to explain insurance benefits, pre-authorization results and possible payment expectations.
• Based on insurance benefits or sliding discount scale can discuss with patient fees for services and complete financial agreements.
• Provides individual assistance in preparing the patient for their dental care appointment.

Benefits

• Medical benefits (including a Health Savings Account option), dental and vision
• 401(k) retirement plan with company match
• Company-paid benefits such as life insurance, Accidental Death & Dismemberment, and Short- and Long-Term Disability
• Flexible Spending Account
• Paid Days Off beginning at 20 days annually, effective the first day of employment
• Eight annual company-paid holidays; One annual paid personal day
• Up to $3000 for continuing education expenses
• Eligibility for NHSC Loan repayment program

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed
• Number of Employees: 101-250 employees