GENERAL PURPOSE:

With minimum direction and considerable latitude for independent judgment, position is responsible for processing referrals and pre-determination of benefits, conducts medical and dental insurance verification, reviews complex treatment plans with patients, provides financial counseling, and conducts daily charge reconciliation.

Acts as principle liaison between patients and providers to ensure appropriate tracking, treatment planning, financial counseling, and accounts receivable management. Responsible for seamless and timely patient movement through the treatment plan, from maintaining appointments, treatment planning, financial arrangements, and approval phase until case completion.

JOB DUTIES AND RESPONSIBILITIES:

Financial Counseling:

• Exercising tact, initiative and independent judgment makes decision using approved Dentistry procedures regarding security of complex, high dollar, dental accounts. Negotiates down-payments and authorizes repayment status for high dollar, complex patient plans in accordance with Dentistry policies and guidelines. Reviews appointment history and upcoming payment obligations to initiate patient contact for payment due reminders.

Insurance Management:

• Initiates insurance preauthorization, verification, and/or service authorization in advance of treatment through review of dental insurance benefits and requirements. Maintains working knowledge of various insurance policies and regulations related to compliance requirements.

Referrals:

• Processes all internal and external referrals, prioritizing referrals based on department policies. Employs tracking mechanism to ensure referral approvals and appointments are obtained in a timely manner. Contacts referred patients, registers and schedules new patient referral appointments. Coordinates daily efforts to edit and correct registration and billing errors. Serves as primary contact to Billing personnel, care provider and/or Practice Manager to resolve patient concerns.

• Make referrals to Social Work as deemed necessary.

Scheduling Management:

• Ensures accuracy of patient schedules by way of a thorough working knowledge of various insurance policies and regulations. Understands when patient has exceeded visits or is scheduled too soon for various dental procedures.

• Performs other duties for supervisor as directed including working on special projects and working with other support staff on special projects. Monitors accurate time reporting procedures.

• Provides input to supervisor/administrator to improve the treatment planning process and other related patient care activities.

• Acts as authority in the absence of supervisor, exercising good judgment and tact. Trains new staff.

Other duties as assigned.

QUALIFICATIONS:

• High School diploma required.

• 1-year related work experience in an administrative office or customer service field; or an equivalent combination of education and experience required.

• Dental terminology experience preferred.

• Strong customer service skills (via telephone and in person) preferred.

• Ability to communicate effectively and professionally preferred.

• Ability to work well in a fast-paced environment preferred.

• Ability to work with a diverse patient and provider population preferred.

The University of Rochester is committed to fostering, cultivating, and preserving a culture of equity, diversity, and inclusion to advance the University’s mission to Learn, Discover, Heal, Create – and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion/creed, sex, sexual orientation, citizenship status, or any other status protected by law. This commitment extends to the administration of our policies, admissions, employment, access, and recruitment of candidates from underrepresented populations, veterans, and persons with disabilities consistent with these values and government contractor Affirmative Action obligations.

How To Apply

All applicants must apply online.

EOE Minorities/Females/Protected Veterans/Disabled

Pay Range

Pay Range: $ 18.89 - $ 25.51 Hourly

The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job’s compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.

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Location: Eastman Dental Center
Full/Part Time: Full-Time
Opening:
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