Description

**This position is eligible for full State benefits.**

• Majority employer paid medical, vision, and dental insurance for employees and dependents;
• Generous tuition discount which includes $5 per credit for employees and spouses, as well as 50 percent off of tuition for dependent children up to age 26;
• 12 paid holidays; as well as accruing sick and vacation leave;
• 8 weeks paid parental leave;
• A generously matched retirement.

Provides technical support for programs and organizational activities to convey information, determine compliance, and resolve difficult situations; uses expertise in the implementation and maintenance of technical program guidelines; perform related work.

The successful candidate will provide front office clinic services and day to day operations as directed by the Dental Science Clinic Coordinator. Performs a variety of detail oriented tasks requiring a high-level of accuracy to maximize clinic revenue cycle management.

Example of Duties

Incumbents perform complex and difficult program support functions for multiple or highly specialized programs. Incumbents have the authority, knowledge, and judgment to devise solutions that fall outside existing policies and procedures. The work requires problem solving and negotiation skills with authority to act on decisions made. Incumbents serve as a program expert; and provide guidance and assistance regarding complex program rules and regulations to office staff and external customers. Due to the nature of the work, incumbents have frequent contact with internal and external customers, which requires good public relation skills. Incumbents function with considerable independence and exercise discretion in applying policies and procedures. The work requires extensive knowledge of department programs and objectives. Incumbents may supervise support staff or perform leadwork duties.

The successful candidate will responsible for the following responsibilities -

Electronic Medical Record System Management: Maintains patient electronic medical records and ensures that information is complete and accurate (30%).

• Patient Management: Creates new patient accounts including patient demographics and insurance and/or payor information. Contacts insurance to verify benefits and eligibility and discusses payment and billing options with new patients. Processes and monitors insurance authorizations and coordinates with outside Dentists as necessary to obtain needed patient chart notes and x-rays. Scans patient documentation into the electronic medical record.
• Scheduling: Assists in maintaining clinic schedule for 4 Dental Residents and 2 Dental Hygienists with an average 4,000 visits per year including new appointments and rescheduling as needed.
• Billing: Acts as a backup to the Dental Science Clinic Coordinator to ensure insurance claims are processed timely. Routinely corresponds with multiple insurance companies including Medicare and Medicaid to ensure prompt payment and researches denied claims and resubmits as necessary. Prints EOBs and posts insurance, contract and patient payments. Creates monthly billing statements and resolves billing issues as necessary with patients.

Clinic Revenue Cycle Management: Responsible for collecting and depositing patient and insurance payments requiring a high-level of accuracy. (20%)

• Balances daily gross and net collections.
• Compares checks/cash collected daily.
• Assists in the preparation of the daily deposit
• Manages patient accounts to ensure that revenue is collected in a timely manner.
• Negotiates payment plans as necessary.

Clinic Operations: Responsible for daily clinic operations including (50%):

• Patient check-in.
• Answers phone calls and addresses routine questions regarding appointments, insurance billing, payments and collections.
• Receives faxes and routes as necessary.
• Faxes medical documentation as necessary to local physicians and insurance companies upon request.
• Maintains old patient files and processes requests for patient information.
• Complies with HIPAA regulations.
• Manages clinic mail.

Minimum Qualifications

Please note that you must include your resume as part of your application and all materials provided will be considered part of the application process.

Experience:

• monitoring record systems to identify and correct errors
• interpreting, explaining, and applying laws, regulations, and complex policies for multiple or highly specialized programs
• analyzing information and researching a variety of sources to identify and resolve problems or issues
• dealing with individuals from varying cultural and socio-economic backgrounds in stressful situations
• entering and retrieving data using a computerized record system
• composing and proofreading business correspondence

Supplemental Information

Some positions may require:

Experience: conducting sensitive fact finding interviews; storing, retrieving and compiling information in a report format using database software; using spreadsheet software; reviewing/assessing health care claims; reviewing/assessing dental claims; working with sensitive or restricted data; operating word processing equipment and software at the rate of 40 wpm; creating mass mailings using mail merge functions; using presentation software such as Microsoft Publisher and Power Point; using knowledge of HIV medication on the job on a frequent or re-occurring bases; working in a call center environment.

Some knowledge of: supervisory practices; data management; managed health care systems and principles; a correctional health care environment and associated principles and practices; medical terminology; mental health and substance use disorders programs and terminology; medical coding; financial record keeping.

Good knowledge of: university academic and/or vocational program requirements and experience applying university policies and procedures to determine graduation requirements; the operations of a Motor Pool program; medical terminology/documents; sales & use tax and employer income tax withholding; controlled substance schedules, brand drug names; generic drug names, and other drugs with abuse potential.

Fluency in one or more of the following: speaking, writing, reading both Spanish and English.