Patient Services Representative - Dental

Job Details:

Job Location:

ANCHORAGE, AK 99503,

Patient Service Representative will provide patients and staff with necessary assistance in fulfilling the needs of the center. They are responsible for scheduling dental appointments, patient check in/out, verifying and updating all demographics and insurances, collecting payments, identifying/enrolling patients on the Sliding Fee Scale, processing various forms and documents, and notifying appropriate persons of messages and information as required. Responsible for recording all necessary personal information, securing required signatures, preparing and supplying data to various departments.

Provides service internally and externally consistent with ANHC mission, vision and values:
Respect, Compassion, Personal Integrity, Excellence & Collaborative Spirit.

• Works out of two electronic health record systems (Medical and Dental EHR)
• Performs opening and closing procedures.
• Receives all incoming calls in professional manner, answers and accurately processes multi-line phone calls to individual extensions or operator, medical, or billing queues regarding patient billing, appointments, and all general and dental inquiries.
• Responsible for scheduling, cancelling, or rescheduling dental appointments and maintaining a full schedule for the providers.
• Makes confirmation calls to all dental appointed patients the day before their appointment after cross referencing both EHR systems and manually updating financials to ensure information in both systems match.
• Actively checks and address voicemails, emails (work personal/dental shared) and inbound faxes.
• Receive all (inbound/out bound) fixed and removable dental laboratory cases, updating case status on the log, coordinate laboratory pickup/drop off.
• Responsible for check in/out processes of each patient. Verifies, updates, and processes various dental/medical forms such as new patient paperwork, demographic updates, dental health histories, sliding fee applications, calculation of income and qualifying patients on the SFS, processing self-declaration applications, health care for the homeless applications. Verifies/updates insurance eligibility and reviews co-pays, co-insurance, deductibles, non-covered charges, and prior authorizations.
• Collection of appropriate payment based on estimated charge, proper co-pay, deductible, discounted self-pay amount, or past due account balances.
• Responsible for cash management and daily reconciliation of all financial transactions performed.
• Limited patient accounts analysis including a general understanding of medical, dental, laboratory, radiology coding and billing standards. This includes CDT, diagnosis, patient rights and responsibilities, third party reimbursement, in/out network, contractual allowances, co-pays and deductibles. Answer and communicate with patients regarding past due balances to help them understand their bill and attempt to collect.
• Various intermittent, periodic and systematic report completion including unapplied credit, accounts receivable, credit analysis, statement report, billing and communication log, registration and SFS audits.
• Prepares adjustments for authorization to adjust patient account balances for identified mistakes and bad debt write-offs.
• Prepares and processes all dental Release of Information (inbound/outbound) in accordance with the ANHC policy to patients and other healthcare facilities.
• Provides patients their treatment plans, reviews their case with the patient and communicates financials and estimated co-pays.
• Prepares and processes missed appointment letters and mails them to patients and the State of Alaska Department of Health and Social Services when indicated.
• Cross…