Patient Service Assistant Specialist (Dental)

FLSA Status

Job Role Summary

Essential Functions and Responsibilities

• Proactively contributes to Eskenazi's mission: Advocate, Care, Teach and Serve with special emphasis on the vulnerable population of Marion County. Models Eskenazi values of Professionalism, Respect, Innovation, Development and Excellence
• Verifies patient information and copies/scans insurance information
• Performs a variety of clerical and patient service duties necessary to maintain efficient flow of operations in the medical office
• Performs data entry to check patients into clinic, updates demographic and insurance
• information and enters information into the appropriate computer system
• Performs all front desk responsibilities, usually in a small clinic environment where the staff size and patient volume dictate staff cross training and multi-tasking to include all front desk positions
• Greets the patient, answers phones, completes registration, performs check out/charge entry, referrals and medical records
• Alters activities/behaviors to reflect and ensure adequate service appropriate to the age of patients served (i.e. pediatric, adolescent, and adult)
• Answers phone lines within company guidelines, routes callers to appropriate destination, answers questions, and schedules appointments
• Thoroughly and accurately completes the telephone triage form and routes to appropriate staff
• Greets the patient and utilizes appropriate customer service skills
• Recognizes and responds to signs of patients in emergent distress and directs to appropriate clinical staff
• Retrieves and files medical records in a timely and orderly fashion; files documents into the proper location in the appropriate medical records; assembles and inspects charts for completeness and refurbishes old charts as needed; copies as needed, purges records per site guidelines
• Balances and reconciles all money collected daily
• Performs check out and charge entry in the billing system within 24 hours
• Corrects any billing errors identified by billing software in accordance with the policy
• Processes billing according to current coding guidelines including ICD-9 and CPT-4 and validates an appropriate diagnosis
• Performs preparation of professional charge batch and sends batch daily
• Resolves missing charges report
• Provides continuous feedback to site management regarding charge entry related issues
• Prepares daily deposit log and ensures summary balances reconcile to the charge tickets
• Prepares daily and monthly charge reconciliation summary to Revenue Cycle Dept.
• Processes referrals for patients seen in the Health Center. This includes: verifying patient insurance eligibility; communicating with physicians; obtaining prior authorization or pre-certification when needed; scheduling appointments consistent with patients' insurance plan, and processing all appropriate paperwork.

Job Requirements

• High School diploma or equivalent required
• Over 6 months of experience in business, health care or customer service experience, or health management information of medical office setting.
• One year health care insurance experience preferred but not required
• Data entry experience

Knowledge, Skills & Abilities

• Knowledge of clinic processes
• Must pass multiple system application exams
• Working knowledge of multiple insurance plans and networks
• Alpha/numeric filing skills
• Strong computer knowledge and skills with a minimum typing speed of 30 WPM
• Effective oral/written communication skills, including the ability to communicate with patients in a manner conducive to the patient's age and developmental stage
• Ability to:
  • operate standard office equipment
  • work effectively under pressure of high patient volume while muti-tasking
  • navigate multiple system applications
  • communicate tactfully/pleasantly with public and all level of personnel
  • be flexible to changing work duties and priorities
  • follow oral/written instructions
  • Provide excellent customer service
  • accurately count money and give change
  • interact with patients from all economic, educational, social, etc. backgrounds
  • maintain patient confidentiality at all times