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Rural Health Group, Inc. · 3 months ago

Patient Service Representative Float - Dental (JK)

Jackson, NC

Full-time

Onsite

Entry, Mid Level

$17/hr - $17/hr

2+ years exp

Rural Health Group is seeking a full-time Patient Service Representative that will float as needed between Roanoke Rapids and Jackson dental clinics. The role involves overseeing patient scheduling, managing referrals, and ensuring compliance with health regulations while providing excellent customer service.

Health CareHospitalMedicalPrimary and Urgent Care

Responsibilities

Oversees the scheduling of STAT and urgent referrals, managing both routine and high-risk cases, along with necessary follow-up actions

Secures prior authorization from insurance companies

Maintains the confidentiality of patient health records as per relevant laws

Processes referrals by urgency and request date, directing patients to suitable specialists

Accurately documents referrals in patient health records and discusses details with patients to ensure understanding

Ensures providers document the rationale for referrals and complete necessary evaluations

Compiles and submits comprehensive documentation, continuously monitoring all referrals

Manages incoming calls and participates in quality improvement meetings

Manages phone calls professionally, scheduling and triaging them to the front desk

Schedules appointments and handles cancellations per guidelines, including prior approvals and provider note reviews

Makes reminder calls for appointments, informing patients about co-payments and next visit requirements

Interviews patients to record personal and payment details

Triages urgent appointments, forwarding calls to the front desk

Verifies coverage and explains office policies

Documents no-shows and cancellations and assists with billing issues

Completes and scans patient history, serving as a backup receptionist

Follows prior authorization procedures, ensuring all information is complete and supporting documents are attached

Manages communication with insurance companies

Ensures compliance with HIPAA regulations and advises providers on authorization issues

Stays informed about insurance criteria changes and takes on additional duties as needed

Qualification

Dental office experienceEClinicalWorksPrior authorization experienceMedical terminologyMicrosoft OfficeCustomer service skillsBilingual (English/Spanish)Communication skillsOrganizational skillsTeamwork

Required

High school diploma or GED

Candidate should be adept at multitasking and functioning effectively in high-pressure environments

Ability to apply common sense understanding when carrying out detailed written or oral instructions

Ability to use good judgment when carrying out responsibilities

Ability to stoop, kneel, bend, type on a keyboard, and perform light lifting

Must be able to sit for extended periods, with frequent hand use and manual dexterity

Must quickly learn to navigate the eClinicalWorks electronic health record system

Excellent organizational, telephone, and communication skills

Ability to lift between 25-50 pounds and move for extended periods

Embrace teamwork and promote a collaborative environment

2+ years of related experience is required, with prior authorization experience highly desired

Understanding of medical terminology and insurance requirements for prior authorization is necessary

Candidates should possess excellent verbal, written, organizational, and customer service skills, along with the ability to work independently, meet deadlines, and adapt as needed

Proficiency in data entry and basic skills in Microsoft Office, Excel, and Outlook is required

Preferred

Dental office experience is preferred

Strong preference for candidates with dental office experience

Being bilingual (English/Spanish) is a plus but not required; applicants who may serve in a translating capacity will need to take a language assessment

Benefits

Influenza vaccine is a condition of employment.

Company

Rural Health Group, Inc.

It is our mission to offer highest quality healthcare to all in Northeastern North Carolina in a culturally sensitive, respectful manner with a special emphasis on reaching the underserved.

Founded in 1974

Roanoke Rapids, North Carolina, USA

201-500 employees