Description

Described Duties:

1. Work cooperatively with Northwest Health Services (NHS) providers, supervisors, and personnel to carry out the goals and objectives of NHS according to governing body requirements and established internal policies and procedures.
2. Treat others respectfully whether it is a patient, fellow employee, member of management, customer, vendor or visitor to our premises.
3. Attend meeting under the guidance of the Regional Dental Administrator.
4. Verify insurance eligibility for dental for upcoming appointments by utilizing online websites or by contacting the carriers directly.
5. Verify coverage and provide treatment estimate for patients. Obtain patient or guardian signature on patient’s treatment plan to confirm and verify treatment was explained to patient and they had an opportunity to discuss with NWHS staff. Scan into NextGen and provide patient or guardian the original.
6. . Contact patient before appointments to review payment information so patient will know what their estimated payment is prior to arrival.
7. Answers benefit questions from patients,  NWHS staff, and insurance companies as needed.
8. Follow billing policies and guidelines from Billing Manager.
9. Review all dental charts prior to patient’s next visit for current consent for treatment, insurance card copies, pre-authorization copies, and other required forms.
10. Be able to multi-task and work on several projects at once.
11. Request prior authorizations and pre-approvals prior to appointment and be able to intelligently discuss result(s) with patient(s).
12. Keep work area neat and organized for proper completion of work tasks.
13. Must comply with the provisions of the Health Insurance Portability and Accountability Act (HIPAA) of 1996.
14. Perform related work as required or additional projected assigned by the Regional Dental Administrator.
15. To obtain and verify insurance eligibility and benefits within two days’ prior of the patient’s appointment, except in the case of Emergency visits. Those will need to be made priority and checked prior to patient being seated.
16. Responsible for contacting patient and obtaining correct insurance information—if incorrect in patient’s chart—and updating in NextGen, while putting copies of all documentation in the patient’s chart.
17. Work with providers prior to sending prior authorizations to ensure all necessary information is available.

Essential Job Functions:

1. Possess cognitive skills necessary to read and interpret a variety of instructions furnished in oral or written form.
2. Must demonstrate accuracy, proficiency, and efficiency.
3. Possess ability to see, talk, hear, read, write, kneel, stand, sit, react, and lift, pull and push up to 50 pounds.
4. Must respect and maintain confidentiality at all times.
5. Maintain a professional appearance and demeanor at all times.
6. Demonstrate high standards in telephone etiquette, which includes but not limited to communicating in a clear, friendly and professional manner.
7. Must be able to handle stressful situations.

Qualifications

1. Must possess and maintain a valid Driver’s License, and proof of insurance for personal vehicle used for business.
2. Possess high school diploma or equivalent.
3. Must demonstrate basic computer skills.
4. Possess light typing skills, computer knowledge preferred. Must demonstrate accuracy, proficiency, and efficiency. Must possess ability to effectively present information and respond to questions from patients, and other individuals encountered in the course of employment.
5. Must possess working knowledge of dental or medical billing.