Patient Service Representative Float - Dental; JK

Rural Health Group is seeking a full-time Patient Service Representative that will float as needed between Roanoke Rapids and Jackson dental clinics.

Candidate will work a Monday thru Friday schedule. NO WEEKENDS at $17.00/hr

Must demonstrate the Rural Health Group Core Competencies, which include:

• 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.

• Dental office experience is preferred.
• 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
• Strong preference for candidates with dental office experience
• Must quickly learn to navigate the eClinical
  
  Works 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.

We foster a team-oriented atmosphere and encourage positive teamwork behaviors. 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.

EOE. Federal and State Criminal Background Checks and Drug Screen required for all positions. Influenza vaccine is a condition of employment.

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After accepting employment, new hires are required to complete an I-9 form and present documentation of their identity and eligibility to work in the United States.