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Job Type
Full-time
Description
JOB SUMMARY:
The Dental Care Coordinator I is responsible for providing care coordination services for dental clients in their
assigned group. The Dental Care Coordinator I will assess clients with all care management needs and
address any potential barriers to care, to ensure timely diagnosis and treatment. Under direction of
the supervisor, the Dental Care Coordinator I will maintain a clinical tracking system to ensure
appropriate follow-up, reporting and billing.
DUTIES AND RESPONSIBILITIES:
- Demonstrate proficiency in looking up accounts in the EPM & EHR system using name, alias, family members, SSN, and account numbers.
- Answer telephones identifying self and name of clinic, department and demonstrates telephone etiquette and excellent customer service.
- Assists providers with follow-up on referral as well as no-shows as directed by providers or contract staff. Assists with obtaining second referral if necessary
- Assists with calls from contractors who may be in need of referrals or medical records for patients continuum of care.
- Assists in scheduling clients for clinical and specialty services as needed.
- Documents activities performed on clients in EHR and C3 database.
- Updates and maintains patient demographics in EPM, EHR and C3 database.
- Attends clinic as needed to provide support assistance for drives.
- Flags charts for returned mail items. Stores returned mail items.
- Maintains faxed referrals and home health items. Enters newly received paper referrals & reports into EHR.
- Assist clinical teams in patient assessment via receipt of reports or review of charts that show
- Abnormal labs/findings and notifies clinician in the event of an emergency.
- Completes PHA form to provide to providers for upcoming visits.
- Monitors and keeps track of patient appointments to ensure requested needs are addressed.
- Makes copies and packets items providers or clinical staff may need
- Assists in completing audits and reports requested
- Ensures all clients receive assistance with referrals or home health items requested.
- Completes daily tasks assigned by VP/Chief Medical Officer.
- Completes and runs rescreen report to bring clients back into service.
- Documents and updates PHI log in EHR when referrals are sent/processed.
- Attends weekly meetings with department.
- Demonstrate ability to meet department metrics.
- Demonstrate excellent attendance and punctuality.
- Other duties as assigned by the immediate supervisor.
Requirements
QUALIFICATIONS:
Education: High School diploma or equivalent plus a Registered Dental Assistant certification
Experience: One-year dental assisting experience in a Dental health care setting preferred.
- Holds and maintains proper level of professional standards (licensing, CPR, etc.) necessary to ensure credentialing compliance for dental coverage under the Federal Torts Claims Act.
- CPR Certified.
- Strong clerical skills to include keyboarding and a good understanding of basic math.
- Some computer knowledge and use of calculator.
- Must possess mental ability to conduct client interviews with a better-than average attention to detail.
- Bilingual English/Spanish (preferred).