Dental Care Referrals Coordinator

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Essential Job Responsibilities

• Processes specialty referrals for patient visits including in‑house specialists and outside providers via insurance portals, phone calls, etc.
• Ensures proper and smooth operational flow as it relates to patient visit (i.e., prioritizes patient flow based on dental needs).
• Records and maintains patient health records in the agency’s database (NextGen, Provision Enterprise, etc.) as required.
• Coordinates appointments for patients with dental specialists.
• Ensures proper and timely closing of tasks related to referrals and open orders via EDR.
• Ensures documentation is timely, accurate, legible and updated in the EDR.
• Processes additional information requested by insurance companies for authorizations (medical records, documentation from providers, etc.).
• Assists in authorization denials and appeals on behalf of the patient and documents outcomes in EDR.
• Ensures external 3rd‑party documentation (labs, consultation reports, etc.) is collected and entered in the patient’s electronic dental records (EDR).
• Responds to all correspondence and tasks (via letter, email, fax) in a timely manner.
• Makes phone calls and documents in patient dental records per dental provider’s request.
• Contacts patients for follow‑up appointments, rescheduling and referred appointments.
• Ensures proper patient identification using a minimum of two (2) patient identifiers as per national patient safety goals requirement.
• Prepares and reviews next day’s patient schedule and staff & care requirements to maintain patient flow.
• Assists with completion of forms as needed.
• Maintains effective communication with patients regarding wait time, patient needs and expectations and patient feedback.
• Completes all tasks sent on behalf of patients by the requested timeframe.
• Ensures compliance with health center policies and procedures.
• Verifies patient insurance carrier / coverage to ensure proper processing of referrals.
• Maintains control of specialist list and referrals.

Clinical Duties

Quality Assurance / Compliance

Culture of Service : 3 C’s

Compassion

Competency

Commitment

Safety

Contact Responsibility

The responsibility for internal and external contacts (deal with people in a respectful, sensitive and professional manner) is frequent and important.

Physical Requirements

This work requires constant talking in person, talking on the phone, hearing / visual acuity and exposure to blood‑borne pathogens and hazardous materials. Frequent walking, standing, sitting and bending. Work is performed in office setting.

Other

Seniority Level

Entry level

Employment Type

Full‑time

Job Function

Health Care Provider

Industry

Hospitals and Health Care

Location : Miami / Fort Lauderdale, FL | Salary Range : $65,000.00 – $80,000.00

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