Clinical Service Rep Supervisor

Full Time
Gainesville, FL 32611
Posted
Job description

Management and Leadership

  • Leads the training of front desk clerks both hands on and written material.
  • Conducts the interviewing, hiring, orienting, training, evaluating and supervising of clinical service representatives; Also responsible for supervision of clinical staff when regular supervisor is out of the office on leave.
  • Verifies & approves employees work time.
  • Ensures staff are in compliance of all policies and procedures including HIPAA, FERPA, IT etc.
  • Participates in planning and administrative team for departmental special projects.
  • Serves as subject matter expert and performs the duties of all positions supervised.

Scheduling/Coordination of Care

  • Arranges the coordination of care with associated services at UF Health Shands, including the scheduling and pre-certification of all OR surgeries. This will include, but is not be limited to coordinating ASR bed orders, and scheduling anesthesia appointments.
  • Responsible for scheduling history and physical, pre-orthognathic workup appointments, diagnostic testing (MRI, CT scan, etc.), and pre-surgical anesthesia appointments at UF Health Shands.
  • Incumbent in this position will also coordinate efficiently with outside vendors for delivery of prostheses for operating room cases.
  • Axium tasks include, scheduling new medical referrals and dental consults, and updating the Axium schedule when the doctors are out.
  • Accountable for the Incorporation of daily urgent referrals in a busy clinic.
  • Responsible for posting OR cases on the SNAP board.
  • Responsible for updating the faculty Outlook calendars with OR cases.

Lead Financial Counselor

  • Interview and counsel patients who will or have been treated in Oral and Maxillofacial Surgery and Center for Implant Dentistry to determine financial status and/or insurance coverage.
  • Verify insurance coverage for each patient and determine if services to be provided are covered and/or non-covered according to individual insurance policies.
  • Verify account information in our computer system to ensure accuracy and update accounts as necessary.
  • Print proposal treatment plans for patients, knowledge of electronic billing, and print dental claim forms.
  • Responsible for entering treatment plans and charges into the system.

Insurance Coordination and Billing

  • Responsible for communicating with various insurance companies to obtain all inpatient and outpatient surgery authorization approvals.
  • Works with Medicaid Portals for direct billing of all Medicaid dental or medical billing for the department.
  • Determines patients who are covered by HMO, PPO, or Worker’s Compensation.
  • The incumbent will insure that each HMO, PPO or Worker’s Compensation visit is pre-certified.
  • Verifies patient’s insurance information on Availity, MMA Medicaid plans, and commercial plans.
  • Determines deductible, co-payment and extent of coverage.
  • Notifies patients of any deductibles due and/or any co-payment not covered by their policy.
  • Notifies students, residents, and faculty of services which are authorized and monitors treatment plan to ensure that all procedures are performed according to agency guidelines.
  • Notifies students, residents and faculty of the amount of payment to be collected from the patient prior to treatment being provided.
  • Gather and verify copies of the patient’s insurance card and completes all forms required by third party payers.
  • Inputs insurance information into the computer system to ensure correct billing for treatment provided.
  • Create medical record number for dental patient in the UF Health Shands Epic scheduling network system.
  • Responsible for emailing residents the CPT codes, DX codes, and surgery dates to enter an Epic encounter to create the OR case.

Other Duties as Assigned

  • Responsible for working Oral Surgery clinic reception desk, serving as a specialist in customer service when needed.
  • Schedules meeting luncheons and educational lectures with the Oral Surgery staff.

Expected Salary:

$60,0000 Annually



Minimum Requirements:

High school diploma or equivalent and six years of medical office experience, that includes knowledge of CPT and ICD-10 coding guidelines as well as basic medical terminology. Appropriate college coursework or vocational/technical training may substitute an equivalent rate for the required experience.



Preferred Qualifications:
  • Knowledge of general office procedures and practices
  • Working knowledge of basic math
  • Able to plan, organize and coordinate work activities
  • Able to follow instructions, written and verbal
  • Able to communicate effectively
  • Able to establish and maintain effective working relationship with others
  • Able to review data for accuracy and completeness
  • Knowledge of dental and medical terminology (basic terms at least)

Special Instructions to Applicants:

In order to be considered, you must upload your cover letter and resume.

Application must be submitted by 11:55 p.m. (ET) of the posting end date.

This position is eligible for veteran’s preference. If you are claiming veteran’s preference, please upload a copy of your DD 214 Member Copy 4 with your application for consideration. See our Veteran's Preference Page for more specific information.



Health Assessment Required:
Yes

gatheringourvoice.org is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, gatheringourvoice.org provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, gatheringourvoice.org is the ideal place to find your next job.

Intrested in this job?

Related Jobs

All Related Listed jobs