Dental Referral Coordinator

Description

Department: Dental

Reports To: Dental Director

Status: Non-Exempt   

Our Mission

We meet people where they are and partner with them on their journey towards wellness.

Our Vision

The destination for servant leaders to provide comprehensive and exceptional care.

Our Values

R – Respect

I – Innovation

S – Stewardship

E – Excellence 

Dental Referral Coordinator

Primary Health Solutions is seeking a dedicated and detail-oriented Dental Referral Coordinator to join our dental team. The ideal candidate will play a key role in managing patient referrals, ensuring efficient communication between patients, dental providers, and insurance companies to support seamless care. This position requires knowledge of dental and medical terminology, coding practices, and insurance verification processes to facilitate optimal patient experience.

A Day in the Life

• Track, coordinate, and communicate patient referrals efficiently to ensure a seamless referral experience.
• Ensure complete and accurate patient registration, including demographic information and current insurance details.
• Manage requests from third-party referral sources, providing necessary information and documentation.
• Serve as the main point of contact for the multidisciplinary evaluation process, managing patient scheduling, third-party communications, and internal coordination.
• Gather and organize information related to patients' clinical backgrounds and referral needs.
• Contact insurance companies to verify benefits and secure prior authorization approvals as required.
• Review referral details and expectations with patients, ensuring they understand the process.
• Assist patients in overcoming potential financial or social barriers by coordinating resources such as interpreters, transportation services, etc.
• Monitor and follow up on referrals to ensure they are processed in a timely manner.
• Remind patients of scheduled appointments to support attendance and compliance.
• Communicate with referral sources to ensure patient registration and information are complete and update them on patient progress as needed.

Skills:

• Proficient in medical and dental terminology and coding (ICD-9).
• Knowledge of dental office procedures and terminology is preferred.
• Familiarity with managed care requirements and insurance protocols for referral processing.
• Experienced with electronic medical records and medical records management systems.
• Strong organizational skills with attention to detail and the ability to manage multiple tasks simultaneously.
• Excellent written and verbal communication skills for effective patient and team interactions.
• Ability to work both independently and as part of a team in a fast-paced environment.
• Knowledge of HIPAA regulations and a commitment to maintaining patient confidentiality.
• Resourceful in problem-solving with good judgment and accountability.
• Spanish-speaking ability is a plus.

Requirements

Requirements

Success Requirements

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education/Experience

Dental terminology Preferred

2+ years of dental office experience preferred

Language Skills

Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of an organization.

Reasoning Ability

Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.

Computer Skills

To perform this job successfully, an individual should have the ability to gain knowledge of current practice management system, electronic medical record, Microsoft Word, text paging, Internet, and Intranet.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is frequently required to stand; walk; use hands to finger, handle, or feel; reach with hands and arms and talk or hear. The employee is occasionally required to sit and stoop, kneel, crouch, or crawl. The employee must regularly lift and /or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception and ability to adjust focus.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this Job, the employee is occasionally exposed to fumes or airborne particles, toxic or caustic chemicals and risk of radiation. The noise level in the work environment is usually moderate.

Affirmative Action/EEO Statement

It is the policy of Primary Health Solutions to provide equal employment opportunities without regard to race, color, religion, sex, national origin, age, disability, marital status, veteran status, sexual orientation, genetic information or any other protected characteristic under applicable law.

Other Duties 

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.