Dental Care Coordinator I (Bilingual)

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 patient’s 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).