Coordinator, Patient Relations
PDS Health, Irvine, CA, United States
Overview
The Coordinator, Patient Relations core function entails compiling, processing and sending all patient documentation to insurance plans and other agencies as requested for the grievance process. The coordinator is the key compiler and expeditor of patient information for the Patient Relations department. The coordinator is responsible for ensuring records are pulled and organized for analysis as well as compressed and viewable for insurance plans and other agencies. Additionally, the coordinator is also responsible for supporting dental offices by drafting form letters when required.
Responsibilities Retrieve, correlate, condense and save patient records from various sources: EPIC, QSI, CPS, Ortho systems, etc. Send patient records to insurance carriers by grievance deadlines Participate as a team member on unit and department projects to provide project specific subject matter expertise Contribute to the development and distribution of Best Practices within the department Research, retrieve and compile information (Internet, division Web sites, Company Web sites) as required by the management team and direct reports Send out all HIPAA related requests Categorize all resolution outcomes Send winning resolution response letter to offices Back-up to fielding incoming Patient Relations calls Back-up to department case logging activates Back-up monthly reporting Draft standardized letters (releases/dismissals) for pre-grievances Draft a variety of grievance response letters Send analytical instructions for resolution loss letters Other duties assigned by Management Qualifications
0-2 Years of related work experience Equivalent to high school diploma or general education degree (GED) Knowledge of WORD, EXCEL, POWERPOINT, EPIC and QSI software applications Preferred
Prior coursework or on-the-job training in the fields of dentistry, business, or training Operational knowledge of medical/ dental offices Knowledge of EPIC and QSI software applications Bachelor's Degree from an accredited college or technical school; or equivalent combination of education and experience. In lieu of degree, 4+ years of experience is required Field Office experience Knowledge/Skills/Abilities
Ability to multi-task effectively without compromising the quality of the work Excellent interpersonal, oral and written communication skills Detail oriented, organized, process focused, problem solver, self-motivated, proactive, ambitious, customer service focused Ability to draw conclusions and make independent decisions with limited information Self-motivated, reliable individual capable of working independently as well as part of a team Demonstrated experience providing customer-driven solutions, support or service Demonstrated experience in an administrative support role Possesses ability to perform all aspects of position with little direction Be a proactive problem-solver identifying and participating in solutions Be able to keep appropriate team members informed while maintaining high level of confidentiality Benefits
Medical, dental, and vision insurance Paid time off Tuition Reimbursement 401K Paid time to volunteer in your local community
PDS Health is an Equal Opportunity Employer. We celebrate diversity and are united in our mission to create healthier and happier team members.
Responsibilities
PDS Health is an Equal Opportunity Employer. We celebrate diversity and are united in our mission to create healthier and happier team members.
The Coordinator, Patient Relations core function entails compiling, processing and sending all patient documentation to insurance plans and other agencies as requested for the grievance process. The coordinator is the key compiler and expeditor of patient information for the Patient Relations department. The coordinator is responsible for ensuring records are pulled and organized for analysis as well as compressed and viewable for insurance plans and other agencies. Additionally, the coordinator is also responsible for supporting dental offices by drafting form letters when required.
Responsibilities Retrieve, correlate, condense and save patient records from various sources: EPIC, QSI, CPS, Ortho systems, etc. Send patient records to insurance carriers by grievance deadlines Participate as a team member on unit and department projects to provide project specific subject matter expertise Contribute to the development and distribution of Best Practices within the department Research, retrieve and compile information (Internet, division Web sites, Company Web sites) as required by the management team and direct reports Send out all HIPAA related requests Categorize all resolution outcomes Send winning resolution response letter to offices Back-up to fielding incoming Patient Relations calls Back-up to department case logging activates Back-up monthly reporting Draft standardized letters (releases/dismissals) for pre-grievances Draft a variety of grievance response letters Send analytical instructions for resolution loss letters Other duties assigned by Management Qualifications
0-2 Years of related work experience Equivalent to high school diploma or general education degree (GED) Knowledge of WORD, EXCEL, POWERPOINT, EPIC and QSI software applications Preferred
Prior coursework or on-the-job training in the fields of dentistry, business, or training Operational knowledge of medical/ dental offices Knowledge of EPIC and QSI software applications Bachelor's Degree from an accredited college or technical school; or equivalent combination of education and experience. In lieu of degree, 4+ years of experience is required Field Office experience Knowledge/Skills/Abilities
Ability to multi-task effectively without compromising the quality of the work Excellent interpersonal, oral and written communication skills Detail oriented, organized, process focused, problem solver, self-motivated, proactive, ambitious, customer service focused Ability to draw conclusions and make independent decisions with limited information Self-motivated, reliable individual capable of working independently as well as part of a team Demonstrated experience providing customer-driven solutions, support or service Demonstrated experience in an administrative support role Possesses ability to perform all aspects of position with little direction Be a proactive problem-solver identifying and participating in solutions Be able to keep appropriate team members informed while maintaining high level of confidentiality Benefits
Medical, dental, and vision insurance Paid time off Tuition Reimbursement 401K Paid time to volunteer in your local community
PDS Health is an Equal Opportunity Employer. We celebrate diversity and are united in our mission to create healthier and happier team members.
Responsibilities
PDS Health is an Equal Opportunity Employer. We celebrate diversity and are united in our mission to create healthier and happier team members.