Dental Patient Care Facilitator

Description

Job Title: Dental Patient Care Facilitator 

Position Code: DPCF Non-Exempt

Department: Dental Center Operations

Position Category (330): Patient and Community Education Specialists 9L25)

Position Category (RPHCA): Other Staff

Union Exempt - No

The following statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified

A. Position Summary

Under the close supervision of the Health Center Manager in close partnership with the Dental Clinical Supervisor. Assists patients with a variety of needs, knowledge of dental insurance, benefits, allowable/deductibles, treatment plan consultation regarding the need for the treatment, the value of the treatment and the urgency, if one applies. Must possess the ability to explain in layman’s terms all the above. This role requires the ability to track, follow-up, work closely with the Dentists, and the Dental Billing Dept. this must all be done in a manner that is supportive and sensitive the patient. Scheduling, tracking and follow up on all referrals outgoing to dental specialist and the management of FCCH referrals incoming and outgoing. Scheduling of treatment, confirming appointments, post visit follow-up calls/communication for multiple provider schedules. Provides detailed information to patients regarding other services offered by FCCH and assist in navigation those services. Current dental assistant license not required. 

B. Essential Duties and Responsibilities

Dental Patient Care Facilitator  

1. Coordination of Insurance benefits, eligibility, frequency limitations, procedure coverage, deductible, allowable, wait periods, copays and pt. financial responsibility for each treatment. The ability to understand this and articulate it to the pt. in a way the patient understands this. Communication with our DCB Dept. will be an important part of this duty.
2. Coordination, tracking and all follow up of outgoing Medical and BH referrals.
3. Management and scheduling of all incoming referrals from Medical to Dental.
4. Coordination, tracking and follow up of all referrals to dental specialist, including scheduling the appointments.
5. Track biopsy lab orders and assure patient notification of results. Facilitate any needed referrals.
6. Auditing charts to assure sealants are properly treatment planned, scheduled, and completed.
7. Support effective tracking of quality measures.
8. Appointment confirmation calls and procedure post-op calls.
9. Treatment plan consultation and explanation, in detail either in person or over the phone.
10. Community outreach and health fairs.
11. Maintain social media presence for the dental site.
12. Works ASAP list daily to fill holes from last minute cancelations of the current and next day schedules for multiple providers.  
13. Tele-heath patient contact to support provider recommended behavior changes.
14. Develop patient education materials.
15. Support patient access to community resources impacting social determinants of health.
16. Other duties as assigned.

Requirements

C. MINIMUM EDUCATION AND EXPERIENCE

1. High School graduate or GED certificate.  
2. 2 years of experience working as a Dental Assistant. 
3. Bi-lingual English/Spanish is strongly preferred.    

D. LICENSES/CERTIFICATIONS

1. CDHC license preferred. 

E. KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED

1. Knowledge of patient dental Insurance
2. Knowledge of dental procedure and cost.
3. Demonstrates knowledge of applicable FCCH patient-related forms and programs.
4. Ability to interact and communicate with people over the telephone. 
5. Ability to communicate, educate, and motivate patients towards behavior change.
6. Knowledge of planning and scheduling processes. 
7. Knowledge of pre-certification requirements, procedures and documentation of third-party medical insurance payors or other patient healthcare funding programs.
8. Ability to analyze and solve problems. 
9. Skill in the use of personal computers and related software applications. 
10. Appropriate knowledge and familiarity with various compliance programs and elements. Cooperates fully and complies with applicable laws and regulations.
11. Ability to maintain quality, safety, and/or infection control standards.
12. Basic knowledge of general office procedures to include filing, copying, and faxing.  
13. Ability to use a multi-line telephone to schedule appointments.  
14. Ability to use a computer to enter patient data and retrieve information to generate reports and