Patient Care Coordinator

• Discuss financial cost with patients regarding their dental treatment and provide financial clearance; obtain management approval for large treatment plans; complete electronic fund transfer forms as needed.
• Verify eligibility and plan benefits for private and public insurance; prepare, submit, trace and process pre-determinations to insurance company; input and scan all benefit information onto patient file.
• Estimate and explain out of pocket cost to patients based on insurance benefits and limitations; interview patients inquiring about financial payment plans; execute financial payment plan for qualified applicants and explain contract agreement.
• Provide account summary and complete forms as requested by patient (i.e. verification of dental expenses for housing purposes, HRAs).
• Collect, process, and balance payments; correspond with third party payees/organizations regarding payment; validate credits and progress refund request for approval.
• Ensure that all necessary forms, documentation and x-rays meet Denti-cal guidelines prior to approving treatment; provide and assist students and residents with compliant CDT coding.
• Audit and maintain patient financial accounts for accuracy; provide information to students, residents and patients regarding billing problems or resolutions; assist students with financial chart locks and billing issue forms.
• Run monthly reports for accounts on payment plans and modify as needed.; contact patients to collect past due payments and process return statements; review delinquent account report to determine collection proceeding.
• Research, contact and provide information as requested by insurance companies; notify insurance department regarding insurance billing and claim status.
• Support processing needs of special grant programs and special discounts offered annually during Mock Boards.
• Respond to all patient inquiry/dispute regarding their account in a timely manner; refer patient issues and concerns related to treatment to appropriate Group Practice Leader or Patient Relations Liaison as needed.
• Grade students quarterly based on professionalism, patient management skills and knowledge of financial protocol; participate in 1st/2nd year student orientation; providing guidance regarding clinic financial policies and approvals; participate in year-end clearing progress.
• Provide back up for CARE Coordinator as needed for treatment approval.
• Order, stock and dispense CAMBRA products.
• Maintain student/patient sign up list in a timely manner.
• Perform all other duties as assigned by the Manager, Clinic Financial Operations.

• High school diploma or G.E.D equivalent.
• Three (3) years of dental insurance billing experience in a group practice or dental school setting.
• One (1) year of experience in accounts receivable management.

• Associate's Degree or Bachelor's Degree.
• Knowledge of dental terminology and treatments, and dental insurance procedures.
• Understand principles of dental office management or general office methods and procedures.
• Bilingual skills.
• Experience and sensitivity in working with people of diverse backgrounds and cultures.
• Demonstrated experience in advancing social justice, equity, and inclusion in a university setting.
• Ability to engage and integrate culturally responsive practices and knowledge in their work.

University of the Pacific is an affirmative action and equal opportunity employer dedicated to workforce diversity. In compliance with applicable law and its own policy, Pacific is committed to recruiting and retaining a diverse faculty and staff and does not discriminate in its hiring of faculty and staff, or in the provision of its employment benefits to its faculty and staff on the basis of race, color, religion, national origin, ancestry, age, genetic information, sex/gender, marital status, military and veteran status, sexual orientation, medical condition, pregnancy, gender identity, gender expression, or mental or physical disability.