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Doctor Staffing Coordinator (Workers Comp. Exp. a Plus!) in Jacksonville, FL at One Call

Date Posted: 4/2/2018

Job Snapshot

Job Description

Doctor Staffing Coordinator

Staffs files weekly by accessing the Preferred Provider Network and out-of-network providers, if necessary.

DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.

  • Selects and schedules new and pending files with the appropriate dental provider.
  • Takes new referrals as they are called in for both doctor and dental files quickly and efficiently. Enters referral into proprietary software, SMILES.
  • Obtains previous dental records from provider's office or insurance carrier.
  • Sends appropriate provider packet prior to scheduled appointment.
  • Obtains payor authorization for new evaluations.
  • Requests billing information from provider and ensures proper codes are utilized.
  • Communicates expectations effectively with provider until evaluation is scheduled. Communicates with Nurse Case Manager / Adjuster daily until evaluation is scheduled.
  • Works with non-contracted providers to coordinate and schedule appointments when contracted providers are not available.
  • Explains applicable state forms to provider office.
  • Follows up on all assigned files daily.
  • Consistently demonstrates a positive attitude, dependability and an overall commitment to excellence and is a team player.
  • Actively participates in continuous operational improvements. Specific activities include, but are not limited to, offering feedback to management related to process, working closely with provider development team to address provider issues, collaborating with financial team to improve efficiency and participates in training/mentorship initiatives
  • Is open to coaching and willing to find more efficient processes when applicable.
  • Performs miscellaneous tasks and projects as assigned by management.

  • 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.

  • 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 organization.

  • Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.

  • Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.

  • To perform this job successfully, an individual should have knowledge of Microsoft Word; Microsoft Works; Microsoft Excel; Microsoft Internet Explorer; Smiles proprietary software; and Microsoft Outlook.

  • Associates Degree from two-year college or university; or one to two years related experience and/or training; or equivalent combination of education and experience. Expanded Functions Dental Assistant License Preferred.

  • For roles located in office or home settings; this job is primarily sedentary and may involve repetitive motions; the employee is regularly required to sit, use hands and fingers, speak, and hear
  • For roles located in the field; this job is primarily active; the employee is regularly mobile and must be able to utilize transportation (such as driving), sit, use hands and fingers, speak, and hear
  • The employee is occasionally required to stand, walk, and lift objects (up to 10 lbs. weight; up to 4 ft. height)
  • Specific vision abilities required by this job include ability to see things from a close distance and ability to adjust focus
  • The work environment utilizes florescent lighting; noise level is moderate
  • The emotional demand of the job may cause undue stress from, but not limited to, moderate/heavy workload
  • Reasonable accommodations will be individually assessed and possibly made to enable individuals with disabilities to perform the essential functions of the position
  • Please be advised the job description is subject to change at any time