UNIV - Treatment Care Coordinator, Orthodontics - College of Dental Medicine

• Review upcoming consultation appointments to ensure insurance information and patient records are accurate and complete.
• Verify insurance benefits, submit prior authorizations when needed and prepare treatment cost estimates prior to the consultation appointment.
• Coordinate with the Billing Office when clarification of insurance benefits or coverage is required.
• Ensure financial estimates are prepared in advance so providers and patients can review treatment costs during consultation visits.
• Document insurance verification and financial estimates accurately in the Electronic Health Record (EHR).
• Manage Orthodontic Medicaid case coordination activities, including preparation, submission, and tracking of required documentation and authorization paperwork in accordance with Medicaid guidelines. Work closely with the Billing Office to ensure all necessary forms, approvals, and supporting documentation are completed accurately and maintained within the patient record to support treatment authorization and compliance requirements.
  

• Meet with patients during or immediately following their consultation appointment to review recommended treatment plans.
• Explain treatment costs, insurance coverage, patient financial responsibility, and available payment options.
• Educate patients on CDM financial policies, payment plans and financing options when applicable.
• Ensure patients clearly understand treatment expectations, timeline, and financial commitment prior to initiating treatment.
• Accurately document treatment acceptance or financial discussions within the EHR.
  

• Support case acceptance by addressing patient questions related to treatment plans, insurance coverage, and payment options.
• Assist with coordinating treatment start appointments when patients accept treatment.
• Follow up with patients who do not commit to treatment at the consultation visit to answer questions and encourage treatment progression.
• Track and monitor case acceptance outcomes and provide follow-up communication as appropriate.
• Collaborate with clinical staff and PSRs to ensure smooth transition from consultation to treatment start.
  

• Serve as a communication liaison between Faculty and Resident providers, PSRs, and the Billing Office regarding treatment plans, insurance coverage, and financial arrangements.
• Coordinate with front desk staff to ensure patients are scheduled appropriately for treatment start appointments.
• Work with providers to clarify treatment recommendations when patients have additional questions regarding their treatment plan.
• Facilitate resolution of patient questions related to financial estimates, insurance benefits, or payment arrangements and past due balances.
• Assists front desk areas with PSR duties as needed.
  

• Ensure all financial discussions, insurance verification, and treatment acceptance documentation are recorded accurately in the EHR.
• Maintain compliance with HIPAA privacy regulations and CDM financial policies.
• Participate in departmental meetings, training, and quality improvement initiatives related to patient access and care coordination.
• Support operational improvements aimed at enhancing case acceptance and patient experience.
• All other duties as assigned by manager.

• At least two (2) years of Dental Assisting experience

If you like working with energetic enthusiastic individuals, you will enjoy your career with us!

The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.

Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: http://www.uscis.gov/e-verify/employees