The Risk Administrator will work closely with the Risk Management and Safety departments to oversee all administrative functions relating to the departments. At Gentle Dental, our priority is our patients and providing them with the highest standard of care. This group of people is caring and professional, but above all, committed to helping their organization.
At InterDent, and in our 150+ affiliated dental offices, we build relationships for life, serving over one million patients each year. Gentle Dental provides high-quality comprehensive care, including general dentistry, orthodontics, periodontics, endodontics, pedodontics, prosthodontics, and oral surgery.
Major Responsibilities:
Assist and train Practice Managers in creating and updating grievances into the Incident Report system.
High volume tracking and monitoring for each grievance to ensure offices are resolving grievances in a timely manner.
Document patient concerns regarding office or treatment provided into the grievance system
Demonstrates appropriate customer-care skills such as empathy, active listening, courtesy, politeness, helpfulness, and other skills as identified.
Responsible for generating all grievance letters and mailing them out to the patients.
Assist in recognizing the Clinical/Customer Service trends related to grievances.
Prepares, develops, and presents written case summaries for all insurance grievances to the insurance plan representative.
Actively assist in obtaining supporting documentation for each grievance.
Uses sound judgment and discretion when communicating with patients regarding their concerns and act as a patient advocate to help obtain a timely resolution.
Keeps current with rules, regulations, policies, and procedures relating Complaints and Grievances.
Audit Accounts in QSI accounts for improper billings.
Experience:
HS Diploma or equivalent required, Associate’s Degree or Bachelor’s degree
Effective and accurate verbal and written communication skills.
Experience handling patients/customers
Excellent oral and written communication, including presentation skills
Advanced ability to research hot topics in Risk Management and Patient Safety
Advanced analytical and interpretative skills
Must be an excellent team player that possesses solid interpersonal and organizational skills and a willingness to learn
Results-oriented, decisive
Personal/professional integrity and proven discretion in handling confidential information
Exceptional organizational skills and attention to detail should be complemented by a flexible approach to shifting priorities on multiple assignments
Creativity, adaptability, tenacity, a sense of urgency, and a hands-on orientation
Schedule
This opportunity is a full-time opportunity, Monday-Friday, from 8:30 am to 5:30 pm.
