Specifications include, but are not limited to: • Review all dental claims submitted to the Bureau of Health Services (BHS) to verify services rendered at each facility. Claims are verified through review of CDT Coding, fee verification through eMedNY schedule, confirmation through the Dental Treatment Plan received from residential facilities, and submission coordination with Accounts Payable Department personnel. • Identify youth with special dental needs and work to coordinate their care through referrals to specialty services. Organize specialized treatment requests from medical staff, facility dental providers, and the OCFS Chief of Medical Services. • Maintain dental records collection and storage in Juvenile Justice Information System (JJIS). Review and input Community Re-Entry Plans for youth upon facility discharge. • Coordinate care between residential facilities, dental providers, and the OCFS Chief of Medical Services. • Coordinate financial transactions according to the State of New York Dental Fee Schedule Medicaid rates for clinical services provided to resident youth between the contracted OCFS dental providers and the OCFS Accounts Payable Unit. • This includes working with the Accounts Payable Unit to follow up on late or delinquent invoices, incorrect coding, or missing documentation required for financial reimbursement. • Collaborate with the OCFS Chief of Medical Services and other clinical/administrative positions within BHS to ensure proper operations of the dental programs in each of the OCFS-operated residential facilities. This includes, but is not limited to, advising on necessary equipment purchases, maintenance, and repairs. • Provide guidance concerning performance goals and maintaining regulatory compliance per various control agencies (NYS Department of Health (DOH), American Dental Association (ADA), etc.). • Participate in continuous quality improvement projects by providing professional guidance. Coordination of these goals requires close communication with the OCFS Chief of Medical Services on a routine basis.
