DenTemps Application
Front Desk Administrator
Do you have dental experience? *
Last name: *
Your answer
First name: *
Your answer
Middle name:
Your answer
Position: *
Your answer
Home address: *
Your answer
Mailing address (if different)
Your answer
Phone number: *
Your answer
Alternate number:
Your answer
Email address: *
Your answer
Alternate email:
Your answer
How did you hear about DenTemps? (Select all that apply)
Did anyone refer you to working with us? If so, please let us know so we can thank them! *
Your answer
Are you interested in: *
Required
What days are you available to temp? *
Required
What cities will you work in? *
Required
When are you available to begin temping? *
Your answer
If in transition to a new position, when is your last day available for temp work?
Your answer
How far are you willing to commute for a temporary assignment? *
Your answer
If looking for perm, how far are you willing to commute for a permanent position?
Your answer
Objective / Career Goal
Tell us what you hope to achieve
Your answer
Work History *
List the dates of employment, position/ job title, and name of the company / office / DDS. You may also list duties and responsibilities as well
Your answer
Education *
Your answer
Hobbies / Extra Curricular Activities / Interests
Feel free to tell us about yourself!
Your answer
Honors and Awards
Your answer
Computer and Dental Software Experience *
Select any that you have experience with.
Required
References *
Names and phone numbers of 2-3 professional references. We need someone who has supervised your work. Friends and family will not do
Your answer
Procedures Checklist
Are you familiar with insurance? *
Your answer
Can you do insurance coding? *
Your answer
Can you do insurance entering? *
Your answer
Can you file insurance claims? *
Your answer
Can you post insurance payments? *
Your answer
Can you post cash payments? *
Your answer
Can you post credit card payments? *
Your answer
Can you check patients in and out? *
Your answer
Can you answer multi-line telephones? *
Your answer
Can you transfer calls? *
Your answer
Can you schedule appointments? *
Your answer
Can you confirm appointments? *
Your answer
Have you ever worked as a scheduling coordinator? *
Your answer
Were you ever the only person working at the front desk? *
Your answer
Have you ever worked as an office manager? *
Your answer
Are you familiar with accounts receivable? *
Your answer
Are you familiar with billing? *
Your answer
Are you familiar with collections? *
Your answer
Are you familiar with daily deposits? *
Your answer
Are you familiar with First Unpaid Premium? *
Your answer
Are you familiar with doing payroll? *
Your answer
Are you familiar with reports? *
Your answer
Are you familiar with end of the day sheet? *
Your answer
Are you familiar with end of the month close out and reports? *
Your answer
Are you familiar with route slips? *
Your answer
Are you familiar pre-treatment estimates? *
Your answer
Have you done any marketing? *
Your answer
Please list your marketing methods if you brought in new patients to a practice.
Your answer
Are there any other skills/experience that would like for us to know?
Your answer
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