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