| A | B | C | D | E | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z | |
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2 | Team Member Performance Assessment | |||||||||||||||||||||||
3 | Patient Coordinator | |||||||||||||||||||||||
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5 | Team Member Name: | Kaley French | Date of Hire: | 10/31/2024 | ||||||||||||||||||||
6 | Date of review: | |||||||||||||||||||||||
7 | Date of last review: | 1 year review | ||||||||||||||||||||||
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9 | Performance Rating | Explanation | Points Earned | |||||||||||||||||||||
10 | Exceeds Expectations | This rating indicates that you consistently exceed in your job performance. You go above & beyond the basic expectations in a given area. | 3 | |||||||||||||||||||||
11 | Meets Expectations | This rating indicates that you perform your job task at the basic level that is expected of you. You understand your job requirements & you meet all aspects of it with minimal supervision. | 2 | |||||||||||||||||||||
12 | Additional Development Needed | This rating indicates that you are not completely performing your job tasks at an acceptable level. This may be due to your actual time in the position, whereby more training is indicated, or it may be due to a greater commitment level needed on your part to develop within a particular job area. | 1 | |||||||||||||||||||||
13 | Below Expectations | This rating indicates that you require ongoing supervision in the performance of your duties. You fail to meet the basic job expectations, despite having been provided adequate training & feedback. | 0 | |||||||||||||||||||||
14 | Weight Factor | Not all things are created equal. While it is important to master all aspects of your job position, there are certain aspects of your position on the team which are more critical to mastering & implementing than others. Each job characteristic &/or task has been given a weight factor, from 1-3, reflecting its importance in the overall evaluation of your contributions to the team. Your points earned in each category will be multiplied by each weight factor to help determine your overall Performance Rating. | 1-3 | |||||||||||||||||||||
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16 | Below Expectations | Additional Development Needed | Meets Expectations | Exceeds Expectations | Comments | |||||||||||||||||||
17 | PERSONAL CHARACTERISTIC / JOB TASK | 0 | 1 | 2 | 3 | |||||||||||||||||||
18 | Dependability & Flexibility - The team can depend on you to be where you need to be; your personal days are well planned for; you seek to provide coverage for your position so as not to burden the rest of your team; you arrive to work on time & take allotted & necessary breaks; you recognize when you are needed the most & you make accommodations; you are able to accommodate & accept office & patient scheduling changes with ease. You only take allotted time off per handbook. | 3 | She is only 2days a week. Never came in late or calling out same day, never take breaks. Very dependable. | |||||||||||||||||||||
19 | Professional Appearance – You arrive ready for work and are professional in your dress at all times; your hair is clean & always put back; your nails are neatly manicured & professional in length; your make-up is applied with good taste & appropriate; your jewelry is not excessive & is consistent with the guidelines provided in the team member handbook. | 2.5 | Very clean and professional looking. | |||||||||||||||||||||
20 | Productivity & Quality of Work – You accomplish your work assignments in a timely manner; you complete your job tasks with accuracy & dependability; you pay attention to detail & have a strong sense of quality & how to achieve it in everything that you do; you are committed to & take pride in providing an excellent final product; you seek out ways to improve what you do as well as expanding your own capabilities when time permits. | 2.5 | Insurance verification, follow up with patient needs, well done Kayley! You pay attention on everything and ask questions when need it. I didn't give 3 because I know you are very smart and fast learner. You need to work on patient ledger when they ask about why they have a balance?. | |||||||||||||||||||||
21 | Organization & Neatness – Your work area is organized & neat at all times; your space is free of clutter; you are considerate of & respect your team member’s space as well as community office space; you respond to all emails before leaving; Daily Notes on the schedule are taken care daily. | 3 | she always keeps her work area very clean and orgonized, which makes a big diffentce in keeping the front office running smoothly. Very respectful of shared spaces and always considerate of others. I really appreciate how she stays on top of her emails. | |||||||||||||||||||||
22 | Ownership & Commitment – You take ownership in your position; you are accountable first to yourself & then to the rest of your team; you take responsibility for what is yours & you are not defensive when short comings are pointed out to you; you take responsibility for your mistakes; you seek ways to improve & excel in your area; you demonstrate a desire for team success; you are willing to sacrifice personal desires for overall needs; you make a positive, recognizable contribution to the office. | 3 | She truly takes pride in her work and shows great ownership in everythig she does. She's dependable, accountable, and always willing to step in to help the team when needed. She accepts any feedback positively and try to use it as an opportunity to grow. | |||||||||||||||||||||
23 | Promoter of Teamwork – You are a source of encouragement & appreciation to your team members; you are willing to pitch in no matter what the task to get the job done; you display good listening skills; you show sensitivity & empathy to the needs of others; you display integrity in your commitments; the team can depend on you to follow through with what you say you will do; you do not participate in gossip at any level; you speak honesty & truth at all times; you display confidentiality at all times. | 3 | She is a true team player and always willing to help wherever she's needed. Her integrity and professionalism help create a respectful and comfortable environment for everyone in the office including the patients. | |||||||||||||||||||||
24 | Proactive & Resourceful – You are proactive in doing what most needs to be done without being asked; you feel empowered when necessary & you can make decisions that are best for the patients & for the office overall; you use good judgment at all times; you can discern what is important & what is not; you appropriately gather all facts before making a decision; you are resourceful & able to identify & resolve problems that are presented to you with realistic solutions; you know how much you can handle & you ask for help when necessary; you offer solutions when presenting problems that need solving. | 1.5 | She is very dependable and handles her responsabilities with care and attention. She shows good judjment and is thoughtful when it cones to patient needs. I appreciate how thorough she is and how she always wants to make sure things are done correctly. I'd like to see her continue building confidence in making certain decisions on her own when it comes to patients, as shse has the ability and knowledge to do so. | |||||||||||||||||||||
25 | Independent - You are able to work independently; you are self-motivated & do not need someone to tell you what needs to be done; you can evaluate a situation & jump in without being asked; you can re-establish priorities using your own judgment & an understanding of what is best for the patients & the group as a whole; your time does not need to be "managed". | 2 | She works well indepently and can be trusted to manage her responsibilities without constant derection. She stays on task and keeps the front running smoothly. I would love to see her take even more intiative in offering or adding same day treatment to maximize the patients benefits, as shse has great communication skills and the ability patients feel comfortable saying yes to treatment. | |||||||||||||||||||||
26 | Personal Demeanor & Attitude - You have a positive attitude when at work; you smile often; you look to the positive side of things & you encourage others to do the same; you leave personal issues out of the office; when you are not 100%, you own your situation & you communicate your needs to your team members; you do not participate in negative talk that goes on between other team members; you take opportunities to turn negative situations into positive ones; you embrace change & recognize that it is a means to growth & improvement. | 3 | Great Attitude, don't change it. | |||||||||||||||||||||
27 | Team Meetings – You participate enthusiastically in both morning & monthly team meetings; you provide open & honest communication; you communicate your thoughts clearly & professionally & always with respect to others in the group; you arrive on time & you are prepared to participate. | 2 | Always well prepared for meetings and does a great job keeping the schedule notes organized for the morning huddles. I would love to see her participate in the huddle with the reat of the team. | |||||||||||||||||||||
28 | Patient Relations - Patients are always greeted & tended to with enthusiasm & warmth; you offer patient amenities consistently to all patients; you always make patients feel special regardless; patients never feel rushed in your care; you never put working projects in front of patients; you have a keen understanding of customer service & you go above & beyond to service customers at all times. | 3 | She is fantastic with patients and always makes them feel welcomed and cared for. Her freindly attitude and genuine warmth help creat experience for everyone who walks in or out. | |||||||||||||||||||||
29 | Answering The Phone – You are professional, friendly & always courteous with every phone call; you follow the New Patient Information Sheet as outlined when taking new patient calls; you never ask a patient to hold without finding out who they are & what they need; the phone is never an interruption to your day & is viewed as the ultimate means to the success of our business. | 3 | She hundles every phone call with professionalism and freindliness. She consistenly follows the new patient call process and ensures every caller feels heard and valued. | |||||||||||||||||||||
30 | Computer Usage – You have mastered all software programs necessary to perform your job; you utilize all aspects of the dental software for maximum efficiencies; when you do not understand how or why something works, you ask questions; you utilize the office computer for work purposes only. You secure your computer when you are not using it. You make sure all computers - except for the server - are shutdown before leaving each day. | 3 | Her computer Knoldge outstanding. She is very careful and pretective of all data. | |||||||||||||||||||||
31 | Referrals & Reviews - You ask patients to refer their family & friends; you ask patients to give us an online review; you respond to any inquiries or negative reviews. | 1 | She can due better. | |||||||||||||||||||||
32 | Overall Understanding of All Dental Procedures - You have a good understanding of all dental procedures; you can explain the basic processes of all procedures to patients with confidence & credibility; you can answer patient questions regarding pre- & post operative expectations based on your knowledge of the procedures; you recognize your limits & know when you must refer questions to the clinical team. | 2.5 | She has a strong understanding almost of all dental procedures and can confidently explain them to patients. When she is unsure, she takes the intiative to research codes and the reasons behind treatments before approaching patients, which shows her dedication to providing accurate information and ecellent patient care. | |||||||||||||||||||||
33 | Policies/Time Management – You have a good understanding of the employee manual and stick to policies. You are aware of what your daily tasks are and strive to complete them before the end of your shift. | 3 | She is very respectful to the employee manual and stick to the policies. Great job with all her taslks. | |||||||||||||||||||||
34 | Appointment Lists – You are current on contacting all patients that are due for continuing care, and you reach out to patients that have not been seen for a hygiene appointment. Your broken appointment list is kept current by making sure there are not any appointment on there that is more than 2 weeks old. You document all correspondence in the patient Office Journal. | 1.5 | She has done a great job in the past keeping the appointment lists current and following up with patients due for continuing care. Recently, this area has been a bit harder to maintain due to the increased workload with insurance verifications also because shse works only two days. Once her schedule allows, I'd like to see her refocus on keeping the list up to date. | |||||||||||||||||||||
35 | Scheduling – You understand productive scheduling & you make appointments accurately for both Dr. and Hygiene schedules; you understand the absolute priority of keeping the hygiene schedule full; you are aware of the various places to go to help you fill the appointment book; you exhaust all efforts daily when working to fill openings; you ask for help when needed. | 3 | She has an excellent understanding of productive scheduling and consistently keeps both the doctor and hugiene schedules when needed. No issues in this area. She does a great job | |||||||||||||||||||||
36 | Continuing Care Process – You make all continuing care calls timely & according to the schedule provided; you are creative & proactive in making & pulling up various continuing care reports when necessary to fill the schedule; you understand the importance of keeping the patient count accurate so as to maintain an accurate continuing care efficiency report; you utilize the office journal & record all your contacts made when calling on the continuing care schedule. | 1.5 | She has a good understanding of the continuig care process and has done well in the past keeping patient records and calls up to date. recently, her focus has been on insurance verifications, but I'm confident she'll get back on track once worklopad allows. | |||||||||||||||||||||
37 | Insurance Verification – You understand the importance of obtaining insurance benefits accurately & completely; you are able to call insurance companies as well as utilize web sites to obtain the information needed; you process insurance verifications timely & accurately for all new patients as well as other patients who need updated information; you are able to enter insurance information into the computer accurately. | 3 | Very detailed and accurate. | |||||||||||||||||||||
38 | Patient Communication - You provide timely communication with the patients as needed (securing appointments, hygiene value calls, etc.) & using the proper verbiage; you follow through with all written communication as needed (deactivation letters, treatment complete letters, new patient welcome letters, etc.) with accuracy & dependability; you utilize e-mail as a means to communicate with patients as frequent as possible; you process return mail weekly & are diligent in following the flow chart in doing so. | 3 | She communicates well with patients and follows through reliably with calls. She always keeping communication very clear and professonal. | |||||||||||||||||||||
39 | Next Day Preparation - You are thorough & exact in preparing for the next day; you make sure enough time is alloted for hyg appts; you work effortlessly to fill the hyg sch; you locate all charts & make certain they are scanned; you follow up on notes that are indicated in the various areas where notes are indicated in the computer relative to appointments; you scrutinize for opportunities throughout the day to provide extra services to patients. | 3 | Very organized and consistent with next day preparation. She ensures the schedule is accurate and ready. and she's attentive to details that help the day run smoothly for both hyg and doctor. | |||||||||||||||||||||
40 | Patient Information – You verify patient information at time of check in; you make sure that we have correct phone #s and email addresses on file; you follow up with patients that have mail returned so that the correct information is on file. | 2 | She does well verifying new patient information at check in, but there is room for improvement with existing patient, especially in ensuring email addresses are collected and updated . | |||||||||||||||||||||
41 | Posting & Check Out Procedures – You post completed treatment accurately & quickly; you always check to make sure that the correct provider has been credited for procedures; you submit insurance immediately after posting; you post patient payments timely & with accuracy using the FIFO guidelines; you are able to collect patient portions at the time of checkout with confidence; you post broken appointments using the correct code (cancel vs. no show vs reschedule), always posting to the correct provider. | 2.5 | She is great with posting and check out procedures. Her work is always accurate and handled with attention to details. She ensures the corect provider majority of the time is credited, submits insurance promptly, and she has no problem with collecting patient portions with confidence. | |||||||||||||||||||||
42 | HIPAA Compliance – You understands & follow HIPAA requirements & recommendations at all times; patient information is always held confidential & caution is made with regards to discussing protected information within the office; you obtain Release of Record Forms before providing patient information to any other service provider; you obtain Release of Record Forms before providing a patient copies of their records. | 3 | She awear how important the patient and the office informations need to be protected, saved and confidential. | |||||||||||||||||||||
43 | Office Production - Every team member contributes to the office's ability to produce and be profitable by the way they interact with patients and team members, their attention to detail, and their willingness to maintain a win/win mentality. If the office is more profitable, it can afford to pay team members more. Monthly Net Production (Production - Adjustments) Goal vs Actual. Office must be at goal to score a 2 and above goal to score a 3. | 2 | Goal $104,116 Current YTD $1,166,428.56 Previous Year $1,016,004.12 | |||||||||||||||||||||
44 | Office Collections - Collections is an intregal part of any business. All team members contribute to how much the office collects in different ways. The assistant contributes by ensuring that clinical notes are complete & accurate, handoffs are done every time, and that patient balances are checked at every visit. Monthly Net Collections (Collections - Refunds & NSFs) Goal vs Actual. Office must be at goal to score a 2 and above goal to score a 3. | 2 | Goal $104,192 Current YTD $1,041,450.60 Previous Year $901,054.72 | |||||||||||||||||||||
46 | AVERAGE PERFORMANCE RATING | 2.50 | ||||||||||||||||||||||
47 | 0 - 0.99 | Below Expectations | 1.76 - 2.5 | Meets Expectations | ||||||||||||||||||||
48 | 1.0 - 1.75 | Add'l Development Needed | 2.6 - 3.0 | Exceeds Expectations | ||||||||||||||||||||
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50 | Pay increases are based upon the following: | |||||||||||||||||||||||
51 | The Practice's ability to support the increase. This is determined by analyzing the current labor percentages in the practice & overall practice profitability. | |||||||||||||||||||||||
52 | Individual job performance & overall contributions to the team. This is determined by the results of the team member's performance assessment. | |||||||||||||||||||||||
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55 | Pay Raise Indicated? | |||||||||||||||||||||||
56 | Increase %: | From: | To: | |||||||||||||||||||||
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58 | PLAN OF ACTION FOR PERFORMANCE IMPROVEMENT | |||||||||||||||||||||||
59 | Below is an Action Plan provided for you to improve in all areas that currently do not Meet Expectations of your job position. Failure to show a commitment to improvement may prompt a more serious discussion of your desire to keep your current position. | |||||||||||||||||||||||
60 | Follow Up Meeting scheduled for: | |||||||||||||||||||||||
61 | Action Plan for Improvement on any area scored less than 2: | |||||||||||||||||||||||
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70 | Employee's Signature: | ____________________________________ | ||||||||||||||||||||||
71 | Dr. and/or Manager's Signature: | ____________________________________ | ||||||||||||||||||||||
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