Outpatient Benefits/Authorizations Representative

University of Arkansas for Medical Sciences•Little Rock, AR

About The Position

The Patient Representative works under general supervision counseling patients on their financial status and obligation. This position will identify and refer the patient and/or responsible party to an appropriate sponsoring agency. The position will be responsible for processing high risk pre-certifications, develop and implement denial avoidance plans and produce reports on revenue cycle functions within the various departments to ensure appropriate financial error reports are worked and corrected. The patient representative is expected to demonstrate competency in the job elements of all the levels of the Access Coordinator positions. This position will be primarily responsible for scheduling New Patient appointments for Outpatient Therapy referrals, conducting insurance verification and benefit explanations, and obtaining authorizations and recertification.

Requirements

Bachelor’s Degree OR Associate degree with two (2) years of experience in business office administration, customer service, registration, billing, insurance, scheduling, or call center OR High School Diploma/GED with four (4) years of experience in business office administration, customer service, registration, billing, insurance, scheduling, or call center.
Excellent customer service, communication and telephone etiquette skills
Knowledge of basic medical terminology required
Computer/basic keyboard skills, and general knowledge of office machines including printers and scanners

Nice To Haves

CHAA certification

Responsibilities

Conducts insurance verification and benefit explanation by running eligibility on patients for all outpatient and inpatient procedures.
Performs authorizations and pre-certifications, tracks pre-authorizations and maintains referrals.
Enters benefit and authorization information input onto referrals.
Responsible for the reconciliation of daily deposit and batch POS dollars, and completion of deposit agreement.
Collects and posts payments and issues receipts and manages the change fund.
Counsels patients on any and all related financial information such as hospital discounts and reviewing Medicaid screening.
Monitors patient balances using the matrix payment method.
Provides pre-counseling for patients regarding the payment expectations for service.
Responsible for various maintenance reports such as bogies and registration denials.
Performs other duties as assigned.