Patient Representative-Admissions

University of Arkansas System•Little Rock, AR

About The Position

The Patient Representative facilitates comprehensive patient data collection, timely and accurate billing, and prompt collections of payment for services rendered facilitating scheduling coordination and conflicts. completing benefit verification and prior authorizations for services. The position will be responsible for processing high-risk pre-certifications and developing and implementing denial avoidance plans. Conducts authorizations and pre-certifications tracks pre-authorizations, and maintains referrals. The patient representative is expected to demonstrate competency in the job elements of all the levels of the Access Coordinator positions. This position works HOD-Admissions department.

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.
Must have excellent organizational and interpersonal skills in order to successfully interact with individuals of diverse backgrounds.
Well-developed decision-making skills are required.
Must maintain confidentiality and HIPAA compliance.
Highly motivated and self-directed individual to establish plans of action.
Highly proficient in computer and keyboard skills.
Knowledge of medical terminology required

Nice To Haves

Experience working with EPIC system
Experience working in a healthcare environment

Responsibilities

Conducts authorizations and pre-certifications, tracks pre-authorizations, and maintains referrals
Enters benefit and authorization information into EPIC
Peer to Peer submissions & works closely with clinical counterparts to collect the requested information
Conducts insurance verification and benefits explanation by running eligibility on patients
Responsible for various maintenance reports i.e. bogies, work denials, open encounters, laser arc reports, canceled clinic reports, etc.
Counsels patients on any & all related financial information i.e. hospital discounts & reviewing Medicaid screening.
Works appropriate registration and billing work queues
Responsible for reconciliation/management of change fund
Responsible for reconciliation of daily deposit & batch POS dollars
Monitors patient balances using the matric payment method
This position is also responsible for the pre-counsel of patients regarding the payment expectation for service
Obtains & coordinates completion of out-of-network waivers
Pre-registration of patients as needed
Assists other teams as needed.
Other duties as assigned