Patient Representative (Northwest, AR)

University of Arkansas•Bentonville, AR

10d

About The Position

We are looking for a proactive, detail-oriented individual to join our Ortho Clinical Administration team as a Patient Representative. The Patient Representative at UAMS Ortho Clinic plays a vital role in patient scheduling, financial counseling, and revenue cycle management, operating under general supervision. Key responsibilities include advising patients on their financial obligations, connecting them with sponsoring agencies, and ensuring adherence to financial policies. The role also involves managing high-risk pre-certifications, developing strategies to prevent denials, and generating reports to maintain financial accuracy. Additionally, the Patient Representative ensures precise record-keeping, collaborates with insurance providers, and handles billing inquiries. This position contributes to improving the clinic's operational efficiency and enhances patient satisfaction. If you are experienced in financial counseling and revenue cycle management, we encourage you to apply and help us deliver exceptional care to our patients. This posting will be used to fill multiple vacancies that will support UAMS Ortho Clinic locations in Northwest Arkansas, including Fayetteville, Lowell, and Bentonville.

Requirements

High School Diploma/GED plus four (4) years of experience in customer service, call center, business office administration, registration, billing, insurance, or scheduling.
Ability to follow oral instructions, read, and write.
Computer/basic keyboard skills, telephone etiquette skills
General knowledge of office machines, including printers and scanners.
Excellent customer service skills.
Understanding of financial counseling and revenue cycle management.
Ability to manage high-risk pre-certifications and develop denial avoidance strategies.
Proficiency in producing and analyzing financial reports to ensure accuracy.
Detail-oriented and patient-focused, with experience in financial counseling and revenue cycle functions.

Nice To Haves

Bachelor's degree in Business, Healthcare, or related OR Associates Degree plus two (2) years of experience in customer service, call center, business office administration, medical office registration, billing, or scheduling

Responsibilities

Customer Service – Meets, greets and assists the public, answers telephones in a professional and friendly manner. Demonstrates effective communication skills. Communicates accurate and complete information, maintains strict confidentiality. Demonstrates positive working relationships with co-workers, management team, and ancillary departments. Follows the Circle of Excellence Guidelines. Promotes guest relations by offering frequently to assist other employees when needed. Deals with conflicts in a positive and professional manner using careful listening and negotiation skills to resolve disagreements. Consistently utilizes communication devices and keeps accurate records as required. Demonstrates effective service recovery skills.
Check-In & Out/Scheduling Procedures – Schedules, reschedules, and coordinates appointments using the hospital systems by performing visit notifications of patients, conducts pre-registration of patients as needed, inputs and/or updates accurate patient information. Process walk-in’s, create new patient charts, access systems for orders, work patient portal and maintains tracker board for multiple departments. Schedule surgeries and/or tests. Issues school/work excuses, send out no show letters, take patient photos for centricity. Responsible for blocking schedules in PHS as appropriate.
Insurance Verification/Benefit Explanation -Conducts insurance verification and benefit explanation by running eligibility on patients, perform ABN completion. Conducts authorizations and pre-certifications, tracks pre-authorizations maintains referrals. Enters benefit and authorization information input PCT . Obtains OON waiver and coordinates completion of OON wavers.
Reports (Medical & Maintenance) -This position must also maintain initial plane of care (signatures, etc.), and is responsible for inputting daily and monthly statistics and communication any medical records issues. This position will be responsible for various maintenance reports i.e. bogies, work denials, open encounter, laser arc reports, cancelled clinic reports, working in coming and outgoing referrals within the clinic.
POS Collections & Patient Counseling -Collects and post payments and issues receipts. Responsible for reconciliation/management change fund. Responsible for reconciliation of daily deposit & batch POS dollars, and must complete deposit agreement. Counsels patients on any and all related financial information i.e. hospital discounts and reviewing Medicaid screening. Monitors patient balances using the matrix payment method. This position is also responsible for pre-counsel patient regarding the payment expectations for service.
Professional Development – Attends required training and/or in-services. Attends staff meetings and participates in the orientation and/or training of new staff. Participates in annual educational needs assessment. Maintains required job skill competencies and completes skill assessment annually. Completes and maintains documentation of continuing education hours annually . May perform other duties as assigned