Patient Representative (Pine Bluff, AR)

University of Arkansas for Medical Sciences•Pine Bluffs, WY

1d•Onsite

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.

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.

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, registration, billing, or scheduling

Responsibilities

Customer Service: Outgoing referrals, Medicaid referrals, WQ, Meets, greets, and assists the public, answers telephones in a professional and friendly manner. Demonstrates effective communication skills. Communicates accurate and complete information and maintains strict confidentiality. Consistently utilizes communication devices and keeps accurate records as required.
Check-In & Out/Scheduling Procedures: Schedules, reschedules, and coordinates appointments using the hospital systems by performing visit notifications of patients, conducting pre-registration of patients as needed, and 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 and performing 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 the initial plane of care (signatures, etc.) and is responsible for inputting daily and monthly statistics and communicating any medical records issues. This position will be responsible for various maintenance reports, i.e., bogies, work denials, open encounters, laser arc reports, canceled clinic reports, etc.
POS Collections & Patient Counseling: Collects and posts 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-counseling patients regarding the payment expectations for service.
Charge Entry: Completes UB value codes, inputs daily charges, and reconciles charges. (Charge Entry may not be applicable in all areas, some areas utilize e-billing).
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. May perform other duties as assigned.