Patient Representative - Audiology

University of Arkansas System • Little Rock, AR

5d

About The Position

The Patient Representative works under general supervision in the ICE | SUSL Audiology Clinic. The position counsels patients on insurance coverage and financial obligations and supports scheduling, pre-certifications, and referrals. It identifies and refers patients or responsible parties to appropriate sponsoring agencies. The role handles high-risk pre-certifications, develops and implements denial-avoidance plans, and produces reports on revenue-cycle functions to ensure financial error reports are addressed and corrected. The Patient Representative is expected to demonstrate competency in the job elements of all levels of the Access Coordinator positions.

Responsibilities also include verifying insurance and explaining benefits, processing authorizations and pre-certifications, tracking pre-authorizations, maintaining referrals, reconciling daily deposits and point-of-sale batches, collecting and posting payments, issuing receipts, managing the change fund, counseling patients about financial matters and payment expectations, monitoring patient balances, and maintaining reports.

Requirements

• Bachelor’s degree; or an associate degree and two years of experience in business office administration, customer service, registration, billing, insurance, scheduling, or call center; or a high school diploma/GED and four years of experience in one or more of those areas.
• Demonstrated competency in the job elements of all levels of the Access Coordinator positions.
• Other job-related education and/or experience may substitute for all or part of the basic requirements, subject to approval by the qualifications review committee; certification or licensure requirements are excluded from substitution.

Nice To Haves

• Four-year/bachelor’s degree in healthcare or a related field.
• Certified Healthcare Access Associate.

Responsibilities

• Verify insurance and explain benefits by checking patient eligibility for outpatient and inpatient procedures.
• Perform authorizations and pre-certifications, track pre-authorizations, and maintain referrals.
• Enter benefit and authorization information on referrals.
• Reconcile daily deposits and point-of-sale batch amounts and complete deposit agreements.
• Collect and post payments, issue receipts, and manage the change fund.
• Counsel patients on financial matters, including hospital discounts and Medicaid screening.
• Monitor patient balances using the matrix payment method and counsel patients in advance about payment expectations for services.
• Maintain reports, including bogie and registration-denial reports, and ensure financial error reports are worked and corrected.
• Process high-risk pre-certifications and develop and implement denial-avoidance plans.
• Refer patients or responsible parties to appropriate sponsoring agencies.
• Perform other duties as assigned.

Benefits

• Medical, dental, and vision plans for qualifying staff and family.
• Holiday, vacation, and sick leave.
• Education discount for staff and dependents for undergraduate study.
• Retirement contribution matched by UAMS up to 10%.
• Basic life insurance up to $50,000.
• Career training and educational opportunities.
• Merchant discounts.
• Concierge prescription delivery on the main campus when using the UAMS pharmacy.

What This Job Offers

• Job Type: Full-time