Patient Representative - Dental Clinic

University of Arkansas • Little Rock, AR

23h • Onsite

About The Position

The Patient Representative works in the UAMS ICE CORE PA Oral Health Staff department. The role verifies insurance benefits, processes authorizations and pre-certifications, develops and implements denial-avoidance plans, and works appropriate registration and billing work queues. The position is expected to demonstrate competency in the job elements of all levels of the Access Coordinator positions.

Responsibilities include verifying insurance eligibility and coverage, obtaining authorizations and referrals, resolving insurance issues, communicating patient financial responsibilities, maintaining accurate records, and collaborating with scheduling, registration, billing, coding, and clinical teams. The role also monitors pending approvals, supports team members with escalated concerns, recommends workflow improvements, and ensures compliance with HIPAA, organizational policies, and insurance guidelines while providing customer service.

Requirements

• High school graduation, GED, or formal education equivalent and four years of experience in customer service, call center, business office administration, registration, billing, insurance, or scheduling; alternatively, an associate degree plus two years of experience in customer service, call center, business office administration, registration, billing, or scheduling.

Nice To Haves

• Bachelor's degree in business, healthcare, or a related field.
• Experience working in a healthcare environment.
• Eaglesoft experience.
• Previous dental experience.

Responsibilities

• Verify patient insurance eligibility, benefits, and coverage for scheduled and upcoming healthcare services.
• Review insurance policies for coverage limitations, exclusions, deductibles, copayments, and coinsurance.
• Obtain and validate prior authorizations and referrals for medical procedures, treatments, and services.
• Contact insurance companies to resolve complex eligibility, benefit, and authorization issues.
• Identify potential coverage problems and communicate financial responsibilities to patients.
• Research and resolve insurance discrepancies to prevent billing delays and claim denials.
• Review coordination of benefits and identify primary and secondary insurance coverage.
• Maintain accurate insurance information and documentation within electronic medical record systems.
• Collaborate with scheduling, registration, billing, coding, and clinical departments to ensure proper patient coverage.
• Monitor authorization status and follow up on pending or outstanding insurance approvals.
• Assist with escalated insurance verification concerns and provide guidance to team members.
• Identify workflow issues and recommend process improvements to increase efficiency and accuracy.
• Ensure compliance with HIPAA regulations, organizational policies, and insurance guidelines.
• Provide excellent customer service while handling sensitive patient financial and insurance information.

Benefits

• Medical, dental, and vision plans available for qualifying staff and family.
• Holiday, vacation, and sick leave.
• Education discount for staff and dependents (undergraduate only).
• 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
• Career Level: Mid Level
• Education Level: High school or GED