Patient Representative - Dental Clinic

Clinical Staff - Nursing

The Patient Representative is responsible for verifying insurance benefits, processing authorizations and pre-certifications, developing and implementing denial avoidance plans, and working appropriate registration and billing work queues. The patient representative is expected to demonstrate competency in the job elements of all the levels of the Access Coordinator positions.

Minimum Qualifications:

• High School Graduated, GED or Formal education equivalent 4 Years experience in customer service, call center, business office administration, registration, billing, insurance, or scheduling
• Associate Degree plus 2 years of experience in customer service, call center, business office administration, registration, billing or scheduling.

Preferred Qualifications:

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

Job Requirements:

• Verify patient insurance eligibility, benefits, and coverage for scheduled and upcoming healthcare services.
• Review insurance policies to determine 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.

Physical Requirements:

Stand: Frequently

Sit: Frequently

Walk: Occasionally

Bend, crawl, crouch, kneel, stoop or reach overhead: Frequently

Lift and carry weight: 25 lbs

Push and pull weight: 25 lbs

Use hands to touch, handle or feel: Frequently

Talk: Continuously

Hear: Continuously

Taste or smell: Occasionally

Read, concentrate, think analytically: Continuously

Physical Environment: Inside Medical Facility Environment

Salary Information: $18.99/hr.

Required Documents to Apply: Resume

Optional Documents: List of three Professional References (name, email, business title), Proof of Veteran Status

Recruitment Contact Information: Please contact View email address on click.appcast.io for any recruiting related questions.

All application materials must be uploaded to the University of Arkansas System Career Site

Please do not send to listed recruitment contact.

Pre-employment Screening Requirements: Annual TB Screening, Criminal Background Check

This position is subject to pre-employment screening (criminal background, drug testing, and/or education verification). A criminal conviction or arrest pending adjudication alone shall not disqualify an applicant except as provided by law. Any criminal history will be evaluated in relationship to job responsibilities and business necessity. The information obtained in these reports will be used in a confidential, non-discriminatory manner consistent with state and federal law.

Constant Physical Activity: Hearing, Sitting, Talking

Frequent Physical Activity: Crouching, Feeling, Grasping, Lifting, Manipulate items with fingers, including keyboarding, Reaching, Repetitive Motion, Sitting, Talking, Walking

Occasional Physical Activity: Climbing, Crawling, Feeling, Kneeling, Pulling, Pushing, Standing, Stooping

Benefits Eligible: Yes