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Patient Representative – Dental Clinic
University of Arkansas System. Verify patient insurance eligibility, benefits, and coverage for scheduled and upcoming healthcare services .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in verifying patient insurance eligibility, benefits, and coverage while ensuring compliance with HIPAA regulations. Proficient in collaborating with various departments to enhance patient coverage processes and resolve complex insurance issues.
Highest-signal resume keywords
Insurance VerificationPrior Authorization ManagementHIPAA ComplianceCustomer ServiceEaglesoft Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Insurance Eligibility VerificationBenefits ReviewPrior AuthorizationInsurance Discrepancy ResolutionCoordination of BenefitsDocumentation ManagementProcess ImprovementBilling KnowledgeClaim Denial PreventionHealthcare Environment Experience
Soft Skills
Excellent Customer ServiceCommunication SkillsProblem-SolvingTeam CollaborationAttention to Detail
Tools & Technologies
Electronic Medical Record SystemsEaglesoft
Certifications & Qualifications
Annual TB ScreeningCriminal Background Check
Industry Keywords
HealthcareInsurance GuidelinesPatient Financial ResponsibilitiesCall Center ExperienceBusiness Office Administration
About the role
Key responsibilities & impact- 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
Requirements
What you’ll need- High School Graduated, GED or Formal education equivalent and 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
- Persons must have proof of legal authority to work in the United States on the first day of employment
- Annual TB Screening
- Criminal Background Check
- Resume required
- Physical ability to stand, sit, walk, bend, crawl, crouch, kneel, stoop, reach overhead, lift and carry 25 lbs, and push and pull 25 lbs
- Experience working in a healthcare environment (preferred)
- Eaglesoft experience and previous dental experience (preferred)
- Bachelor's degree in business, healthcare or related (preferred)
Benefits
Comp & perks- Medical, Dental and Vision plans available for qualifying staff and family
- Holiday, Vacation and Sick Leave
- Education discount for staff and dependents (undergraduate only)
- Up to 10% matched contribution from UAMS
- Basic Life Insurance up to $50,000
- Career Training and Educational Opportunities
- Merchant Discounts
- Concierge prescription delivery on the main campus when using UAMS pharmacy