Patient Access & Insurance Coordinator

Resurgens Orthopaedics; Canton (GA); On-site; USD 38,000 - 52,000; Full time

Job summary

Resurgens Orthopaedics in Canton, GA is seeking a Patient Access Representative to be the first point of contact for patients. You will collect and verify demographics and insurance, verify coverage, and schedule appointments to ensure a smooth registration and financial intake process.

You will collaborate with providers, insurance companies, and patients, handling HIPAA-compliant information and guiding patients through payment options and pre-authorization when needed.

Qualifications

• CHAA certification preferred but not required.
• Healthcare experience in patient registration, insurance verification, or customer service preferred.
• Experience with EHR and scheduling software is advantageous.

Responsibilities

• Greet patients and verify personal, financial, and insurance information for accuracy.
• Collect and input demographic and insurance details into the EHR system.
• Ensure all required forms are completed accurately and in a timely manner.
• Verify patient insurance coverage and eligibility before appointments or procedures.
• Obtain prior authorization for procedures or services as required by insurance providers.
• Resolve discrepancies in insurance or coverage information with patients or insurance companies.
• Schedule patient appointments based on physician availability and patient needs.
• Provide patients with necessary pre-appointment instructions and information.
• Confirm appointments and assist with rescheduling as necessary.
• Inform patients about co-pays, deductibles, and insurance benefits before service delivery.
• Communicate financial responsibility expectations to patients.
• Assist patients with payment options, setting up payment plans, and financial assistance programs as necessary.
• Act as a liaison between patients, healthcare providers, and insurance companies.
• Address patient inquiries and concerns regarding appointments, billing, and insurance coverage.
• Handle confidential information per HIPAA regulations.
• Collaborate with clinical and administrative staff to ensure a seamless patient experience.
• Support the team in resolving operational issues related to patient access.

Skills

Clear communication

Attention to detail

HIPAA compliance

Time management

Problem solving

MS Office & EHR

Education

CHAA certification (preferred)

Tools

EHR software

Scheduling software

Job description

Resurgens Orthopaedics in Canton, GA is seeking a Patient Access Representative to be the first point of contact for patients. You will collect and verify demographics and insurance, verify coverage, and schedule appointments to ensure a smooth registration and financial intake process.

You will collaborate with providers, insurance companies, and patients, handling HIPAA-compliant information and guiding patients through payment options and pre-authorization when needed.