Patient Access Rep

United Musculoskeletal Partners; Georgia; Hybrid; USD 36,000 - 48,000; Full time

Job summary

Resurgens Orthopaedics in McDonough, GA, is seeking a Patient Access Representative to be the first point of contact for patients, handling registration, insurance verification, scheduling, and pre-visit instructions to ensure a smooth check-in.

You will collect demographic and financial details, enter data into the EHR, obtain prior authorizations when needed, and communicate costs and payment options to patients, while maintaining HIPAA compliance and effective team collaboration with

Qualifications

• Certification in Patient Access is preferred but not required.
• Experience in healthcare settings, especially patient registration or insurance verification, is preferred.
• Experience with EHR and scheduling software is an advantage.

Responsibilities

• Greet patients and verify personal, financial, and insurance information for accuracy.
• Input demographic and insurance details into the EHR system.
• Ensure all forms are completed accurately and timely.
• Verify insurance coverage and eligibility before appointments.
• Obtain prior authorizations for procedures as required by insurers.
• Resolve discrepancies in insurance or coverage information with patients or insurers.
• Schedule patient appointments based on physician availability and patient needs.
• Provide patients with pre-appointment instructions and information.
• Inform patients about co-pays, deductibles, and insurance benefits before service.
• Assist patients with payment options and financial assistance programs.
• Maintain HIPAA confidentiality and collaborate with clinical staff.

Skills

Communication

Attention to Detail

Problem Solving

Time Management

Confidentiality

Technical Skills

Education

CHAA certification (preferred)

Tools

Microsoft Office Suite

Patient management software

Job description

DESCRIPTION

SUMMARY

The Patient Access Representative serves as the first point of contact for patients entering the healthcare facility and plays a critical role in ensuring the smooth and efficient operation of the patient registration and financial intake process. This role is responsible for gathering accurate patient information, verifying insurance coverage, and scheduling appointments all while effectively managing patient interactions to ensure a positive experience. The Patient Access Representative will work closely with healthcare providers, insurance companies, and patients to ensure all necessary information is accurately documented for billing and insurance purposes.

ESSENTIAL DUTIES AND RESPONSIBILITIES (Other duties may be assigned)

• Greet patients and verify personal, financial, and insurance information for accuracy.

• Collect and input demographic and insurance details into the Electronic Health Record (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 sensitive patient information with confidentiality, adhering to HIPAA regulations.

• Collaborate with clinical and administrative staff to ensure a seamless patient experience.

• Support the team in resolving any operational issues related to patient access.

REQUIREMENTS

EDUCATION, CERTIFICATION/LICENSURE AND EXPERIENCE

• Certification in Patient Access (e.g., Certified Healthcare Access Associate (CHAA)) preferred by not required.

• Previous experience in a healthcare setting, particularly in patient registration, insurance verification, or customer service, is preferred.

• Experience with Electronic Health Records (EHR) and scheduling software is an advantage.

SKILLS/ABILITIES

• Communication Skills: Excellent verbal and written communication abilities to interact with patients, families, and colleagues.

• Attention to Detail: High level of accuracy when entering patient information and verifying insurance details.

• Problem-Solving Skills: Ability to troubleshoot and resolve issues related to patient registration and insurance coverage.

• Time Management: Ability to manage multiple tasks simultaneously in a fast-paced environment.

• Confidentiality: Understanding and adherence to HIPAA regulations to maintain patient privacy.

• Technical Skills: Proficient with Microsoft Office Suite (Word, Excel, Outlook) and patient management software.

PHYSICAL DEMANDS

Hearing: Adequate to perform job duties in person and over the telephone.

Speaking: Must be able to clearly communicate in person and over the telephone.

Vision: Visual acuity adequate to perform job duties, including visual examination of patient (if applicable) and reading information from printed sources and computer screens.

Other: Requires frequent lifting and carrying items weighing up to 30 pounds unassisted, including assisting patients when required. Adequate physical ability includes sufficient manual dexterity to perform the requisite health care service needed. Requires frequent bending, reaching and repetitive hand movements, standing, walking, squatting and sitting with some heavy lifting, pushing and pulling.

WORK ENVIORNMENT

While performing the duties of this job, employee may be exposed to risk of infectious diseases and bodily fluids when interacting with patients and/or family members. The employee may be occasionally exposed to moving mechanical parts, fumes or airborne particles, and toxic or caustic chemicals. The noise level in the work environment is typical of a physician’s office.

The above describes the general content of and requirements for the performance of this position. It is not intended to be an all-inclusive statement of the duties, responsibilities, and requirements of the position.

Company: Resurgens Orthopaedics

Job Type: Full-time

Address: 156 Foster Drive, McDonough, GA, 30253