Patient Access Specialist — Streamline Scheduling & Coverage

United Musculoskeletal Partners; Carrollton (TX); Hybrid; USD 36,000 - 48,000; Full time

Job summary

OrthoTexas Physicians & Surgeons in Carrollton, TX seeks a Patient Access Representative to be the first point of contact for patients, verify insurance, collect demographics, and schedule appointments within the EHR system. You will ensure accuracy, HIPAA compliance, and smooth financial intake processes.

The role requires strong communication, attention to detail, and proficiency with EHR and scheduling software in a busy healthcare setting.

Qualifications

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

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 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.

Skills

Communication Skills

Attention to Detail

Problem-Solving Skills

Time Management

Confidentiality

Technical Skills

Education

Certification in Patient Access (e.g., CHAA)

Experience in healthcare setting

Tools

Electronic Health Records (EHR)

Scheduling Software

Job description

OrthoTexas Physicians & Surgeons in Carrollton, TX seeks a Patient Access Representative to be the first point of contact for patients, verify insurance, collect demographics, and schedule appointments within the EHR system. You will ensure accuracy, HIPAA compliance, and smooth financial intake processes.

The role requires strong communication, attention to detail, and proficiency with EHR and scheduling software in a busy healthcare setting.