Patient Access Rep

Resurgens Orthopaedics • Sandy Springs, GA

54d

About The Position

The Patient Access Representative is the first point of contact for patients entering the healthcare facility and supports an efficient patient registration and financial intake process. The role gathers and documents accurate patient, demographic, financial, and insurance information; verifies insurance coverage and eligibility; obtains prior authorizations when needed; schedules and confirms appointments; and communicates pre-appointment instructions and financial responsibilities. The representative also assists patients with payment options, payment plans, and financial assistance, addresses questions and concerns, and serves as a liaison among patients, healthcare providers, and insurance companies. The position requires careful handling of sensitive information in accordance with HIPAA and collaboration with clinical and administrative staff to provide a seamless patient experience.

The role is part of a physician-led musculoskeletal care network through United Musculoskeletal Partners and Resurgens Orthopaedics, supporting a clinical practice in Atlanta.

Requirements

• Excellent verbal and written communication skills for interacting with patients, families, and colleagues.
• High level of accuracy when entering patient information and verifying insurance details.
• Ability to troubleshoot and resolve patient registration and insurance coverage issues.
• Ability to manage multiple tasks in a fast-paced environment.
• Understanding of and adherence to HIPAA regulations and patient privacy requirements.
• Proficiency with Microsoft Office Suite, including Word, Excel, and Outlook, and patient management software.
• Adequate hearing to perform duties in person and over the telephone.
• Ability to clearly communicate in person and over the telephone.
• Visual acuity adequate to perform job duties, including reading printed materials and computer screens.
• Ability to frequently lift and carry items weighing up to 30 pounds unassisted, including assisting patients when required.
• Sufficient manual dexterity to perform required healthcare services.
• Ability to frequently bend, reach, perform repetitive hand movements, stand, walk, squat, and sit, and to do some heavy lifting, pushing, and pulling.

Nice To Haves

• Patient Access certification, such as Certified Healthcare Access Associate (CHAA); preferred but not required.
• Previous healthcare experience, particularly in patient registration, insurance verification, or customer service.
• Experience with Electronic Health Records (EHR) and scheduling software.

Responsibilities

• Greet patients and verify personal, financial, and insurance information.
• Collect and enter demographic and insurance information into the Electronic Health Record (EHR) system.
• Ensure required forms are completed accurately and on time.
• Verify insurance coverage and eligibility before appointments or procedures.
• Obtain prior authorization for procedures or services when required by insurers.
• Resolve discrepancies in insurance or coverage information with patients or insurance companies.
• Schedule appointments according to physician availability and patient needs.
• Provide pre-appointment instructions and information.
• Confirm appointments and assist with rescheduling.
• Inform patients about co-pays, deductibles, and insurance benefits before services are provided.
• Explain patients’ financial responsibilities.
• Assist patients with payment options, payment plans, and financial assistance programs.
• Act as a liaison among patients, healthcare providers, and insurance companies.
• Address patient questions and concerns regarding appointments, billing, and insurance coverage.
• Protect sensitive patient information and adhere to HIPAA regulations.
• Collaborate with clinical and administrative staff to support a seamless patient experience.
• Help resolve operational issues related to patient access.

Benefits

• PPO, HDHP, and Surest healthcare plan options, with a $100 per month tobacco-free discount.
• Dental and vision insurance.
• 401(k) with annual employer contributions.
• HSA/FSA.
• Short- and long-term disability coverage.
• Life and AD&D coverage.
• Legal assistance.
• Employer-paid Employee Assistance Program (EAP).
• Up to four weeks of starting PTO, increasing with tenure.
• Seven paid holidays and two floating holidays.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed