Patient Access Rep (Onsite)

Resurgens Orthopaedics • Lawrenceville, GA

2d • Onsite

About The Position

The Patient Access Representative is the first point of contact for patients entering the healthcare facility and supports patient registration and financial intake. The role gathers and documents accurate patient, demographic, financial, and insurance information; verifies insurance coverage and eligibility; obtains prior authorizations when required; and schedules and confirms appointments. The representative explains financial responsibilities and available payment options, assists with payment plans and financial assistance programs, and addresses patient questions about appointments, billing, and insurance.

The position serves as a liaison among patients, healthcare providers, and insurance companies, collaborating with clinical and administrative staff to support a smooth patient experience and resolve operational issues. It requires careful handling of sensitive patient information in accordance with HIPAA. The work takes place in a healthcare setting, where there may be exposure to infectious diseases, bodily fluids, mechanical parts, fumes, airborne particles, and toxic or caustic chemicals. Physical demands include frequent lifting and carrying items up to 30 pounds unassisted, as well as bending, reaching, repetitive hand movements, standing, walking, squatting, sitting, pushing, and pulling.

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 communicate clearly in person and over the telephone.
• Visual acuity adequate to perform job duties, including reading printed sources and computer screens.
• Frequent lifting and carrying of items weighing up to 30 pounds unassisted, including assisting patients when required.
• Sufficient manual dexterity to perform the requisite healthcare service.
• Ability to frequently bend, reach, perform repetitive hand movements, stand, walk, squat, and sit, with some heavy lifting, pushing, and pulling.

Nice To Haves

• Certification in Patient Access, such as Certified Healthcare Access Associate (CHAA), is preferred but 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.

Responsibilities

• Greet patients and verify the accuracy of personal, financial, and insurance information.
• Collect and enter demographic and insurance details into the Electronic Health Record (EHR) system.
• Ensure required forms are completed accurately and on time.
• Verify patient insurance coverage and eligibility before appointments or procedures.
• Obtain prior authorization for procedures or services when required by insurance providers.
• Resolve discrepancies in insurance or coverage information with patients or insurance companies.
• Schedule appointments based on physician availability and patient needs.
• Provide pre-appointment instructions and information to patients.
• Confirm appointments and assist with rescheduling.
• Explain co-pays, deductibles, insurance benefits, and financial responsibility to patients before services are provided.
• Assist patients with payment options, payment plans, and financial assistance programs as needed.
• Act as a liaison between patients, healthcare providers, and insurance companies.
• Address patient questions and concerns about appointments, billing, and insurance coverage.
• Protect sensitive patient information and adhere to 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.

What This Job Offers

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