Rehab Patient Access Rep

Resurgens Orthopaedics•Marietta, GA

32d

About The Position

The Patient Access Representative is the first point of contact for patients entering the healthcare facility and supports the patient registration and financial intake process. The role gathers and documents patient information, verifies insurance coverage, schedules appointments, and manages patient interactions to promote a positive experience. The representative works with patients, healthcare providers, and insurance companies to ensure information is accurately documented for billing and insurance purposes. The position includes communicating with patients about appointments, insurance benefits, and financial responsibilities; handling sensitive information in accordance with HIPAA; and collaborating with clinical and administrative staff to support a seamless patient experience. The employee may encounter infectious disease risks, bodily fluids, moving mechanical parts, fumes or airborne particles, and toxic or caustic chemicals. The noise level is typical of a physician’s office.

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 simultaneously in a fast-paced environment.
Understanding of and adherence to HIPAA regulations to maintain patient privacy.
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 information and computer screens.
Physical ability to frequently lift and carry items weighing up to 30 pounds unassisted, including assisting patients when required; perform necessary manual tasks; and frequently bend, reach, make repetitive hand movements, stand, walk, squat, sit, and sometimes perform heavy lifting, pushing, and pulling.

Nice To Haves

Certification in Patient Access, such as Certified Healthcare Access Associate (CHAA); preferred but not required.
Previous experience in a healthcare setting, 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 for accuracy.
Collect and enter demographic and insurance details into the Electronic Health Record (EHR) system.
Ensure required forms are completed accurately and promptly.
Verify 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.
Confirm appointments and assist with rescheduling.
Explain co-pays, deductibles, insurance benefits, and financial responsibility to patients before services are delivered.
Assist patients with payment options, payment plans, and financial assistance programs as necessary.
Act as a liaison between 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 ensure a seamless patient experience.
Support the team in resolving operational issues related to patient access.