Rehab Patient Access Rep

OrthoTexas Physicians & Surgeons•Carrollton, TX

About The Position

The Patient Access Representative serves as the first point of contact for patients entering the healthcare facility and supports the patient registration and financial intake process. The role gathers accurate patient information, verifies insurance coverage, schedules appointments, and manages patient interactions to support a positive experience. The representative works with healthcare providers, insurance companies, patients, and clinical and administrative staff to ensure information is accurately documented for billing and insurance purposes and to support a seamless patient experience. The position involves handling sensitive patient information in accordance with HIPAA regulations. The work environment is typical of a physician’s office, with possible exposure to infectious diseases and bodily fluids while interacting with patients or family members. Occasional exposure to moving mechanical parts, fumes or airborne particles, and toxic or caustic chemicals may occur. 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 (Word, Excel, 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 materials and computer screens.
Frequent lifting and carrying of items weighing up to 30 pounds unassisted, including assisting patients when required.
Adequate physical ability and manual dexterity to perform requisite healthcare services.
Frequent bending, reaching, repetitive hand movements, standing, walking, squatting, and sitting, with some heavy lifting, pushing, and pulling.

Nice To Haves

Patient Access certification, 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 promptly.
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 patient appointments based on physician availability and patient needs.
Provide patients with pre-appointment instructions and information.
Confirm appointments and assist with rescheduling.
Inform patients about co-pays, deductibles, and insurance benefits before service delivery.
Communicate financial responsibility expectations to patients.
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 inquiries and concerns regarding appointments, billing, and insurance coverage.
Handle sensitive patient information confidentially and adhere to HIPAA regulations.
Collaborate with clinical and administrative staff to support a seamless patient experience.
Support the team in resolving operational issues related to patient access.