Top 609 Patient access representative Jobs in Roswell Ga

Prior Authorization Coordinator – Interventional Psychiatry (Spravato/TMS)
Breakthru Psychiatric Solutions —Alpharetta, GA
- $26 - $30 an hour
- Contract
- Psychiatry
- HIPAA
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
5d
Medical Call Center (Bilingual- Spanish/ English)
Arthritis & Rheumatology Center PC —Roswell, GA
- Full-time
- Bilingual
- Spanish
- Customer service
- Health insurance
- Dental insurance
Quick Apply
Patient Care Coordinator (Bilingual - Spanish)
Atlanta Eye Group —Atlanta, GA
- From $17 an hour
- Weekends as needed
- Spanish
- English
- Administrative experience
- Paid training
- Health insurance
Quick Apply
Dental Front Office - 1 year dental office experience required
SSD —Roswell, GA
- $19 - $27 an hour
- Full-time
- Spanish
- Dental office
- In-person
- Free parking
- Dental insurance
Quick Apply
9d
Patient Access Representative
Emory Healthcare —Atlanta, GA
- $18.90 - $23.03 an hour
- Full-time
- Hospital
- Mid-level
- High school diploma or GED
- Wellness program
- Health insurance
12d
Patient Access Coordinator
PT Solutions Physical Therapy —Roswell, GA
- $17 - $20 a year
- Full-time
- Background check
- HIPAA
- High school diploma or GED
- Paid time off
Quick Apply
20h
MRI Patient Access Rep (Part Time)
Resurgens Orthopaedics —Roswell, GA
- Part-time
- Computer literacy
- High school diploma or GED
- Conflict management
Quick Apply
Patient Service Representative
United Digestive —Atlanta, GA
- Full-time
- Bilingual
- Computer literacy
- HIPAA
Quick Apply
Patient Services Representative (Medical Receptionist) - Canton
Piedmont Urgent Care by Wellstreet —Canton, GA
- 12 hour shift
- OSHA
- Urgent Care
- HIPAA
- Paid holidays
- Health insurance
Quick Apply
14d
Patient Services Rep, Part-Time
Northside Hospital Inc. —Alpharetta, GA
- Part-time
- Hospital
- Computer literacy
- Administrative experience
Unit Secretary - Acute- Care - Cardiac Telemetry - Part-Time Night
3410 Wellstar North Fulton Hospital, Inc. —Roswell, GA
- Part-time
- Acute care
- Hospital
- Inpatient
16h
Patient Services Representative
MWD Management, LLC dba —Atlanta, GA
- $17 - $20 an hour
- Full-time
- Computer literacy
- Basic math
- High school diploma or GED
Quick Apply
6d
Medical Receptionist / Front Desk
Fyzical —Roswell, GA
- Computer literacy
- No experience needed
- High school diploma or GED
- Opportunities for advancement
Patient Services Rep, PRN
Northside Hospital Inc. —Marietta, GA
- No weekends
- Hospital
- Computer literacy
- Administrative experience
Patient Administrative Coordinator
Team Rehabilitation Services, LLC —Marietta, GA
- Full-time
- Computer literacy
- Physical & Rehabilitation Medicine
- No experience needed
- Profit sharing
- Continuing education credits
Patient Service Representative
Marietta Eye Clinic —Marietta, GA
- Full-time
- CPR Certification
- Surgery
- Customer service
- Health insurance
- Dental insurance
Quick Apply
7d
Patient Service Representative
Shady Grove Fertility —Alpharetta, GA
- Urgently hiring
- Sanitation
- HIPAA
- Research
- Paid parental leave
- Paid holidays
Quick Apply
Patient Arrival Specialist
Emory Healthcare —Johns Creek, GA
- $18.00 - $21.93 an hour
- Full-time
- 18 years or older
- Computer literacy
- Sanitation
- Wellness program
- Health insurance
13h
Patient Access Representative
Northside Hospital Inc. —Cumming, GA
- Hospital
- Computer literacy
- Medical office experience
Patient Intake Representative-Per Diem/Casual
Labcorp —Suwanee, GA
- Overtime
- High school diploma or GED
- Organizational skills
- Fair chance
- Employee stock purchase plan
- Disability insurance
4d

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Prior Authorization Coordinator – Interventional Psychiatry (Spravato/TMS)

Breakthru Psychiatric Solutions
Alpharetta, GA

Quick Apply

Job Details

Contract
$26 - $30 an hour
5 days ago

Benefits

401(k) 3% Match
Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance
401(k) matching
Professional development assistance
Life insurance

Qualifications

Athenahealth
Teamwork
HIPAA compliance
Certified Billing and Coding Specialist (CBCS)
Medical coding
High school diploma or GED
Insurance medical billing
Organizational skills
Patient billing
Medical explanation of benefits reviews
Patient collections management

Full Job Description

Who We Are

At Breakthru, our mission is to improve access to mental health care with transformative interventional psychiatric treatments in a human-centered environment where patients are truly seen and heard. We are committed to delivering innovative solutions and creating healing pathways for those struggling with difficult-to-treat mental health challenges.

RCM Team Mission

You will be part of an RCM team that is uniquely patient centric. Our mission is - We remove financial barriers and guide patients through a clear and compassionate financial journey so they can focus on what matters most—healing.

Job Summary

The Prior Authorization Coordinator is responsible for facilitating, submitting, following up on, and managing the entire prior authorization process for interventional psychiatric treatments, including Spravato (esketamine), TMS, and Prism. This is a highly hands-on role requiring each prior authorization to be individually prepared, submitted, and tracked through CoverMyMeds and payer portals. Prior authorizations are not automated through our EMR, making accuracy, organization, and proactive follow-up essential to success.

This role works closely with our physicians, insurance companies, specialty pharmacies, and patients to ensure all required documentation is obtained, submitted correctly, and monitored through final determination so that treatment is never delayed by an administrative gap. The ideal candidate is detail-oriented, organized, and skilled at navigating payer requirements across both medical and pharmacy benefits. Strong communication skills are essential, as the Prior Authorization Coordinator collaborates closely with internal team members to resolve issues, communicate authorization status, and support a seamless patient experience.

Key Responsibilities

Prior Authorization Management

Initiate and complete prior authorization requests for treatments and medication services within 24 hours of note completion.
Follow up with insurance within 24 hours to confirm that a submitted authorization request has been received.
Track authorization expiration dates and initiate extensions at least two weeks in advance.
Develop and manage prior authorization processes for new treatments as services and insurance coverage evolve.

Spravato (Esketamine) & Specialty Treatment Coordination

Determine the correct benefit pathway for Spravato (medical vs. pharmacy benefit) for each payer and coordinate accordingly, including specialty pharmacy enrollment when dispensed under the pharmacy benefit or buy-and-bill workflows when covered under the medical benefit.
Compile and submit payer-required clinical documentation demonstrating treatment-resistant depression criteria (e.g., documented failure of two or more oral antidepressants with dosage and duration records) for Spravato and other interventional treatments.
Track Spravato reauthorization milestones across induction and maintenance phases and initiate renewals before approved session limits are exhausted.
Assist patients with manufacturer copay assistance and patient support program enrollment where eligible.

Documentation & Data Entry

Maintain and update patient records with authorization status, ensuring all data elements (CPT codes, diagnosis codes) are included.
Accurately document all interactions, approvals, and denials in patient records and tracking spreadsheets.
Ensure all required medical documentation is submitted with authorization requests.

Communication & Coordination

Serve as a liaison between healthcare providers, insurance companies, and patients.
Communicate effectively with medical staff to gather information needed for authorizations.
Notify providers of approval or denial decisions and explain next steps.
Review billing tasks and respond to tasks or call patients within 24 hours.

Compliance

Keep informed of changes in insurance policies, coding standards, REMS requirements, and regulatory guidelines.
Ensure all activities comply with HIPAA regulations and other relevant healthcare laws.

Qualifications

High school diploma or equivalent (Associate’s or Bachelor’s degree preferred).
Certification in Medical Billing and Coding (CPC, CBCS, or equivalent) is a plus.
Proven experience in medical billing, insurance claims, or revenue cycle management.
Direct experience with Spravato (esketamine) prior authorizations, REMS-regulated products, or specialty medication benefit investigations strongly preferred.
Proficiency in medical billing software (Athena experience a plus).
Strong understanding of insurance policies, EOBs, and reimbursement processes.
Excellent attention to detail, problem-solving, and multi-tasking skills.
Ability to communicate effectively with insurance companies, patients, and healthcare providers.
Knowledge of HIPAA regulations and compliance standards.

Core Competencies

Patient-centered approach and genuine empathy for those experiencing mental health challenges.
Ability to explain complex medical and insurance concepts in accessible language.
Self-starter with excellent problem-solving skills; able to work independently, prioritize competing responsibilities, take initiative, and proactively identify and resolve issues without requiring constant supervision.
Adaptable and proactive in a growing and evolving practice.
Professional demeanor and strong ethical standards.

Benefits

Breakthru Psychiatric Solutions offers competitive compensation, comprehensive benefits including 401(k) with 3% match, quarterly performance bonus opportunities, and professional development opportunities.

Our Beliefs

1. We offer unconditional positive regard to our patients, their families, each other, and ourselves.

2. We reside at the front edge of science, offering the most effective, innovative mental health treatments.

3. We hire personality and teach skills.

4. We listen carefully and respond respectfully.

5. Our praise is as thorough as our feedback.

6. We talk to each other, not about each other.

7. We are here to make the patient journey easier, not harder.

8. Our patients and their families are our North Star.

9. We create an environment where our patients are truly seen and heard.

10. We embrace teamwork, recognizing that collaboration and mutual support are essential to our success.

Pay: $26.00 - $30.00 per hour

Benefits:

401(k)
401(k) matching
Dental insurance
Health insurance
Life insurance
Paid time off
Professional development assistance
Vision insurance

Experience:

Spravato: 1 year (Required)
Prior Authorization: 2 years (Required)

Work Location: In person

Quick Apply

Refine Your Search

patient access representative jobs in roswell ga

Prior Authorization Coordinator – Interventional Psychiatry (Spravato/TMS)

Medical Call Center (Bilingual- Spanish/ English)

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Dental Front Office - 1 year dental office experience required

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Unit Secretary - Acute- Care - Cardiac Telemetry - Part-Time Night

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I want to receive the latest job alert for patient access representative in roswell ga

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