Patient Access Specialist - PTI

Cherokee Indian Hospital Authority • Cherokee, NC

452d • $35,651 - $53,082

About The Position

The Patient Access Specialist at Cherokee Indian Hospital Authority is responsible for greeting patients, families, and visitors, verifying patient eligibility, and managing patient registration processes. This role involves answering incoming calls, conducting patient interviews, and ensuring accurate documentation for billing and service eligibility. The specialist plays a crucial role in patient relations and member services, ensuring a welcoming environment and effective communication with patients and providers.

Requirements

• High school diploma or GED is required.
• An Associate's Degree in Business and/or Accounting, or a related field is preferred.
• Previous data entry or clerical experience with customer contact of two years is required.
• Three to six months of on-the-job training is necessary to become proficient.

Nice To Haves

• Experience in a healthcare setting is preferred.
• Familiarity with patient registration systems and insurance verification processes.

Responsibilities

• Greet patients, families, visitors, and coworkers in a polite and helpful manner.
• Determine, verify, and explain CIHA eligibility to patients.
• Check-in or register patients for their visits and answer incoming calls.
• Conduct patient interviews to obtain registration information, including demographic and insurance details.
• Verify insurance coverage and determine applicable co-payments, collecting them when necessary.
• Create and complete new patient charts in the BPRM Patient Registration System.
• Obtain and verify health records for Medicaid, Medicare, and private insurance eligibility.
• Collect signatures for required forms prior to patient visits for billing purposes.
• Document complaint/grievance information and elevate issues to management as appropriate.
• Answer eligibility questions and provide information to new patients or members.

Benefits

• Competitive hourly wage between $17.12 and $19.26.
• Opportunities for professional development and training.

What This Job Offers

• Job Type: Full-time
• Industry: Hospitals
• Education Level: High school or GED