Cherokee Nation is hiring a Patient Access Representative to play a key role in patient care coordination. You will be the first point of contact, responsible for collecting patient information, verifying insurance coverage, creating and maintaining electronic health records, and scheduling appointments.
What You'll Do
- Greet and assist all patients and visitors courteously in person or via phone, handling general problems and making appointment reminder calls.
- Determine eligibility for new patients by obtaining proof of tribal membership in a federally recognized tribe.
- Assist patients in completing new or updated forms and gather required signatures.
- Interview new and existing patients to obtain pertinent registration information.
- Verify patient billing information through automated processes and direct contact with patients or payers.
- Scan third-party health cards and explain billing procedures to patients.
- Maintain current knowledge of and implement the Privacy Act, HIPAA, and other patient confidentiality regulations.
- Enter Medicare, Medicaid, and private insurance information into the electronic records system.
- Coordinate with Patient Benefits Advocate/Coordinator to exchange billing information and ensure eligibility.
- Schedule, cancel, and reschedule patient appointments, managing scheduling queues and ensuring appropriate time allotments.
- Work with automated appointment reminder applications and reports.
- Send correspondence from the clinic or department to patients.
- Operate computerized programs and databases to enter, modify, and retrieve sensitive information in electronic health record applications.
- Monitor scheduling queues and wait lists to ensure patient referrals are handled appropriately and timely.
- Assess patient status and obtain authorization for hospitalization and outpatient services prior to service delivery.
- Provide retro reviews and appeals to insurance companies as needed.
- Answer calls from insurance companies, physician offices, hospitals, and patients with exemplary customer service.
- Document pre-certification numbers in electronic health records.
- Coordinate with providers, case management, insurance carriers, and patients to secure authorizations and payments.
- Expedite emergency-based referrals per medical personnel recommendations.
- Verify all patient information for accuracy and completeness, including demographic, insurance, and emergency contacts.
- File and retrieve applications and records, researching lost or missing records.
- Operate copier, fax machines, and other office equipment.
- Assist and train other team members.
What We're Looking For
- A High School diploma or GED, or at least six (6) months of specialized training, education, or experience.
Nice to Have
- At least six months of experience in a related field.
- Experience with Medicaid, Medicare, and third-party billing and guidelines.
Technical Stack
- Database software for managing electronic health records.
Work Mode
This is an onsite position.
