Cherokee Nation is hiring a Patient Access Representative to serve as the essential front-line contact for patients. In this role, you will collect patient information, verify insurance coverage, and create and maintain accurate electronic health records to ensure proper healthcare standards.

What You'll Do

Greet and assist all patients and visitors courteously in person or via phone; handle general problems and complaints and make appointment reminder calls.
Determine patient eligibility for healthcare by obtaining proof of tribal membership.
Assist patients in completing new or updated forms and gather required signatures for inpatient, outpatient, emergency, and after-hours patients.
Interview new and existing patients to obtain pertinent registration information.
Verify patient billing information through automated processes, registration interfaces, and direct contact with patients or payers.
Scan third-party health cards and explain billing procedures to patients.
Maintain current knowledge and implement the Privacy Act, HIPAA, and other patient confidentiality regulations.
Enter Medicare, Medicaid, and private/commercial 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; manage scheduling queues to ensure timely appointments.
Work with automated appointment reminder applications and reports; ensure appropriate time allotment for appointments.
Send correspondence letters from the clinic/department to patients.
Operate computerized programs and databases to enter, modify, and retrieve sensitive information in EHR, scheduling, and registration systems.
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 using exemplary customer service.
Document pre-certification numbers in electronic health records for easy access by other departments.
Coordinate with providers, case management, insurance carriers, billing, and patients to secure authorizations and payments for services.
Expedite emergency-based referrals per medical personnel recommendations.
Communicate effectively and politely with patients when rescheduling appointments.
Complete daily log forms for productivity calculations.
Direct patient inquiries to appropriate medical personnel.
Verify all patient information for accuracy and completeness, including demographic, insurance, and emergency contact details.
File and retrieve applications and records; research lost or missing items per established procedures.
Tabulate data as required; assemble and repair records and files as necessary.
Order and issue supplies as appropriate.
Operate copier, fax machines, and other office equipment.
Assist and train other and new team members.
Follow defined call-in procedures as established by supervisor.