CTHCA Patient Registration (GT-49477)

*REVISED 10/6/2026*

Closing Date: 10/12/2026

Position: Patient Registration

Salary: $22.42/hr - $27.30hr

Reports To: Medical Office Manager

Location: CTHCA Nespelem

SUMMARY:

The Patient Registration Representative is responsible for accurate patient registration, intake, insurance verification, eligibility documentation, and patient navigation related to healthcare coverage and alternate resources. The position ensures patient demographic and billing information is complete, current, and properly documented in the electronic health record (EHR), and assists patients in identifying, understanding, and accessing available coverage options. The representative supports patients through enrollment and renewal processes, registration quality, billing readiness, and compliance with applicable Tribal, state, and federal requirements in a healthcare setting.

Qualifications

KNOWLEDGE, SKILLS, AND ABILITIES:

• High School Diploma, GED, or equivalent required.
• One (1) year of experience in patient registration, patient navigation, insurance enrollment/eligibility, medical billing, healthcare administration, social services, benefits assistance, customer service, or a closely related field.
• Experience assisting individuals with applications, eligibility documentation, benefits, insurance coverage, or community resources required.
• Must be able to learn and effectively explain eligibility and enrollment requirements for programs such as Medicaid, Medicare, Health Insurance Marketplace plans, private insurance, Tribal healthcare programs, Purchased/Referred Care (PRC), and other available resources.
• Must possess the communication and interpersonal skills necessary to assist individuals who may be experiencing financial hardship, limited health insurance knowledge, frustration, or other barriers to obtaining healthcare coverage.
• Ability to maintain confidentiality and successfully complete required HIPAA, Privacy, eligibility, insurance enrollment, and patient-navigation training.
• Knowledge of, or ability to learn, healthcare coverage programs and enrollment processes, including Medicaid, Medicare, Health Insurance Marketplace coverage, Tribal programs, PRC, and other applicable alternate resources.
• Ability to explain healthcare coverage, eligibility, enrollment, renewal, and documentation requirements in a clear, respectful, and understandable manner to patients with varying levels of health insurance knowledge.
• Ability to assist patients with navigating coverage options and application processes while maintaining appropriate boundaries, protecting confidentiality, and avoiding representation or guarantees regarding eligibility or coverage decisions outside the position’s authority.
• Ability to identify barriers to healthcare coverage, provide appropriate follow-up, and connect patients with Tribal, state, federal, or community resources to support access to care.
• Ability to accurately enter, review, and maintain patient demographic, insurance, eligibility, and billing-related information.
• Ability to identify and resolve registration discrepancies, incomplete documentation, and data-quality issues.
• Knowledge of patient confidentiality requirements, including HIPAA, or ability to complete required training.
• Ability to coordinate effectively with clinical staff, billing personnel, and other departments to support accurate registration and timely claims processing.
• Ability to organize, prioritize, and complete registration tasks accurately while meeting established deadlines.
• Ability to learn and follow Tribal healthcare eligibility, Purchased/Referred Care (PRC), and alternate resource procedures applicable to the clinic.
• Ability to use computer systems, EHR applications, and standard office software to maintain accurate records and process registration information.

Note: Pursuant to Tribal Policy, if this position is safety sensitive it is subject to pre-employment drug testing. In addition, this position is subject to reasonable suspicion and post-accident drug testing.

TRIBAL MEMBER AND INDIAN PREFERENCE WILL APPLY; PREFERENCE WILL ALSO BE GIVEN TO HONORABLY DISCHARGED VETERANS WHO ARE MINIMALLY QUALIFIED.

If required of this position, you must possess and maintain a valid Washington State driver’s license and be eligible for the Tribes’ Vehicle Insurance. In addition, this position may be subject to pre-employment background clearances. If applicable, these clearances must be maintained throughout employment.

INFORMATION: Garet Townsend, HR Representative, Colville Tribal Health Care Authority, Human Resources Office, P.O. Box 150, Nespelem, WA 99155, (509) 634-7302. garet.townsend.ohc@colvilletribes.com