Bilingual (English/Spanish) Patient Access Specialist

Bilingual (English/Spanish) Patient Access Specialist

Salary

$38,665.00 - $62,266.00 Annually

Location

Nashville, NC

Job Type

Full Time

Job Number

2026-00065

Department

Health Department

Division

Health Departments

Opening Date

07/13/2026

Closing Date

Continuous

• Description
• Benefits
• Questions

General Statement of Duties

Candidates must be bilingual in English & Spanish.

Primary Purpose of Organizational Unit: The Nash County Health Department comprises several offices and branches, including the headquarters in Nashville, the Rocky Mount branch (each featuring a WIC office), the Care Management branch at the MedPark Campus, and the Environmental Health office. Governed by the consolidated Human Services Board, the Health Department is dedicated to offering quality health care with a focus on education, prevention, and environmental protection for Nash Countys citizens. Clinical Support positions are essential for ensuring the efficient operation of the department or office, providing project and program-based support. These roles involve administrative tasks such as answering phones, organizing medical records, reports, audits, appointment scheduling, patient registration, and overall office management.

Primary Purpose of Position: The Bilingual Patient Access Specialist supports daily clinic operations by providing Spanish-English interpretation for Hispanic patients and assisting across multiple administrative functions. This role helps ensure patients receive clear communication and timely access to services while maintaining efficient front desk, appointment scheduling, and switchboard operations. This position moves between coverage areas as needed and plays a key role in maintaining continuity of service, patient satisfaction, and accurate administrative workflows.

Work Schedule: Regular work schedule is 8:00 a.m.- 5:00 p.m. Monday through Friday with additional hours as required to respond to the needs of the agency.

Essential Duties and Tasks

Interpretation and Patient Communication

• Provide verbal Spanish-English interpretation for patients, families, and staff during registration, scheduling, check-in, check-out, and other routine interactions.
• Assist Hispanic patients in understanding appointments, instructions, forms, and general office processes.
• Support clear, respectful, and culturally responsive communication between patients and staff.
• Translate basic administrative information and routine documents as appropriate and within organizational policy.
• Maintain confidentiality and professional boundaries when interpreting patient information.

Front Desk Support

• Greet patients and visitors in a professional, courteous, and helpful manner.
• Check patients in and out for appointments.
• Verify demographic, insurance, and contact information.
• Collect required forms, signatures, and other front office documentation as applicable.
• Answer routine questions and direct patients to the appropriate staff or service area.
• Maintain orderly patient flow and notify clinical staff of patient arrivals as needed.

Appointment Scheduling

• Schedule, reschedule, and cancel patient appointments accurately in the electronic scheduling system.
• Coordinate appointments according to clinic guidelines, provider availability, and patient needs.
• Contact patients regarding appointment reminders, changes, and follow-up scheduling.
• Enter and update patient information accurately and timely.
• Help reduce missed appointments by communicating clearly with patients in English and Spanish.

Switchboard / Telephone Support

• Answer incoming calls promptly and professionally.
• Route calls to appropriate departments, staff, or providers.
• Take accurate messages and document calls as required.
• Assist Spanish-speaking callers with appointment requests, general questions, and routing needs.
• Monitor high call volumes and help maintain efficient telephone coverage throughout the day

Knowledges, Skills and Abilities

Strong organizational and multitasking abilities with a keen attention to detail.

Excellent communication skills (both written and verbal).

Ability to work independently and collaboratively with a team of health professionals.

Personal Attributes:

Compassionate, professional, and empathetic demeanor when interacting with patients and colleagues.

Strong commitment to public health and community service.

Ability to maintain a high level of confidentiality and professionalism in all interactions.

Desirable Education and Experience

High school diploma or equivalent required

At least 1-2 years of administrative experience, preferably in a healthcare or public health setting.

Experience with EHR or case management software is preferred.

INSURANCE PROGRAMS

Nash County offers cafeteria-style benefits including:

• Health Insurance
• Dental Insurance
• Life Insurance
• Vision Insurance
• Supplemental Health Benefits (Accident, Critical Illness, and Hospital Indemnity Insurances)
• Disability Insurance (Long-Term and Short-Term Disability)

and more!

FINANCIAL PROGRAMS

Retirement

Membership in the North Carolina Local Government Employees Retirement System is a requirement for all regular full-time and regular part-time employees. Employees contribute 6% of their annual compensation before it is taxed. If you leave County service before retirement, you may withdraw your retirement contributions or elect to freeze your contributions in anticipation of future local government employment. If you have 5 years of service, you are 100% vested in the NCLGERS.

NC401(k)

The NC401(k) supplemental retirement program is available to regular full-time and regular part-time employees. The County establishes this 401(k) account for each eligible employee and makes a 5% contribution based on monthly earnings. Employees may elect to make voluntary contributions through payroll deduction.

457 Deferred Compensation

The 457 Deferred Compensation program is available to regular full-time and regular part-time employees through payroll deduction. Deferred compensation is a voluntary investment plan to supplement retirement income and to defer taxable income.

Special Separation Allowance

The Separation Allowance is available to law enforcement officers between the ages of 55 and 62 years that are eligible and retire under the provisions of the NC Local Government Employees Retirement System.

125 Flexible Benefit Plan

Flexible Spending Account options are available to regular full-time and regular part-time employees who wish to use pre-tax dollars for eligible medical, pharmacy, dental, vision, and daycare expenses. The Flex Convenience Card program gives you instant access to your account funds.

• Health Care Spending Account -- Section 125 of the IRS Code allows yearly voluntary enrollment to set aside pre-tax dollars for eligible health care expenses.
• Dependent Care Spending Account -- Section 125 of the IRS Code allows yearly voluntary enrollment to set aside pre-tax dollars for eligible dependent care expenses.

Direct Deposit

Direct Deposit is a condition of employment for all employees. Deposit of your paycheck will be made to checking or savings accounts in a bank of your choice.

LEAVE PROGRAMS

Vacation Leave

For regular full-time County employees, vacation leave accrues based on length of service in the NC Local Government Employees Retirement System. Regular part-time employees accrue prorated vacation leave based on a percentage of the full-time benefit.

Sick Leave

For regular full-time County employees, sick leave accrues each pay-cycle. Regular part-time employees accrue prorated sick leave based on a percentage of the full-time benefit. Your unused sick leave balance can be applied as creditable service toward a service retirement under the guidelines of the NCLGERS.

Holidays

The policy of the County is to follow the holiday schedule as published by the State of North Carolina each year.

The following holidays are observed:

• New Year's Day,
• Martin Luther King, Jr. Day,
• Good Friday,
• Memorial Day,
• Independence Day,
• Labor Day,
• Veteran's Day,
• Thanksgiving Day and the day after, and
• Three (3) days at Christmas.

Military Leave

Annual Training - Reserves and National Guard -Ten paid workdays per fiscal year.

Active Duty - Reserves and National Guard - Ten paid workdays upon activation.

Civil Leave

Paid leave is provided to full-time or regular part-time County employees called for jury duty or as a witness of the court for the federal or state government, or a subdivision thereof.

Family Medical Leave Act

Federal law provides job protection and continuation of existing paid health insurance during 12 weeks of leave, paid or unpaid, to an eligible employee for qualifying events. These events can include birth or adoption, and serious illness of an immediate family member, or of the employee.

OTHER PROGRAMS

Employee Assistance Program (EAP)

The Employee Assistance Program is open to all employees and their dependents. It is a confidential service provided at no cost to the employees of the County. EAP provides certified counselors who administer assessment and brief therapy to employees who want help with a variety of personal and work-related issues such as stress, parenting concerns, grief, alcohol/drug use, family problems, financial concerns, and work-related problems.

Wellness Center and Telemedicine

We believe that staying healthy is inclusive of exercising regularly and taking care of your physical body. Nash County has a Wellness Center, which consists of various exercise equipment and videos, open to all full and part-time employees.

All full-time employees also have access to telemedicine through Teladoc. Teladoc treats conditions like allergies, sore throats, asthma, and more. Doctors are available by phone or video 24/7 from wherever you are. They are available to diagnose symptoms and send a prescription if needed.

NOTICE OF PRIVACY PRACTICES

The benefits offered by Nash County are subject to change. In the event there is a conflict between the above contents and Nash County policies and/or a State or Federal statute, the policy/statute shall control. Plan documents will govern benefits plans should there be a conflict with this information. They are not held out to any employee as part of any contractual agreement. Benefits, policies, and procedures are subject to change or termination at any time.

Information provided on this site is for informational purposes only. Actual provisions of each plan will be provided on the certificate of coverage as part of the Summary Plan description.

Nash County is an Equal Opportunity Employer/Provider

In accordance with Federal civil rights law and the U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, religion, sex, gender identity (including gender expression), sexual orientation, disability, age, marital status, family/parental status, income derived from public assistance program, political beliefs, or reprisal or retaliation for prior civil rights activity, in any program or activity conducted or funded by USDA (not all bases apply to all programs).

Remedies and complaint filing deadlines vary by program or incident. Persons with disabilities who require alternative means of communication for program information (e.g., Braille, large print, audiotape, American Sign Language, etc.) should contact the responsible Agency or USDAs Target Center at (202) 720-2600 (voice and TTY) or contact USDA through the Federal Relay Service at (800) 877-8339.

Additionally, program information may be made available in languages other than English. To file a program discrimination complaint, complete the USDA Program Discrimination Complaint Form, AD-3027, found online at http://www.ascr.usda.gov/complaint filing cust.html and any USDA office or write a letter addressed to USDA and provide in the letter all of the information requested in the form.

To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by:

1. mail: U.S. Department of Agriculture

Office of the Assistant Secretary for Civil Rights

1400 Independence Avenue, SW

Washington, D.C. 20250-9410;

2. fax: (202) 690-7442; or

3. email: program.intake@usda.gov

USDA is an equal opportunity provider, employer, and lender.

01

Are you bilingual (English and Spanish)?

• Yes
• No

02

Do you have experience with an electronic medical record system?

• Yes
• No

03

If you answered yes, please describe your experience working with electronic medical records. Be sure to describe which medical records systems you have previously work with and to what extent.

Required Question

Employer Nash County

Address 120 W. Washington Street

Nashville, North Carolina, 27856

Phone 252-459-9853

Website http://www.nashcountync.gov