An incumbent in this class performs some combination of patient registration, scheduling, patient checkout, fee/payment collection, accounts reconciliation, insurance, eligibility determination, patient education, WIC voucher disbursement, vital records processing, and/or medical records duties, local registrar, deputy registrar, lead clerk, TennCare enrollment coordination, and public relations duties; may also perform some property and procurement or personnel duties. Interviews health department clients for medical, environmental, and administrative services; schedules client appointments; informs client of any visit requirements; collects and updates client demographic information for registration purposes.