Membership Services Outreach Coordinator

3 weeks ago

Hillsboro, United States Virginia Garcia Memorial Health Center Full time
Job DescriptionJob Description

At Virginia Garcia Memorial Health Center, we welcome diversity; we encourage, uplift, and are honored to serve people who have been historically underrepresented and underserved. Our mission is to provide high-quality, culturally appropriate healthcare to low-income residents of Washington and Yamhill Counties, with a special emphasis on seasonal and migrant farm workers and others with barriers to receiving healthcare. We strive to provide an inclusive environment that welcomes and values the diversity of the people we employ and serve.

If you are unsure whether you meet all of the required qualifications for this role but are interested and passionate about this potential position, we encourage you to apply.

Job Summary: The Membership Services Outreach Coordinator (MSOC) reaches out to and schedules appointments for patients needing preventive and chronic illness follow-up services, patients newly assigned to VG to establish care, and patients requiring follow-up regarding Medicaid eligibility. This position coordinates patient eligibility and assignment with Coordinated Care Organizations (CCOs), their Risk Assuming Entities (RAEs), and the State, and provides coordination of other membership services as needed for VG patients and as specified by the Membership Services Manager.

Starting Rate: $20.7521/hr + DOE
Schedule: Monday-Friday 8:00am-5:00pm

Essential Duties and Responsibilities:

  • Review clinical outreach, membership rosters, and other reports as well as the patients’ electronic health record, including Health Maintenance, to determine the outreach required per VG protocol.
  • Perform outreach to patients and schedule appointments as described in the Membership Services procedures and workflows.
  • Track outreach contact to patient in the electronic health record, and notify the patient’s team when follow-up by the patient’s team is required.
  • Work with other Membership Services staff to insure that all patients are accurately documented as VG patients in the electronic health record per VG protocol and Membership Services procedures.
  • Participate in process and systems improvement activities and trainings to insure that VG provides outstanding membership services for our patients.
  • File required paperwork with the CCOs, RAEs, and the State to insure accurate attribution of our patients with Medicaid
  • Help orient team members to outreach workflows and provide support and back up to other team members as needed.
  • Assist Membership Services Manager in updating workflows.
  • Provide membership outreach services for patients of assigned care teams and attend care team meetings as appropriate.
  • Travel to assigned care team sites as needed.
  • Perform other duties as assigned.
  • Handle protected health information in a manner consistent with the Health Insurance Portability and Accountability Act of 1996 (HIPAA).

HIPAA Requirements:

The MSOC will have access to PHI in the course of her/his duties. The MSOC will use PHI to ensure efficient, coordinated outreach and membership services. The minimum data sets to which the MSOC needs access are the practice management and ambulatory sections of the electronic health record, reports from the electronic health record, and data from Medicaid and other patient portals and reports provided by the State and other agencies.

Knowledge, Skills and Abilities Required:

  • Bilingual/bicultural proficiency (Spanish/English spoken and written) required
  • Demonstrated excellent Customer Service skill
  • Demonstrated ability to work effectively in a team environment
  • High degree of confidentiality, integrity and professionalism
  • Knowledge of medical terminology or ability to learn
  • Ability to read and interpret medical records and technical documents, or ability to learn
  • Good organizational and time management skills
  • Ability to manage competing priorities for reaching out to patients
  • Excellent interpersonal, oral, and written communication skills
  • Strong knowledge of Microsoft Office programs, including Word and Excel
  • Commitment and alignment to Virginia Garcia’s mission, vision and values

Education and Experience:

  • High School diploma or equivalent and five years prior experience in a healthcare or social service setting required. Additional education may substitute for years of experience.
  • Prior Electronic Medical Records experience preferred
  • Valid driver’s license, reliable transportation, safe driving record and insurance coverage required

Behavioral Competencies:

Accountability

  • Role model VG’s mission, vision, and shared values

Customer-Focus

  • Listen to the voice of the customer and strive to delight them by exceeding their expectations

Teamwork

  • If someone needs help, help them

Initiative

  • Be innovative, apply fresh ideas, and continuously improve how you do your work

Confidentiality

  • Maintain strict confidentiality and respect the privacy of others

Ethical

  • Demonstrate integrity, honesty, and stewardship in all encounters at work

Respect

  • Demonstrate consideration and appreciation for co-workers and patients

Communication

  • Demonstrate the ability to convey thoughts and ideas as well as understand perspective of others

Physical Requirements:

  • Computer Use – 95% of the time
  • Sitting – 95% of the time
  • Bend, reach, stoop, and walk – 5% of the time
  • Must be able to lift/carry up to 10 lbs.

Working Environment/Physical Hazards:

  • Work in a well-lighted, ventilated environment
  • Exposure to blood borne pathogens
  • Exposure to potentially hazardous chemicals

Equipment Used:

  • Computer: data entry
  • Telephone, Fax, Copier

Immunization:

Staff member must meet immunizations requirements as stated in VGMHC’s immunization policy.

Job description represent a general outline of the essential and major job duties, functions and qualifications required. They cannot be all-inclusive and comprehensive due to the dynamic nature of work performed to accomplish VGMHC’s Mission. VGMHC is an Equal Opportunity Employer. No person is unlawfully excluded from consideration for employment because of race, color, religion, creed, national origin, ancestry, sex, age, veteran status, marital status or physical challenges. The policy applies not only to recruitment and hiring practices, but also includes affirmative action in the area of placement, promotion, transfer, rate of pay and termination.

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