Patient Outreach Specialist

1 month ago

Anaheim, United States Prospect Medical Holdings Full time

Under the general direction of the Clinic Operations Manager, the Patient Outreach Specialist will provide patients/individuals with the education needed about our services, assist with the enrollment process, support new membership projects, retention assistance, and develop relationships with strategic community partners.Qualifications

Minimum Education: High School Diploma required. College Courses and/or associate degree in healthcare administration preferred.

Minimum Experience: 3 - 5 years of health care experience in customer service, administration and/or patient care coordination required.

Req. Certification/Licensure: NoneJob Responsibilities/Duties

  • Enters new patient demographics and updates established patient information, as necessary, in EHR to maintain accurate patient medical records.
  • Obtains both new and established patient insurance information including eligibility and authorization necessary.
  • Assist patients in applying and/or aligning their health care coverage plans, providing necessary follow-up, and data collection.
  • Assisting patients identified to navigate the enrollment process to secure needed services. This includes working on new additions and loss of patients in various networks.
  • Outreach and schedule patient appointments as necessary to ensure membership retention and growth for the group. This includes phone calls, email outreach as well as letter and mail-out preparation.
  • Outreach and educate patients regarding how and where to access health care services. Outreach to members of new services and new providers.
  • Assists in conducting assessments of the retention efforts and identifying areas of improvement.
  • Demonstrates flexibility with work schedule and work assignments, including floating to other medical offices.
  • Promptly answers and responds to all calls in a professional manner. Acts as a liaison between patients, referring and treating physicians, staff, hospitals, and others involved in patient care.
  • Identifies patients' important needs, answers to their questions and assists with informed patient decisions that may arise prior to and/or post office visits appointment time.
  • Provides patients with practical resources and offers emotional support and understanding throughout the patient care coordination process.
  • Outreach to patient membership that have overutilized hospital services.
  • Maintain quality customer satisfaction.
  • Monitors patient requests and outgoing messages for various patient experience initiatives such as Follow My Health.
  • Assists with front office duties where necessary to assist patients to uphold patient experience and support operations including but not limited to clinical setting deliverables.
  • Prepares welcome materials for new patients and current patients.
  • Participates in planning discussions and meetings. Assists in developing tactical plans to support outreach and patient membership goals. Prepare and submits weekly productivity reports.
  • Other duties as assigned.
Job Responsibilities/Duties
  • Enters new patient demographics and updates established patient information, as necessary, in EHR to maintain accurate patient medical records.
  • Obtains both new and established patient insurance information including eligibility and authorization necessary.
  • Assist patients in applying and/or aligning their health care coverage plans, providing necessary follow-up, and data collection.
  • Assisting patients identified to navigate the enrollment process to secure needed services. This includes working on new additions and loss of patients in various networks.
  • Outreach and schedule patient appointments as necessary to ensure membership retention and growth for the group. This includes phone calls, email outreach as well as letter and mail-out preparation.
  • Outreach and educate patients regarding how and where to access health care services. Outreach to members of new services and new providers.
  • Assists in conducting assessments of the retention efforts and identifying areas of improvement.
  • Demonstrates flexibility with work schedule and work assignments, including floating to other medical offices.
  • Promptly answers and responds to all calls in a professional manner. Acts as a liaison between patients, referring and treating physicians, staff, hospitals, and others involved in patient care.
  • Identifies patients' important needs, answers to their questions and assists with informed patient decisions that may arise prior to and/or post office visits appointment time.
  • Provides patients with practical resources and offers emotional support and understanding throughout the patient care coordination process.
  • Outreach to patient membership that have overutilized hospital services.
  • Maintain quality customer satisfaction.
  • Monitors patient requests and outgoing messages for various patient experience initiatives such as Follow My Health.
  • Assists with front office duties where necessary to assist patients to uphold patient experience and support operations including but not limited to clinical setting deliverables.
  • Prepares welcome materials for new patients and current patients.
  • Participates in planning discussions and meetings. Assists in developing tactical plans to support outreach and patient membership goals. Prepare and submits weekly productivity reports.
  • Other duties as assigned.

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