Patient Access Specialist

6 days ago

Escondido, California, United States Neighborhood Full time

About Neighborhood

Neighborhood is a private, non-profit 501(C)(3) community health organization dedicated to improving the health and happiness of the communities we serve. Our mission is to provide quality care to all, regardless of situation or circumstance.

Our Vision

We envision a community where everyone is healthy and happy. We strive to make this vision a reality by providing comprehensive care to our patients and fostering strong relationships with our community partners.

Role Overview and Purpose

The Member Engagement Specialist will play a critical role in coordinating all engagement efforts to help members access services and programs at Neighborhood. This role will liaise between members and programs/services throughout the organization to ensure members meet eligibility requirements. Additionally, this role will assist members with scheduling and keeping appointments.

Responsibilities

  • Conduct outreach activities to help members initiate or maintain engagement with Neighborhood services, including patient registration, appointments, Neighborhood program enrollments and benefits information, and other services.
  • Communicate details related to patient appointment with members.
  • Track and document kept appointments by patients.
  • Provide Medicare enrollment and benefit information to eligible members.
  • Provide outreach and scheduling support to other departments and teams, as needed.
  • Track, review, and process all member engagements, telephone encounters, and referrals in the designated logs and/or electronic medical records.
  • Document all actions taken in patient medical records in accordance with clinic, DHCS, and Health Plan regulations/guidelines.
  • Upload letters, postcards, and other patient-related documents to their medical records.
  • Conduct outreach activities in person, by telephone, and/or by mail.
  • Monitor and respond to incoming messages via text responses and voicemails, including providing member directions for enrolling in MyPortal.
  • Review and process patient eligibility for programs and services accurately.
  • Attend, participate, and complete required meetings, training programs, ongoing conference calls, webinars, and other professional development opportunities.
  • Present health concepts to individuals and small groups, including health center program information.
  • Solicit feedback from members' experiences to improve access to healthcare.
  • Collaborate with manager to develop and enhance outreach strategies.
  • Maintain department productivity, quality, and compliance standards.
  • Participate in monthly monitoring and closing to ensure documentation is accurate, as assigned.
  • Function at the highest level according to credentials and competencies.
  • Impact member experience by demonstrating courteous and helpful behavior and a commitment to accuracy.
  • Share accountability for overall patient health outcomes by working in coordination with care teams.
  • Operate to instill confidence in our care and in our facilities to patients, fellow employees, and other stakeholders.
  • Cultivate relationships with referral sources and multi-disciplinary teams, including medical, dental, prenatal providers, case managers, outreach staff, call center staff, and community partners.
  • Maintain professional working relationships with all levels of staff, clients, and the public.
  • Cooperate in accomplishing department goals and objectives.

Education/Experience

  • Bachelor's degree preferred.
  • One year general clerical and customer service experience required; community health programs experience preferred.
  • Bilingual (English/Spanish) required.
  • Valid CA driver's license and proof of auto insurance required.

Benefits

Neighborhood offers a generous benefit plan that includes medical, dental, and vision plans. Two plus weeks of vacation, nine holidays, including two floating holidays of your choosing, sick/personal time, volunteer time off (VTO), 403(b) retirement plan, optional health and wellness events, and much more

Pay Range

$21.44 - $26.20 per hour, depending on experience (DOE).

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