Responsibilities:
Conducts financial screening and determines eligibility for free, low cost or reduced cost health services in various programs. Obtains necessary signatures, forms, documentation, etc. Gives general information to persons making telephone calls or in-person inquiries regarding managed care or public benefits plans. Assists patients in completing MediCal/Healthy Families/AIM application(s) and preparing the necessary documentation for eligibility determination. Using various computerized and written data sources to verify patient eligibility, benefits and deductibles, identifies patients, enters information, edits changes, verifies information. Advises patient of clinic’s credit and collections policies and those pertaining to specific programs. Explains and obtains patient consents and payment agreements. Establishes new patient accounts and records. Trains new staff as delegated by supervisor on department specific procedures. Sorts, files, batches, retrieves, logs, mails documents related to department work. Maintains or compiles statistical reports as required by department. Coordinates clinic managed care referrals with the MSO or a plan’s utilization review. Obtains proper authorizations as required by plan. Discusses problems, issues, etc. with appropriate clinical or administrative staff. Coordinates referral with patient including transportation to/from referral as necessary. Coordinates and works cooperatively with on-site Department of Public Social Services Eligibility Worker to assist in the MediCal eligibility process. Maintains appointment schedule for worker and conducts follow-up procedures for broken appointments. Resolves patient problems, complaints and grievances related to the delivery of health care and patient’s receipt of benefits. Prepares and submits written reports of complaints, problems and grievances as directed. Attends outreach activities as requested by supervisor to promote or market programs and services (i.e. health fair). Participates in all safety programs which may include assignment to an emergency response team. Participates in hazardous waste and infection control assignments as required in the health center which may include being designated as an emergency responder to a hazardous waste release or spill; performing infection control data collection, evaluation, reporting and follow-up as specified in the NEVHC clinical health services policy and procedure manuals. Performs other tasks as may be assigned by supervisor.
 

Qualifications:
High school graduate or GED. Some college a plus.
Bilingual in English and Spanish required with excellent written and oral communication
skills. Able to communicate tactfully and empathetically, with cultural sensitivity, with staff
and patients.
Must have pleasant, patient oriented attitude and a professional appearance.
Must be able to type accurately 35 wpm and be computer literate.
One year experience in a medical office and/or social service agency. Familiarity with managed care and medical terminology is desirable.
Very willing and able to work a flexible and sometimes variable schedule of 40 hours/week.
Attendance at off site meetings is a periodic requirement of the job, therefore, the employee
must have access to a reliable means of transportation.