Senior Community Health Worker

Salary Range: $23.00-$28.62 per hour

SUMMARY

Olive View UCLA Medical Center (OVMC) is a facility/department within the Los Angeles County Department of Health Services (LACO-DHS). Olive View UCLA Medical Center (OVMC) is a community hospital where the primary focus is to contribute to the health of the communities it serves by providing high quality, patient-centered care.

Description:

Qualified individuals will use several technology platforms, this includes ORCHID electronic health records and websites to assist in determining insurance coverage verification. This functional unit is a fast-paced, high-volume environment which interacts with patients. This position must adhere to HIPAA and patient confidentiality requirements while providing high levels of customer services in a culturally and linguistically sensitive fashion. As one of the first points of contact with Olive View UCLA Medical Center and the Department of Health Services, this position is essentially to creating an environment for a positive patient experience.

ESSENTIAL FUNCTIONS

Patient Access:
•Greets and registers patients in person, not limited to obtaining demographics, preferred pharmacy, emergency contact and insurance information; enrolling patient using electronic system; providing forms to patients and completes paperwork for requested services; determining when language interpretation is needed; and orienting patients to Health Services by providing direction to appropriate locations for services
•Evaluates patients’ financial data and resources to determine ability to reimburse the County for services consistent with department policy; completes/assists patients with completion of benefits forms for third-party resources; contacts private insurance companies to verify coverage and obtain authorization for services; verifies existing governmental coverage for health care services; and refers patients without existing financial resources or with complex financial eligibility issues to a Patient Financial Services Worker or Patient Relations Representative
•Communicates with patients, responsible relatives and/or representatives, attorneys, employers, and insurance companies to explain County policies and obtain, verify, or clarify information required to complete billing forms
•Completes required federal, state, and County forms for patients during Emergency Department/Urgent Care visits
•Re-verifies eligibility in the month of the appointment to financially clear patients for appointments; conducts patient outreach by phone and/or mail; explains coverage options; refers patients to member services as needed; and cancels appointments
•Checks-in patients for appointments to explain payment options, obtain signatures, collect fees, and update records of insurance and patient identification

DESIRABLE QUALIFICATIONS:
•Excellent communication and organizational skills
•Knowledge of financial clearance process
•Patient registration experience
•Ability to work independently in a high-volume work environment
•Ability to manage multiple tasks/assignments simultaneously
•Strong problem-solving skills

Operating Systems:
o Ability to use several technology platforms simultaneously
o Assures proper understanding and adherence to ER registration guidelines rules.

Customer Services:
o Adhere to LACO-DHS behavior and appearance standards
o Demonstrates strong customer service and communication skills
o Treats patients with courtesy and respect
o Adheres to HIPAA and patient confidentiality

JOB QUALIFICATIONS
Education/Experience
•Minimum 2 years customer service experience

Certificates/Licenses/Clearances
•Clearances per DHS employment contract

Other Skills, Knowledge, and Abilities
•Proficient skill set in using an array of Microsoft Office Suite software programs such as Word, Outlook, and TEAMS, etc.
•Typing skills

Not Applicable = Not required for essential functions
Occasionally = (0 - 2 hrs/day)
Frequently = (2 - 5 hrs/day)
Constantly = (5+ hrs/day)

WORK ENVIRONMENT
General Office Setting, Indoors Temperature Controlled

EEOC STATEMENT
It is the policy of Heluna Health to provide equal employment opportunities to all employees and applicants, without regard to age (40 and over), national origin or ancestry, race, color, religion, sex, gender, sexual orientation, pregnancy or perceived pregnancy, reproductive health decision making, physical or mental disability, medical condition (including cancer or a record or history of cancer), AIDS or HIV, genetic information or characteristics, veteran status or military service.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.