Patient Access Specialist

Job Title

To serve as the connecting link between patients enrolled in care coordination programs, the Quality Care Team, and supporting departments, using independent judgment and problem-solving to ensure patients receive timely access to services, community resources, and program support in alignment with agency standards and quality guidelines.

Essential Job Functions

• Greet and welcome patients and visitors at the Center.
• Answer phone and direct calls or assist patients as appropriate.
• Provide education and information needed to patients.
• Assist patients in navigating services in the community.
• Provide community resources to patients as needed and required.
• Assist the patients in scheduling transportation services, food card pick-up, and other support services.
• Manage health insurance enrollment for patients.
• Work with the finance team for payment tracking.
• Collaborate with health insurance plans to ensure optimal program and reimbursement solutions.
• Manage premium assistance for all patients.
• Assist Grants Manager with developing and implementing program strategies and goals.
• Assist Grants Manager with monitoring program performance and identify areas for improvement.
• Work with Grants Manager to evaluate program effectiveness and make necessary adjustments.
• Ensure compliance with all relevant regulations and guidelines.
• Collect and analyze program data to identify trends and insights.
• Work with Grants Manager to prepare regular reports on program performance and outcomes.
• Utilize data to inform decision-making and program improvement.
• Enter data in the EHR and the Provide Enterprise systems based on the care coordination program guidelines and requirements.
• Perform other duties, special projects, and tasks as assigned.
• Adhere to HIPAA standards while collecting, storing, and sharing electronic personal health information.

Requirements

Required Knowledge, Skills and Abilities:

• Proficiency in use of the computer including documentation in EHR software.
• Strong organizational and interpersonal skills.
• Excellent customer service skills.
• Ability to manage multiple and simultaneous responsibilities and to prioritize as it relates to patient care and acuity.
• Ability to maintain confidentiality of all medical, financial, and legal information
• Ability to complete work assignments accurately and in a timely manner
• Ability to review, understand, and apply concepts presented in training programs and/or professional literature.
• Ability to communicate effectively in the English language, orally, in writing and electronically.
• Ability to interact and work with diverse populations.
• Ability to handle difficult situations involving patients, providers or others professionally.

Physical Requirements:

• Physically demanding, high-stress environment.
• Ability to endure intermittent or long periods of standing in performance of job duties.
• Full range of body motion. Position requires reaching, bending, stooping, and handling objects with hands and/or fingers, talking and/or hearing, and seeing.
• Ability to lift & carry objects weighing up to 25lbs.
• Ability to travel to other FoundCare locations and perform job duties.
• Ability to travel to other locations to attend meetings, workshops, and seminars, plus travel to other FoundCare departments and FoundCare conference rooms.

Professional Requirements:

• Maintain a professional appearance consistent with FoundCare's dress code standards.
• Demonstrate reliability and punctuality in all scheduled duties and commitments.
• Maintain patient confidentiality at all times.
• Represent FoundCare in a positive and professional manner at all times.
• Comply with all organizational policies and standards of care.
• Participate in performance improvement and continuous quality improvement activities.
• Mandatory attendance at all staff training and in-services.
• Complete all required competencies and maintain skill level.

Minimum Qualifications:

• High School Diploma plus experience in Social or Human Services.
• 1-2 years minimum experience in a customer service role.
• This position is not eligible for visa sponsorship.

Preferred Qualifications:

• Knowledge of community resources.
• Experience in Electronic Health Record (EHR) and Provide Enterprise Systems.
• Bilingual (English and Haitian Creole)