Lead Healthcare Access Specialist

OUTER CAPE HEALTH SERVICES INC•High Point, NC

22d•$25 - $29•Onsite

About The Position

The Lead Healthcare Access Specialist at Outer Cape Health Services advocates for low-income and uninsured patients and community members, helping connect them with healthcare programs and local community resources. The role also serves as a day-to-day resource for Healthcare Access Specialist staff, supporting complex access and enrollment issues, coordinating team workflows, and promoting consistent, timely service across sites. The position supports staff onboarding and training, monitors documentation and work quality, assists with audits, and identifies opportunities to improve workflows, compliance, patient experience, and reimbursement. The Lead Healthcare Access Specialist educates and screens patients and community members and provides application, enrollment, and post-enrollment assistance for insurance and other programs. The role maintains accurate patient records and tracking systems, supports reimbursement for services to uninsured patients, and conducts community outreach to promote access to care. The position is based at Wellfleet Health Center in Wellfleet, Massachusetts, and reports to the Director of Revenue Cycle and Senior Director of Operations. It is full-time, with a stated salary range of $25.00–$29.00 per hour.

Requirements

Associate degree or BA/BS, or equivalent experience.
At least two years of experience in a healthcare, public health, or social services field.
Ability to achieve Lead Certified Application Counselor accreditation and working knowledge of the curriculum within six months of employment.
Excellent interpersonal, written, and verbal communication skills.
Strong organizational abilities and computer experience.
Ability to work within a collaborative team setting.
Proficiency with computer tools including EPIC, Outlook, Microsoft Office, and OneDrive.
Excellent judgment and ability to solve problems in a timely manner.
Ability to support staff, resolve routine workflow issues, monitor documentation accuracy, and maintain confidentiality and compliance standards.
Ability to work effectively both as a team member and independently in a culturally diverse and inclusive environment.

Nice To Haves

Prior leadership, training, mentoring, and process improvement experience.
Bilingual English/Spanish skills.

Responsibilities

Advocate for patients and community members by connecting them with public and private healthcare programs and resources.
Provide day-to-day guidance and support to Healthcare Access Specialist staff, including assistance with complex patient access, insurance, enrollment, and community resource issues.
Coordinate daily workflow, coverage, priorities, and follow-up activities to support timely service, accurate documentation, and consistent access across sites.
Support onboarding, training, and ongoing education for Healthcare Access Specialist staff on policies, procedures, workflows, program requirements, documentation, and customer service standards.
Monitor work quality, assist with audits, review tracking systems and patient records for accuracy, and identify opportunities to improve workflows, compliance, patient experience, and reimbursement outcomes.
Elevate operational, patient access, insurance, enrollment, and staff workflow concerns to the Director of Revenue Cycle and support resolution and follow-up as directed.
Maintain understanding of subsidized and non-subsidized health insurance programs under the Affordable Care Act, Medicare, and Massachusetts state health insurance programs.
Complete initial and ongoing Lead Certified Application Counselor training requirements and maintain required certifications.
Participate in Massachusetts Health Care Training Forums and web- and telephone-based training sessions; share relevant information with staff and clients as appropriate.
Educate and screen patients and community members and provide application, enrollment, and post-enrollment assistance for insurance and other programs and resources, including case management when needed.
Ensure health center reimbursement for services provided to uninsured patients.
Counsel patients and staff to maximize patient insurance benefits, minimize limitations, and maximize reimbursement.
Maintain accurate patient records reflecting changing insurance eligibility, encounter reclassification, and demographic information.
Maintain accurate in-house tracking systems for client contacts, enrollment, and assistance statistics for grant and administrative reporting.
Conduct outreach through personal contact, print, or public speaking to inform the community about available healthcare programs.
Build trust with community members by reducing barriers and promoting consistent access to primary care and other needed services.
Perform other related duties and projects as assigned.