Membership Services Outreach Coordinator

VGMHC Careers•Hillsboro, OR

About The Position

At Virginia Garcia Memorial Health Center, we welcome diversity; we encourage, uplift, and are honored to serve people who have been historically underrepresented and underserved. Our mission is to provide high-quality, culturally appropriate healthcare to low-income residents of Washington and Yamhill Counties, with a special emphasis on seasonal and migrant farm workers and others with barriers to receiving healthcare. We strive to provide an inclusive environment that welcomes and values the diversity of the people we employ and serve. Job Summary: The Membership Services Outreach Coordinator (MSOC) reaches out to and schedules appointments for patients needing preventive and chronic illness follow-up services, patients newly assigned to VG to establish care, and patients requiring follow-up regarding Medicaid eligibility. This position coordinates patient eligibility and assignment with Coordinated Care Organizations (CCOs), their Risk Assuming Entities (RAEs), and the State, and provides coordination of other membership services as needed for VG patients and as specified by the Membership Services Manager.

Requirements

Bilingual/bicultural proficiency (Spanish/English spoken and written) required
Demonstrated excellent Customer Service skill
Demonstrated ability to work effectively in a team environment
High degree of confidentiality, integrity and professionalism
Knowledge of medical terminology or ability to learn
Ability to read and interpret medical records and technical documents, or ability to learn
Good organizational and time management skills
Ability to manage competing priorities for reaching out to patients
Excellent interpersonal, oral, and written communication skills
Strong knowledge of Microsoft Office programs, including Word and Excel
Commitment and alignment to Virginia Garcia's mission, vision and values
High School diploma or equivalent and five years prior experience in a healthcare or social service setting required.
Valid driver's license, reliable transportation, safe driving record and insurance coverage required
Accountability: Role model VG's mission, vision, and shared values
Customer-Focus: Listen to the voice of the customer and strive to delight them by exceeding their expectations
Teamwork: If someone needs help, help them
Initiative: Be innovative, apply fresh ideas, and continuously improve how you do your work
Confidentiality: Maintain strict confidentiality and respect the privacy of others
Ethical: Demonstrate integrity, honesty, and stewardship in all encounters at work
Respect: Demonstrate consideration and appreciation for co-workers and patients
Communication: Demonstrate the ability to convey thoughts and ideas as well as understand perspective of others
Computer Use · 95% of the time
Sitting · 95% of the time
Bend, reach, stoop, and walk · 5% of the time
Must be able to lift/carry up to 10 lbs.
Staff members must meet immunization requirements as stated in VGMHC's immunization policy and state and federal guidelines.

Nice To Haves

Prior Electronic Medical Records experience preferred
Additional education may substitute for years of experience.

Responsibilities

Review clinical outreach, membership rosters, and other reports as well as the patients' electronic health record, including Health Maintenance, to determine the outreach required per VG protocol.
Perform outreach to patients and schedule appointments as described in the Membership Services procedures and workflows.
Track outreach contact to patient in the electronic health record, and notify the patient's team when follow-up by the patient's team is required.
Work with other Membership Services staff to insure that all patients are accurately documented as VG patients in the electronic health record per VG protocol and Membership Services procedures.
Participate in process and systems improvement activities and trainings to insure that VG provides outstanding membership services for our patients.
File required paperwork with the CCOs, RAEs, and the State to insure accurate attribution of our patients with Medicaid
Help orient team members to outreach workflows and provide support and back up to other team members as needed.
Assist Membership Services Manager in updating workflows.
Provide membership outreach services for patients of assigned care teams and attend care team meetings as appropriate.
Travel to assigned care team sites as needed.
Perform other duties as assigned.
Handle protected health information in a manner consistent with the Health Insurance Portability and Accountability Act of 1996 (HIPAA).