Membership Services Outreach Coordinator

Virginia Garcia Memorial Health Center•Hillsboro, OR

9d•Hybrid

About The Position

The Mission of the Virginia Garcia Memorial Health Center is to provide high quality, comprehensive, and culturally appropriate primary health care to the communities of Washington and Yamhill counties with a special emphasis on migrant and seasonal farmworkers and others with barriers to receiving health care. 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.
Additional education may substitute for years of experience.
Prior Electronic Medical Records experience preferred
Valid driver's license, reliable transportation, safe driving record and insurance coverage required

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).
The MSOC will have access to PHI in the course of her/his duties.
The MSOC will use PHI to ensure efficient, coordinated outreach and membership services.
The minimum data sets to which the MSOC needs access are the practice management and ambulatory sections of the electronic health record, reports from the electronic health record, and data from Medicaid and other patient portals and reports provided by the State and other agencies.