Outreach Worker

Texas Tech University • El Paso, TX

2d • Onsite

About The Position

Outreach Worker responsibilities include processing provider claims, using a computer system to record and report patient information, patient case finding, financial screening, program enrollment facilitation, non-medical counseling, case tracking, and preparing all necessary case documentation. The person in this position will serve as a program spokesperson and representative to participating health care providers, local communities, and local health agencies. Therefore, this position requires a positive and professional attitude when working with patients, community leaders, and local health agency and state agency care workers. The person in this position will be expected to travel between local health agencies in the fulfillment of their duties and may be asked to make occasional home visits. Work is performed in usual clinic conditions; requires a high degree of contact with patients and families, clinic staff, and outside support agencies. Travel and the ability to respond to needs during off-duty hours may be required in unusual situations. Texas Tech Health El Paso (TTEP) is not considering applications from individuals who require sponsorship for an employment visa, including those with H1B visas or those currently on student or postgraduate visas. Additionally, this position is not eligible for remote or hybrid opportunities. All work is required to be performed onsite at TTEP. Screens clients for eligibility on BCCS, Family Planning, Healthy Texas Woman and institutional programs and if eligible, enrolls clients in program for services. Assists clients in completing applications for CHIP Perinatal Program, Medicaid, and the Bayer Program. Creates files for each client, enters information in the appropriate database and follows up on application status and appointments. Contacts clients to follow up on their Medicaid, CHIP Perinatal, Healthy Texas Women's and Bayer application. Schedules patient appointments for Ob/Gyn services. Verifies healthcare benefits utilizing provider portal for various insurances. Communicates with community healthcare providers regarding referrals and transfers. Ensures all necessary paperwork is received and scanned into EMR prior to the date of patients appointment. Schedules medical appointments and procedures for community healthcare providers and correctional detention facilities. Obtains prior authorization form for correctional detention facility as needed for medical procedures. Contacts correctional detention facility personnel to follow up on clearance for appointments and/or procedures. Participates in outreach and in-reach activities. Follows up on outreach efforts. Mails out renewal notices monthly for the various grant programs. Works with providers and staff to meet performance measures for the grant programs. Occasional travel required. Screens patients for potential abuse situations. Reports any suspected abuse cases to the state. Updates financial information and demographics in Athena IDX. Enters patient information for the various programs on a database or spreadsheet for tracking purposes. Answers phone lines, relays messages by phone, in writing or electronically. Remain current with all licensure, certifications and mandatory compliances and trainings required of this position. Adhere to all policies, procedures and practices (Regents Rules, TTUS, HSECEP OPs, etc.). Personally, and consistently, demonstrate, display and act in accordance with Texas Tech Health El Paso’s Values (Service, Respect, Accountability, Integrity, Advancement, and Teamwork). Serve as a Values leader while actively promoting and encouraging staff across the institution. Perform all other duties as assigned. Bilingual (English/Spanish) and computer literate.

Requirements

• A minimum of a High School diploma or equivalent
• At least three years experience in a business office environment
• Bilingual (English/Spanish)
• Computer literate

Nice To Haves

• Higher education may substitute on a year for year basis

Responsibilities

• Processing provider claims
• Using computer system to record and report patient information
• Patient case finding
• Financial screening
• Program enrollment facilitation
• Non-medical counseling
• Case tracking
• Preparing all necessary case documentation
• Serving as program spokesperson and representative to participating health care providers, local communities and local health agencies
• Screening clients for eligibility on BCCS, Family Planning, Healthy Texas Woman and institutional programs and enrolling eligible clients in programs for services
• Assisting clients in completing applications for CHIP Perinatal Program, Medicaid, and the Bayer Program
• Creating files for each client, entering information in the appropriate database and following up on application status and appointments
• Contacting clients to follow up on their Medicaid, CHIP Perinatal, Healthy Texas Women's and Bayer application
• Scheduling patient appointments for Ob/Gyn services
• Verifying healthcare benefits utilizing provider portal for various insurances
• Communicating with community healthcare providers regarding referrals and transfers
• Ensuring all necessary paperwork is received and scanned into EMR prior to the date of patients appointment
• Scheduling medical appointments and procedures for community healthcare providers and correctional detention facilities
• Obtaining prior authorization form for correctional detention facility as needed for medical procedures
• Contacting correctional detention facility personnel to follow up on clearance for appointments and/or procedures
• Participating in outreach and in-reach activities
• Following up on outreach efforts
• Mailing out renewal notices monthly for the various grant programs
• Working with providers and staff to meet performance measures for the grant programs
• Screening patients for potential abuse situations
• Reporting any suspected abuse cases to the state
• Updating financial information and demographics in Athena IDX
• Entering patient information for the various programs on a database or spreadsheet for tracking purposes
• Answering phone lines, relaying messages by phone, in writing or electronically
• Remaining current with all licensure, certifications and mandatory compliances and trainings required of this position
• Adhering to all policies, procedures and practices (Regents Rules, TTUS, HSECEP OPs, etc.)
• Personally, and consistently, demonstrating, displaying and acting in accordance with Texas Tech Health El Paso’s Values (Service, Respect, Accountability, Integrity, Advancement, and Teamwork)
• Serving as a Values leader while actively promoting and encouraging staff across the institution
• Performing all other duties as assigned

Benefits

• Compensation is commensurate upon the qualifications of the individual selected and budgetary guidelines of the hiring department, as well as, the institutional pay plan.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED