Patient Services III

Tepeyac Community Health Center•Denver, CO

About The Position

The Patient Services 3 (PS3) position is the third step within the Patient Services series. This position will ensure an effective and efficient process is available for patients who need access to specialty care. The PS3 is responsible for maintaining up to date knowledge of the managed care referrals process, specialty programs, and state rules and regulations for Medicaid, Medicare, and CHP Plus. There will also be the opportunity to assist with organizational development to maintain an effective referral process, ensure proper data collection, and create necessary reports. This opportunity is open to current Tepeyac Community Health Center employees only. Pay and Benefits: Tepeyac Community Health Center offers a full compensation package to all full-time employees. Benefits include medical, dental and vision insurance, a flexible spending account, a 401k, disability insurance paid for by Tepeyac, eight paid holidays, approximately four weeks of vacation and over eight days of sick time each year. The hourly rate for this role is $25.43.

Requirements

High school diploma or equivalent
Three or more years of customer service experience, with at least two years in healthcare
Oral and written fluency in English and oral fluency in Spanish required
Must be current Tepeyac Community Health Center employee.
Flexible and adaptable. Willing to jump in where needed.
Able to understand and keep up with updates to all program regulations, policies and procedures.
Excellent oral and written communication skills.
Organized, able to multi-task and work in a busy clinic setting.
Ability to explain detailed concepts such as: Medicaid/CHP+ Enrollment Process, program benefits, policies, and procedures in a way that the general population can understand.
Sensitivity to low income and ethnic minority communities.
Higher level math skills, self-motivated and able to achieve results through good organizational skills, ability to work independently, self-directed and a functional team member, ability to prioritize.
Strong initiative and passion to advocate and provide healthcare to the underserved.
As required by Colorado’s CMS Vaccine Mandate, all Tepeyac Community Health Center employees must be fully vaccinated against COVID-19, subject to the requirements of the American with Disabilities Act (42 U.S.C. § 12101 et seq..), Title VII of the Civil Rights Act (42 U.S.C. § 2000e et seq.), the Colorado Anti-Discrimination Act (C.R.S. § 24-34-401 et seq.), and any other relevant federal or State law. As such all persons offered a position will be required to provide valid proof of vaccination prior to starting employment.
All employees of Tepeyac Community Health Center are required to be Colorado residents at time of hire and through their duration of employment.

Responsibilities

Knowledge and understanding of patient payer terminology, eligibility, and insurances accepted, to include Medicare, Medicaid, Commercial, and clinic specific programs.
Skilled at receiving and processing collection of payment and proper cash handling procedures.
Quality scheduling includes active-schedule management and maintaining the clinic schedule.
Excellent customer service, cultural sensitivity, and confidentiality.
Follow appropriate telephone protocol for patients and employees.
Initiate, update and maintain electronic medical records.
Responsible for patient-related data collection for process and quality improvement.
Actively enrolls and engages patients with Patient Portal.
Responds to patients' questions by following and informing of our policies and procedures.
In coordination with the security guard or hospitality clerk, actively monitor lobby area for security, safety concerns, and cleanliness.
Distribution of all clinic deliveries.
First line of de-escalation when handling volatile, emotional, and behavioral patient issues.
Report signs of abuse/neglect of patients or staff members to a clinic manager immediately.
Completes patient registration in EMR and updates with any changes in patient status.
Updates patients of current wait time, when necessary.
Support the Clinical team with all administrative, planned care initiatives.
Maintains visitor check-in process.
Responsible for all “normal lab” phone calls to patients.
Assist patients in filling out registration forms.
Performs daily outreach from the care planner alert report and other outreach efforts as directed.
Manages all outgoing correspondents via mail, email, and fax for the clinic.
Confirm appointments via phone call to patients.
Participation in organization, site workgroups, or committees as requested.
Basic understanding of financial enrollment and refers when appropriate.
Receiving dropped-off labs and basic knowledge of specimen handling and storage.
Reads data, corrects errors, and reports inefficiencies
Process referrals for managed care plans, specialty programs to receive authorization and schedule needed appointments.
Maintains up to date knowledge of managed care referrals process, specialty programs, and state and federal rules and regulations.
Provides referral to case management services to assure all needed information is obtained to facilitate an effective referral.
Provides referral to case management for all chronic diseases and preventative programs as requested.
Updates and monitors all referrals being tracked by the timeline specified in the referral procedure.
Communicates with providers regarding pending referrals and issues pertaining to processing requested referrals
Collects data and writes reports as requested.
Assist with organizational development to maintain an effective referral process.
Provides information/training to the clinic staff regarding changes in referral process, change in no payer source referral, and state rules and regulation changes.
Will work at another site as needed
Provides superb customer service to all customers (coworkers, outside customers).
Request support from professional staff when needed.