Sr Outreach Worker

Texas Tech University•El Paso, TX

14d•Onsite

About The Position

This position will serve as primary contacts for medically needy patients. Responsibilities include 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, and preparing all necessary case documentation. Persons in this position will serve as program spokespeople and representatives 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. Persons 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 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 Healthy Texas Women, BCCS, Family Planning Programs as well as the Bayer and institutional programs. If eligible, enrolls clients in programs for services. Assists clients in completing application for CHIP Perinatal Program, Medicaid, Health Texas Women's Program and the Bayer Program. Creates files for each client, enters information in the appropriate database and follows-up on application status and appointments. Schedules patient appointments for Ob/Gyn services. Contacts clients to follow-up on their Medicaid, CHIP Perinatal, Healthy Texas Women, Family Planning, BCCS and Bayer application. Verifies healthcare benefits utilizing provider portal for various insurances. 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. 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. 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 funded programs. Completes agency reports, assessments and surveys by meeting all deadlines. Screens patients for potential abuse situations. Reports any suspected abuse cases to the state. Enters, maintains and updates financial information and demographics in Athena IDX and RedCap. Tracks 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. Presents, tracks and reports on outreach and in-reach efforts. Remains 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 TTUHSC EP's Values (Service, Respect, Accountability, Integrity, Advancement, and Teamwork). Serve as a Value's leader while actively promoting and encouraging staff across the institution. Perform all other duties as assigned.

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 spokespeople and representatives
Screening clients for eligibility on Healthy Texas Women, BCCS, Family Planning Programs, Bayer and institutional programs
Enrolling eligible clients in programs for services
Assisting clients in completing applications for CHIP Perinatal Program, Medicaid, Health Texas Women's Program and the Bayer Program
Creating client files, entering information in the appropriate database and following up on application status and appointments
Scheduling patient appointments for Ob/Gyn services
Contacting clients to follow up on their Medicaid, CHIP Perinatal, Healthy Texas Women, Family Planning, BCCS and Bayer application
Verifying healthcare benefits utilizing provider portal for various insurances
Scheduling medical appointments and procedures for community healthcare providers and correctional detention facilities
Obtaining prior authorization forms for correctional detention facility as needed for medical procedures
Contacting correctional detention facility personnel to follow up on clearance for appointments and/or procedures
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
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 funded programs
Completing agency reports, assessments and surveys by meeting all deadlines
Screening patients for potential abuse situations
Reporting any suspected abuse cases to the state
Entering, maintaining and updating financial information and demographics in Athena IDX and RedCap
Tracking patient information for the various programs on a database or spreadsheet
Answering phone lines, relaying messages by phone, in writing or electronically
Presenting, tracking and reporting on outreach and in-reach efforts
Remaining current with all licensure, certifications and mandatory compliances and trainings
Adhering to all policies, procedures and practices
Demonstrating and acting in accordance with TTUHSC EP's Values
Serving as a Value's leader
Performing all other duties as assigned