POSITION TITLE: Patient Intake/Eligibility Coordinator

DEPARTMENT: Reception

REPORTS TO: Reception Supervisor

POSITION OVERVIEW:

The Patient Intake/Eligibility Coordinator supports the Reception Department by processing all appropriate patients referred directly from reception to ensure appropriate admission into FHCCGLA for their overall medical care and services. The intake process for individuals referred will be the Patient Intake/Eligibility Coordinator’s primary responsibility. The Patient Intake/ Eligibility Coordinator will also work closely with staff members to ensure clear coordination and scheduling of all intakes, as well as complete all necessary intake documentation and intake tracking logs.

DUTIES/RESPONSIBILITIES:

• Greets, welcomes & registers all patients requiring initial intake, financial and eligibility screening to determine the applicable services available to each patient.
• Gathers pertinent information necessary to intake and create the patient record adequately prior to the patient’s medical visit.
• Answers patient questions or concerns related to services (e.g., new patient packet, etc.).
• Develops and maintains program and site-specific documentation to track the application process & eligibility outcomes.
• Assists patients with Hardship Waiver as needed.
• Creates intake schedule to ensure that clients are assigned open appointment slots so that all intakes are completed in a timely manner.
• Undertakes continuous self-improvement, attending applicable training, seminars, in-services and educational classes to maintain skills competency and current knowledge for standard of care and effective practices.
• Responsible for following all agency safety and health standards, regulations, procedures, policies and practices.
• Develops system to notify immediate supervisor and/or Program Managers of all schedule intakes, issues, bottlenecks, etc.
• Ensures timely communication of weekly updates or issues related to Intakes & eligibility in order to address matters immediately.
• Organizes and maintains all intake pertinent paperwork.
• Screens newly referred clients to ensure they are appropriately scheduled at the correct site to meet their specific needs (i.e. need first floor due to mobility or access issues).
• Ensures that all clients not seen or declined services, have documentation supporting determination of ineligibility, or other reason why patient declined to be seenand/or if patient was referred back to the reception supervisor to offer further assistance or alternative services.
• Ensures accurate data entry needed for all reporting requirements and outcomes.
• Ensure that all pertinent documentation for all intake or eligibility forms are readily retrievable in the patients P.M.S. filefor rference, maintenance and for audit purposes.
• Uses a client-centered approach that includes Motivational Interviewing to ensure the utmost customer service level possible.
• Ensure adherence to all agency, department, and program policies and procedures.
• Ensures excellent customer service to all FHCCGLA patients.
• Handles patient grievances/issues in accordance with FHCCGLA’s policies & procedures and healthcare regulations. Reports grievances to immediate supervisor.
• Assists in developing, updating & review of all applicable FHCCGLA Policies & Procedures (P&P’s) as needed (with input from all other key personnel).
• Ensures HIPAA compliance by maintaining strict confidentiality of all patient data, P.I.H. and E.H.R./Practice Management System (PMS) according to regulations and FHCCGLA’s P&P’s.
• Attends the following meetings/trainings:
• Mandatory Quarterly Staff Meeting/Trainings- Quarterly (Jan., Apr., Jul. & Oct.)- subject to change.
• Meetings with FHCCGLA’s Executive Leadership, as needed (advanced notice will be provided when feasible).
• Other pertinent meetings, trainings and/or conferences- As schedule.

23.Remains informed of:

• Current legal and regulatory changes related to scope of practice (FHCCGLA’s services).
• Specific programs/payors, insurances accepted, and services being offered at FHCCGLA.
• All applicable Policies & Procedures (available via PolicyTech)

24. Performs all other related duties as assigned.

MINIMUM QUALIFICATIONS:

High School Diploma, or equivalent.

Experience providing services to homeless, low-income, indigent individuals preferred.

Past experience in the patient intake or medical office administration.

Strong affinity for customer service.

Excellent organizational and time-management skills.

Great communication skills.

Proficient computer literacy.

FQHC experience, highly preferred.

Excellent analytical skills.

Motivation to take initiative to ensure all tasks performed are completed thoroughly and accurately.

Excellent writing and verbal communication skills.

Computer knowledge preferred (e.g., NextGen (PMS), Microsoft Word and Excel).

Be proactive, creative, and flexible in determining, evaluating, researching, and resolving issues.

Transportation is required with valid California driver’s license and state mandated automobile insurance (in the event that transportation to and from other sites is required).

Work schedule may include evenings, overtime, and weekends as needed.

Ability to prioritize workload and work under pressure of deadlines.

Ability to meet tight time sensitive deadlines.

Motivated and committed to the provision of high-quality healthcare for indigent and underserved communities.

Willingness to adapt to changes with regards to the agency’s growth and expansion.

20. Ability to speak Spanish, required.

ADDITIONAL ELIGIBILITY QUALIFICATIONS:

Ability to work well with others in a professional and team-oriented environment.

Well-developed interpersonal skills, friendly personality and able to motivate staff by promoting teamwork.

Ability to relate to the public regardless of ethnic, religion and economic status.

Excellent communication skills.

Willingness to travel.

Strong planning and organizational skills.

Problem analysis and critical thinking skills.

Excellent customer service skills.

Knowledge of the following (but not limited to), preferred:

?My Health LA ?PPO’s ?HMO’s

?Family PACT ?CPSP ?Medicare

?Medi-Cal ?Fee-for-Service ?CHDP

?Managed Care Plans ?Every Woman Counts ?Etc.