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Eligibility Specialist/Patient Assistance Coordinator (Hillsboro)

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Posted : Wednesday, August 28, 2024 02:42 AM

Eligibility Specialist/Patient Assistance Coordinator *REPORTS TO: *Director of Eligibility/Enrollment & State Programs *EDUCATION*: High School diploma or equivalent.
*SKILLS: * * Excellent verbal and written communication skills * Proficient touch-typing skills (approx.
45 wpm) * Knowledge of medical, dental, and behavioral health terminology preferred * Ability to interpret policies, standards, and guidelines * Ability to use Microsoft Office applications, including Word and Excel, DocuSign * Ability to use Adobe Acrobat, or similar applications * Strong attention to detail, accountability, organizational, and interpersonal skills * Ability to multi-task, prioritize, and work independently * Ability to focus for long periods of time * Strong accountability to team environment * Promote a culture that reflects the Center’s values, encourages good performance, and enhances productivity.
* Bilingual in English/Spanish required * Ability to work effectively with persons of different cultural and socioeconomic backgrounds * Bilingual in English/Spanish preferred *PRIMARY DUTIES: * * Screen clients for all financial assistance programs available at WFM.
* Screen clients for Patient Assistance Programs for medications.
* Assist/coordinate HepC program.
* Assist/coordinate Mail order for WFM Pharmacy.
* Obtain all information from client according to program requirements.
* Research and verify client’s eligibility with other programs.
* Determine eligibility for appropriate programs according to medical needs.
* Maintain paperwork as required by all programs and scan support documents to appropriate Medical Records.
* Maintain records and track inventory for PAP medications and samples.
* Make Prenatal, Wellness visits and New Patient appointments for clients as needed.
* Follow up clients who are referred to other assistance programs to ensure eligibility and billing information is updated timely.
* Assist in report preparation as necessary for each program.
* Assist clients by providing information available about other financial assistance programs (i.
e.
, County Programs, Medicaid, Medicare Part D, etc.
) and refer them to those offices for assistance as needed.
* Update client registration and billing databases as necessary to ensure accurate accounting and billing information.
* Comply with all regulations related to confidentiality of patient medical and financial information.
* Keep up with changes and updates for all assistance programs as needed.
* Assist employees to understand policies and procedures related to assistance programs matters.
* Utilization of Epic, Medicaider, WebPap, and other software as necessary.
* Obtain Certifications needed to complete the job (i.
e.
, Community Partner Program, Affordable Care Act- Certified Assistance Counselor) and complete other training as necessary.
*OTHER DUTIES: * * Provide positive client/ entity relations by supporting clients with an easily accessible, culturally sensitive means of obtaining their specific service needs.
* Other duties as assigned by supervisor.
*PHYSICAL AND MENTAL JOB REQUIREMENTS: * * Visual and auditory accuracy * Indoor setting * Shift length- 8 hours * Frequently use of computer * Frequent standing and walking * Extensive sitting * Frequent telephone usage * Continuous conversational communication * Continuous repetitive grasping and manipulation of both hands * Occasionally working in confined, noisy areas * Occasional exposure to patient with communicable diseases *Understand/ carry out simple/detailed, oral/written instructions.
* * Memorize and retain instructions.
* Read and interpret detailed specifications.
* Able to respond quickly and calmly to medical emergencies.
* Working under pressure with little or no supervision * Team player * Usage of different office machines (i.
e.
, copier, fax, embosser, scanner, calculator, etc.
) Job Type: Full-time Benefits: * 403(b) * Dental insurance * Health insurance * Life insurance * Paid time off * Retirement plan Schedule: * 8 hour shift * Day shift * Monday to Friday Work setting: * Clinic * In-person Work Location: In person

• Phone : NA

• Location : 1323 East Franklin Street, Hillsboro, TX

• Post ID: 9135009065


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