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