Client Resources and Benefits Coordinator
3.
4 Lancaster, CA Lancaster, CA Full-time Full-time $20 - $22 an hour $20 - $22 an hour Summary The Client Resources and Benefits Coordinator will be responsible for processing registration for new and established clients, screening for enrollment in subsidized programs, verifying insurance benefits including PCP changes, and making financial arrangements to ensure maximum reimbursement to Bartz Altadonna Community Health Center.
Must have excellent customer service, computer experience, and mathematical skills.
Must demonstrate professional behavior and attitude in all job duties and responsibilities.
Screen clients on a one-to-one basis to determine eligibility for federal and state-funded health insurance programs; assess patient eligibility; gather required eligibility documentation; submit applications to appropriate programs; CHDP, Every Woman Counts, Family PACT, and My Health LA.
Work as a liaison between the patient and managed care entities to enhance patient enrollment and retention.
Essential Functions - Maintain daily schedule including confirming appointments, contacting no shows, rescheduling appointments, sign in/check-in/check-out clients.
- Register clients per registration protocols and collect identifying information such as state ID/DL and insurance cards - Scan required documentation into EMR per protocol.
- Review and verify client coverage of insurance and financial data and computes the charges to be paid by the client.
- Collects co-pays or deductibles prior to the client being seen by the provider using established policies and procedures.
- Completes the No Surprise Act cost estimate form for commercial plan clients.
- Follow protocol when collecting cash from clients.
- Maintain a high accuracy rate when entering appropriate client information into Epic.
- Maintain patient privacy and adhere to HIPAA guidelines.
- Follow proper telephone etiquette and protocol when answering phone calls.
- Manage necessary BACHC related paperwork for clients.
Stock and organize paperwork.
- Follow-up on no-show registration appointments daily.
- Assist with scheduling transportation provided by health plans, per client need.
- Support, when possible, with translating.
- Maintain a clean and orderly area.
- Track and follow-up on submitted My Health LA applications to ensure clients are approved.
- Keep current on rules and procedures of federal and state-funded programs including commercial carriers and other public services.
- Gain and maintain eligibility guidelines and documentation requirements for state and federal health insurance programs.
- Evaluate and resolve problems related to insurance issues and advocate for the client, including assisting with PCP changes.
- Educate clients on programs to ensure they understand what they cover.
- Educate clients on the benefits of My Chart and complete the activation.
- Perform clerical work as needed.
- Enroll clients in California or federal health insurance programs and submit applications o CHDP o Every Woman Counts o Family PACT o MY Health LA Screen uninsured and underinsured clients for the Sliding Fee Scale program by reviewing income and dependent information.
Request and obtain the documentation necessary to complete the application.
Pay stubs Employer statements Tax Return County Notice of Action SSN benefits Affidavits Assist the client to complete the application (If necessary) QUALIFICATIONS To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
The requirements listed below are representative of the knowledge, skill, and/or ability required.
Professional and positive attitude.
Ability to multi-task; well-organized.
Computer literate.
Excellent verbal and written communication skills.
Ability to understand and follow complex oral and written instruction.
Ability to use word-processing and spreadsheets to complete assigned tasks.
Skilled in using office machines.
Demonstrated organizational skills with the ability to prioritize and complete multiple tasks simultaneously; demonstrated skills in working independently or in a team setting; using independent judgment; and problem solving and troubleshooting.
Demonstrated ability to work with clients of various socioeconomic backgrounds, disabilities, and cultures and with interpreters and clients for whom English is a second language.
o Demonstrated ability to communicate in a pleasant, non-judgmental, respectful, culturally sensitive manner under varying levels of stress (this may include high levels of noise, limited resources, etc.
); demonstrated skills in handling difficult interpersonal interactions with discretion and diplomacy.
Other duties as assigned COMPUTER SKILLS:
Require knowledge of office equipment.
Microsoft excel and Microsoft Word useful.
Computer proficiency required, including the ability to enter data with accuracy.
MATHEMATICAL SKILLS:
Ability to calculate copayments using Sliding Fee Scale formula sheet.
Ability to calculate estimate costs including coinsurance percentages and deductible amounts.
EDUCATION and/or EXPERIENCE High school diploma or general education degree (GED), and one year of related experience and/or training, or equivalent of education and experience.
Knowledge of medical procedures and practices helpful.
Computer experience required Other Duties Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job.
Duties, responsibilities, and activities may change at any time with or without notice to fit the needs of this position and BACHC.
BACHC is an EEO and an At Will Employer Job Type:
Full-time Pay:
$20.
00 - $22.
00 per hour Expected hours:
40 per week
Benefits:
401(k) 401(k) matching Dental insurance Health insurance Life insurance Paid time off Parental leave Vision insurance Schedule:
8 hour shift Education:
High school or equivalent (Required)
Experience:
Medical and/or Medicare:
1 year (Required) customer:
1 year (Required) Work Location:
In person.
Estimated Salary: $20 to $28 per hour based on qualifications.
4 Lancaster, CA Lancaster, CA Full-time Full-time $20 - $22 an hour $20 - $22 an hour Summary The Client Resources and Benefits Coordinator will be responsible for processing registration for new and established clients, screening for enrollment in subsidized programs, verifying insurance benefits including PCP changes, and making financial arrangements to ensure maximum reimbursement to Bartz Altadonna Community Health Center.
Must have excellent customer service, computer experience, and mathematical skills.
Must demonstrate professional behavior and attitude in all job duties and responsibilities.
Screen clients on a one-to-one basis to determine eligibility for federal and state-funded health insurance programs; assess patient eligibility; gather required eligibility documentation; submit applications to appropriate programs; CHDP, Every Woman Counts, Family PACT, and My Health LA.
Work as a liaison between the patient and managed care entities to enhance patient enrollment and retention.
Essential Functions - Maintain daily schedule including confirming appointments, contacting no shows, rescheduling appointments, sign in/check-in/check-out clients.
- Register clients per registration protocols and collect identifying information such as state ID/DL and insurance cards - Scan required documentation into EMR per protocol.
- Review and verify client coverage of insurance and financial data and computes the charges to be paid by the client.
- Collects co-pays or deductibles prior to the client being seen by the provider using established policies and procedures.
- Completes the No Surprise Act cost estimate form for commercial plan clients.
- Follow protocol when collecting cash from clients.
- Maintain a high accuracy rate when entering appropriate client information into Epic.
- Maintain patient privacy and adhere to HIPAA guidelines.
- Follow proper telephone etiquette and protocol when answering phone calls.
- Manage necessary BACHC related paperwork for clients.
Stock and organize paperwork.
- Follow-up on no-show registration appointments daily.
- Assist with scheduling transportation provided by health plans, per client need.
- Support, when possible, with translating.
- Maintain a clean and orderly area.
- Track and follow-up on submitted My Health LA applications to ensure clients are approved.
- Keep current on rules and procedures of federal and state-funded programs including commercial carriers and other public services.
- Gain and maintain eligibility guidelines and documentation requirements for state and federal health insurance programs.
- Evaluate and resolve problems related to insurance issues and advocate for the client, including assisting with PCP changes.
- Educate clients on programs to ensure they understand what they cover.
- Educate clients on the benefits of My Chart and complete the activation.
- Perform clerical work as needed.
- Enroll clients in California or federal health insurance programs and submit applications o CHDP o Every Woman Counts o Family PACT o MY Health LA Screen uninsured and underinsured clients for the Sliding Fee Scale program by reviewing income and dependent information.
Request and obtain the documentation necessary to complete the application.
Pay stubs Employer statements Tax Return County Notice of Action SSN benefits Affidavits Assist the client to complete the application (If necessary) QUALIFICATIONS To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
The requirements listed below are representative of the knowledge, skill, and/or ability required.
Professional and positive attitude.
Ability to multi-task; well-organized.
Computer literate.
Excellent verbal and written communication skills.
Ability to understand and follow complex oral and written instruction.
Ability to use word-processing and spreadsheets to complete assigned tasks.
Skilled in using office machines.
Demonstrated organizational skills with the ability to prioritize and complete multiple tasks simultaneously; demonstrated skills in working independently or in a team setting; using independent judgment; and problem solving and troubleshooting.
Demonstrated ability to work with clients of various socioeconomic backgrounds, disabilities, and cultures and with interpreters and clients for whom English is a second language.
o Demonstrated ability to communicate in a pleasant, non-judgmental, respectful, culturally sensitive manner under varying levels of stress (this may include high levels of noise, limited resources, etc.
); demonstrated skills in handling difficult interpersonal interactions with discretion and diplomacy.
Other duties as assigned COMPUTER SKILLS:
Require knowledge of office equipment.
Microsoft excel and Microsoft Word useful.
Computer proficiency required, including the ability to enter data with accuracy.
MATHEMATICAL SKILLS:
Ability to calculate copayments using Sliding Fee Scale formula sheet.
Ability to calculate estimate costs including coinsurance percentages and deductible amounts.
EDUCATION and/or EXPERIENCE High school diploma or general education degree (GED), and one year of related experience and/or training, or equivalent of education and experience.
Knowledge of medical procedures and practices helpful.
Computer experience required Other Duties Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job.
Duties, responsibilities, and activities may change at any time with or without notice to fit the needs of this position and BACHC.
BACHC is an EEO and an At Will Employer Job Type:
Full-time Pay:
$20.
00 - $22.
00 per hour Expected hours:
40 per week
Benefits:
401(k) 401(k) matching Dental insurance Health insurance Life insurance Paid time off Parental leave Vision insurance Schedule:
8 hour shift Education:
High school or equivalent (Required)
Experience:
Medical and/or Medicare:
1 year (Required) customer:
1 year (Required) Work Location:
In person.
Estimated Salary: $20 to $28 per hour based on qualifications.
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