APLA Health’s mission is to achieve health care equity and promote well-being for the LGBT and other underserved communities and people living with and affected by HIV. We are a nonprofit, federally qualified health center serving more than 14,000 people annually. We provide 20 different services from 15 locations throughout Los Angeles County, including: medical, dental, and behavioral health care; PrEP counseling and management; health education and HIV prevention; and STD screening and treatment. For people living with HIV, we offer housing support; benefits counseling; home health care; and the Vance North Necessities of Life Program food pantries; among several other critically needed services. Additionally, we are leaders in advocating for policy and legislation that positively impacts the LGBT and HIV communities, provide capacity-building assistance to health departments across the country, and conduct community-based research on issues affecting the communities we serve. For more information, please visit us at aplahealth.org .
We offer great benefits, competitive pay, and great working environment!
We offer:
- Medical Insurance (no cost for employee)
- Dental Insurance (no cost for employee)
- Vision Insurance (no cost for employee)
- Long Term Disability
- Group Term Life and AD&D Insurance
- Employee Assistance Program
- Flexible Spending Accounts
- 10 Paid Holidays
- 3 Personal Days
- 10 Vacation Days
- 12 Sick Days
- Metro reimbursement or free parking
- Employer Matched 403b Retirement Plan
This is a great opportunity to make a difference!
POSITION SUMMARY:
Under the direction of the Enrollment & Eligibility Manager, and in accordance with HRSA contract requirements, the Behavioral Health Enrollment Specialist assists clients, either directly or through referral, with enrollment/re-enrollment in Covered CA, Medi-Cal, and Medicare, as well as with the process of accessing Public Benefits. The position also provides administrative support to the Clinical Intern Training Program.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
· Screen patients using PointCare for eligibility and assist with enrollment/re-enrollment in Medi-Cal, Medicare, Commercial products as well as with the process of accessing Public Benefits.
· Follow up to verify the status of enrollment applications and assist patients who are experiencing problems.
· Provide basic information about Behavioral Health Services to patients. Explain the various requirements and criteria to potential patients.
· Conduct initial meeting with potential patients to establish eligibility and insurance coverage. Collect required documentation from patients including verification of income, residency, and proof of insurance coverage.
· Verify patient’s insurance with various health plans. Communicate information regarding coverage or optional sliding scale fee structure as appropriate. Collect fees and co-pays for Geffen clinic, and submit to Finance with appropriate documentation in accordance with Finance Policies.
· Coordinate assignment of new patients for intake assessment to appropriate department staff or clinical interns. Maintain waiting list as needed. Maintain system to track staff and intern caseload.
· Assist patients with access to APLA support groups; provide referrals to support groups throughout LA County.
· Set up new patients in program’s electronic health record, eClinicalWorks (eCW). Ensure that patients seen by the program are entered accurately in eCW including insurance coverage and co-pay/self-pay requirements. Ensure that patients are shown as “checked out” upon completion of service delivery to facilitate insurance billing.
· Collect and organize data for completion of monthly contract reports for all funding sources. Respond to calls for data as needed for West Hollywood and/or external funding sources.
· Collaborate with other programs at APLA Health & Wellness and other service organizations to facilitate the provision of services.
· Complete DMH COS forms for patient contact as appropriate. Coordinate monthly entry of departmental COS data forms into the DMH data collection system. Provide monthly report of COS service delivery to Controller.
· Maintain patient charts, including the filing of all required documentation and/or scanning of appropriate documentation into eCW.
OTHER DUTIES MAY BE ASSIGNED TO MEET BUSINESS NEEDS.
Job Requirements:
REQUIREMENTS:
Training and Experience:
High school diploma required; some college experience preferred; administrative experience required; experience working with people with HIV/AIDS and behavioral health problems preferred. Experience with grant funding reports is preferred; bilingual English/Spanish required.
Knowledge of:
Microsoft’s Word and Excel; administrative workflow procedures, filing systems; HIV disease and related issues; bilingual (English/Spanish) proficiency; culturally sensitive and appropriate intervention and assessment techniques.
Ability to:
Respond sensitively to people from a wide variety of backgrounds and with diverse needs including patients staff and volunteers; effectively address patient complaints/concerns; communicate in both written and spoken English and Spanish; format, proofread and edit written materials; operate word processing and data entry on a personal computer; perform tasks quickly and thoroughly; maintain updated files; follow directions; work well under pressure; meet necessary deadlines; work independently.
WORKING CONDITIONS/PHYSICAL REQUIREMENTS:
This is primarily an office position that requires only occasional bending, reaching, stooping, lifting and moving of office materials weighing 25 pounds or less. The position requires daily use of a personal computer and requires entering, viewing, and revising text and graphics on the computer terminal and on paper.
SPECIAL REQUIREMENTS:
Must possess a valid California driver’s license; proof of auto liability insurance; and have the use of a personal vehicle for work related purposes.
Equal Opportunity Employer: minority/female/disability/veteran.
To Apply:
Visit our website at www.aplahealth.org to apply or click the link below