General Summary:
The Patient Retention Specialist is responsible for providing a variety of information regarding services and programs to those who have insurance enrollment services, including noninsured. The position will be conducting outreach and in-reach to individuals and community organizations, including schools, about health care and availability of SCFHC services and programs.
Summary of Essential Duties:
- Verification of enrollment, tracking utilization of healthcare services, and encouraging renewal applications to help retain and grow patients
- Educates patients about health insurance enrollment process and programs.
- Assist patients in person, by phone, and/or email to support patient engagement and retention in health services and ancillary services as needed to support patient wellbeing.
- Acts as a liaison to identify patient insurance and ensure reengagement to SCFHC services.
- Acts as a liaison to the Managed Care Department by maintaining, processing, and reviewing the department databases and reporting
- Responsible for performing in-reach activities to schedule new patients enrolled in the different programs SCFHC manages
- Responsible to ensure timely and accurate completion of enrollment forms for private, Commercial Insurance, Medicare, and Medi-Cal, as well as other County or State health insurance programs.
- Completes production reports, Medi-Cal reports, Medicare Reports, Commercial Insurance Reports, Communication Sheets, PCP changes and tracking, and all other applicable reports.
- Handles Medi-Cal, My Health LA, Medicare, Covered California, and other renewals on an annual basis to retain coverage.
- Ensure continuity of health care coverage, through ongoing tracking of patients’ redetermination dates, following-up with patients and providing necessary educational information.
- Utilize active listening skills to understand patient needs and/or concerns to direct them to appropriate department and improve patient retention.
- Responsible for establishing trusting relationships with patients and their families while identifying, connecting, and supporting social determinants of health needs.
- Provide ongoing navigation with patients/families to assure patient satisfaction, evidenced by patient retention.
- Conducts education seminars to parents and students through PTA meetings, ESL, and other groups.
- Identifies and develop initiatives to promote patient satisfaction and advocacy efforts
· Analyze patient feedback and ensure patient retention.
Job Specifications: (Knowledge, skills, abilities and experience normally required for competent performance)
Education and Knowledge
- High School Diploma or equivalent required
- Knowledge of Los Angeles County health care system and community-based organizations
Experience
- Must have minimum 2 – 3 years’ experience in community-level health education or related field
- 3+ years of customer service experience in a fast paced, customer focused environment
- Must be able to work independently within scope of assigned task with minimum supervision
- Familiar with Covered CA, Medi-Cal, Medi-Cal for Families and My Health LA
Required Skills/Knowledge/Abilities
- Must be able to communicate effectively, in English, both verbally and written
- Excellent written, oral and customer service skills with patients, visitors, and staff
- Ability to prioritize multiple tasks, work effectively under stress, meet short deadlines, and take direction
- Bilingual and Bi-literate Spanish/English required
Licensure and Certifications
- Certified Application Assistant (CAA Certificate) preferred
TO APPLY PLEASE VISIT: https://recruiting.paylocity.com/recruiting/jobs/All/325da02f-904e-426b-ab73-f734fa9906c9/South-Central-Family-Health-Cent