Patient Benefit Services Coordinator - Hamilton Health Center : Job Details

All About Hamilton Health Center - Patient Benefit Services CoordinatorHamilton Health Center (Hamilton), established in 1969, is the only Federally Qualified Health Center (FQHC) within a 30-mile radius of Harrisburg, PA and continues to grow using a holistic and comprehensive approach to being patient centered. The mission of Hamilton is to improve the health of Central Pennsylvania's residents by delivering high quality, respectful and patient-centered health and related social services that promote access, treatment, education, and prevention regardless of health, economic, or insurance status. Our vision is that every member of our community, regardless of their ability to pay or their insurance status, receives holistic, quality health care needed to create a healthy community. For over 50 years we have been true to these words. As part of our team, you will work alongside a dedicated team that cares and values those we serve.Benefits offered: In addition to your base pay, you are also eligible to receive (Eligibility based on FTE status):* Paid time off, Birthday holiday, and 7 paid holidays.* Medical, Dental & Vision,* Company paid life insurance.* Retirement Plan* Employee Assistance ProgramJob Summary:The Patient Services Coordinator will act as a liaison for the uninsured patients of the health care center and those in the local community, providing eligibility and enrollment assistance for the Medicaid, CHIP, and Federal marketplace health insurance programs. Incumbent will explain financial assistance options that may be available and assists with the application process, including publicly funded insurance programs and other affordable insurance options, and advantages of applicable service opportunities suited to his/her unique situation, including support services unique to Hamilton Health Center and medical/dental/BH and social services available in the community. Incumbent will also participate in one or more care teams with the responsibility of in-reach, outreach and education activities, designed to improve participation in evidence-based care.ESSENTIAL FUNCTIONS:The Patient Services Coordinator performs a wide range of duties, including, but not limited to the following:* Providing fair, impartial, and accurate information, provides enrollment assistance by* Assessing eligibility, providing application and assisting in the renewal and enrollment in all programs administered by the Center, such as, the Prescription Coverage (on-line RX), Medicare Part D, and PACE/PACE NET, and low-income subsidy.* This includes assisting in completion of enrollment applications using the COMPASS system (electronic enrollment applications) for Medicaid and CHIP, and Presumptive Eligibility.* Explaining to patients the benefits of enrolling children in free to low -cost insurance available through the Commonwealth of Pennsylvania.* Maintain knowledge and expertise in eligibility, enrollment, and program specifications of the Medicaid and CHIP programs and have some basic knowledge of the Qualified Health Pans (QHP)* Conduct daily in-reach, outreach and education activities to existing health center patients and community residents to promote awareness about coverage options under Medicaid, CHIP and the Marketplace. Represents the Center at community events as assigned by the Patient Service Manager and/or Team Lead.* Assist with the development of marketing and promotional materials for outreach, application assistance and education activities.* Provide culturally and linguistically appropriate services and ensure physical and other accessibility for people with disabilities. Provide information and assistance in the applicants preferred language and or provide limited -English proficiency application with oral and written notices of their rights to received language assistance services and how to obtain such services.* Provide referrals for people with questions, complaints, or grievances to any applicable office of health insurance consumer assistance or health insurance ombudsman, or any other appropriate state agency or agencies.* Demonstrate and maintain the standards and requirements of the Health Insurance Portability and Accountability Act (HIPAA). Ensure the protection and security of personal, confidential and identifiable information in a professional and responsible manner and carry out all measures to prevent from unauthorized disclosures.* Collect data and use it to improve and prepare monthly report on specific service activities, participate in monthly conference calls and/or supplemental in-person trainings and workshops sponsored by PACHC and provide updates to discuss issues, best practices, and modifications or challenges with the online application systems for Medicaid, CHIP, and/or the Federal Marketplace.* Performs miscellaneous job-related duties as assigned.Minimum Education/Certifications: High school diploma or GED required. Accredited college or university schooling in Social Work, Public Health, Public Administration or similar field preferred.Minimum Work Experience: Minimum two years' experience working with children and families in Public Health, Outreach, Social Work, or related field. Working knowledge of the Pennsylvania Medical Assistant Program, CHIP, and the COMPASS benefit application is preferred.Other Requirements: Reliable transportation to travel throughout the service area.This job description is a general outline of duties performed and is not to be misconstrued as encompassing all duties performed within the position. All individuals (including current employees) selected for a position will undergo a background check appropriate for the position's responsibilities.