Patient Access Specialist

PRIMARY PURPOSE:

To serve as the connecting link between patients enrolled in care coordination programs, the Quality Care Team, and supporting departments, using independent judgment and problem-solving to ensure patients receive timely access to services, community resources, and program support in alignment with agency standards and quality guidelines.

ESSENTIAL JOB FUNCTIONS:

• Greet and welcome patients and visitors at the Center.
• Answer phone and direct calls or assist patients as appropriate.
• Provide education and information needed to patients.
• Assist patients in navigating services in the community.
• Provide community resources to patients as needed and required.
• Assist the patients in scheduling transportation services, food card pick-up, and other support services.
• Manage health insurance enrollment for patients.
• Work with the finance team for payment tracking.
• Collaborate with health insurance plans to ensure optimal program and reimbursement solutions.
• Manage premium assistance for all patients.
• Assist Grants Manager with developing and implementing program strategies and goals.
• Assist Grants Manager with monitoring program performance and identify areas for improvement.
• Work with Grants Manager to evaluate program effectiveness and make necessary adjustments.
• Ensure compliance with all relevant regulations and guidelines.
• Collect and analyze program data to identify trends and insights.
• Work with Grants Manager to prepare regular reports on program performance and outcomes.
• Utilize data to inform decision-making and program improvement.
• Enter data in the EHR and the Provide Enterprise systems based on the care coordination program guidelines and requirements.
• Perform other duties, special projects, and tasks as assigned.
• Adhere to HIPAA standards while collecting, storing, and sharing electronic personal health information.