What are the responsibilities and job description for the Bilingual Member Services Specialist I position at Employment Opportunities?
Job Summary
The Member Services Specialist I primary job function is to be responsible for initiating patient visits, coordinating patient appointments, collecting payments, entering/updating patient information on our computer system and providing courteous, efficient and informational telephone access to clinic services. The Member Services Specialist I are responsible for medical and dental financial assistance program registration, coordinating services for Migrant Seasonal Farmworkers (MSFW) and other underserved populations seeking medical care. Provides interpretation and advocates and facilitates contact between patient/family and appropriate discipline.
Job Specific Competencies
1. Greets all patients and guests using AIDET fundamentals.
2. Assist patients with scheduling appointments with Medical and Dental department:
a. Collects and updates patient demographics as needed, takes patient pictures, and assists patients with forms if necessary.
b. Obtains and verifies patient insurance information.
c. Enters accurate data in Athena, EMR, EDR and EPM in accordance with protocol.
d. Assesses patients’ needs and provides referrals to clinic services.
e. Assists patients with information and education on other CVCH programs as approved by Supervisor.
f. Provides patients with necessary community information (maps, food banks, housing etc.).
g. Educates new patients about CVCH and providing on-site tours of our facility as well as other information pertinent to new patients, such as: Hours of operation of the clinic.
3. Benefit Enrollment, Slide Fee and Helping Hands
a. Makes appointment for benefit enrollment as needed.
b. Interviews and counsels underinsured and uninsured patients utilizing CVCH services to determine financial eligibility for benefit enrollment programs.
c. Responsible for reviewing and interpreting income and family size for patient's enrollment into health care coverage programs.
d. In-person Assistor for WHPF.
e. Follows up with clients on incomplete applications and maintains CCCN Enrollment Manager, documenting case statistics.
f. Presents information to interested community groups about available health insurance options.
4. Outreach
a. Coordinates and schedules services for Migrant Seasonal Farmworkers (MSFW) and all others who qualify with migrant status.
b. Assist in the coordination of community events as well as be willing to participate in those events.
c. Greets MSFW upon arrival at clinic and orients MSFW to clinic services and provides interpretation when necessary.
5. Patient Care Competencies (Only applicable if MA-R Licensure is active)
a. Disposing of bio-hazardous materials.
b. Practicing standard precautions.
c. Preparing and maintaining examination and treatment areas.
d. Taking vital signs.
e. Finger stick to collect blood specimen.
f. Tests waived under the federal clinical laboratory improvement (CLIA) amendments program.
g. Observing and reporting patients’ signs or symptoms.
h. Telephone and in person screening limited to intake and gathering of information without requiring the exercise of judgment based on clinical knowledge.
i. Maintaining medical and immunization records.
j. Screening and following up on test results as directed by a healthcare practitioner.
6. Must be able to work nights and weekends. Required to travel to each site location on a scheduled basis to perform position duties.
General Duties and Responsibilities
1. Performs other duties and tasks as assigned by supervisor.
2. Expected to meet attendance standards and work the hours necessary to perform the essential functions of the job.
3. Expected to embrace, support, and promote the core values of respect, integrity, trust, compassion, and quality, which align with the CVCH mission statement through actions and interactions with all patients, staff, and others.
4. Follows all safety policies and general housekeeping practices. Ensures the area and its equipment and supplies are neat, clean, safe, and utilized appropriately at all times, and participates in emergency drills.
5. Demonstrates positive attitude toward clients, co-workers, and outside agencies.
6. Supports interdisciplinary team in area by listening to concerns and suggestions and by providing follow-up and feedback in a timely manner.
7. Keeps customer service and the mission of the organization in mind when interacting with all clients, coworkers, and others.
8. Must be able to tolerate frequent work interruptions, organize work, and reset priorities in order to complete work responsibilities in a timely manner.
9. Follows all established policies, guidelines, and procedures, including federal and state regulations, to assure safe practices and quality patient care.
10. Follows Universal Precautions and Infection Control Standards and compliance with Joint Commission and HIPAA regulations.
Job Specifications
1. Education: High School Diploma or equivelant required. Prefer AA degree, Business School diploma or some college.
2. Certification/Licensure: Eligible for Medical Assistant-Registered Licensure. Community Health Worker Certification required. Apple Health Navigator Level 1 training required.
3. Experience: One (1) year experience in the medical or business/office field or equivalent education and training/certification preferred. Previous experience working with benefit enrollment programs in a community health center preferred.
4. Language Skills: Bilingual in English/Spanish required.
5. Essential Technical/Motor Skills: Must be fluent in written/verbal English/Spanish and must have strong communication skills. Able to read, write and communicate effectively using the English language. Knowledge of computer applications and equipment related to work. Effectively work in a multi-task environment, prioritizing tasks properly, and completing tasks/projects in a timely manner. Basic computer experience; adequate typing; 10-key calculator and filing skills.
6. Interpersonal Skills: Excellent customer service skills. Ability to work in a collaborative team work environment and/or work independently. Strong interpersonal and communication skills, with the ability to work effectively with a wide range of consumers in a diverse community. Develop and maintain effective working relations with peers, patients, other agencies, contracted providers, and the public. Able to work well independently, learn quickly and adjust work assignments in response to system changes. Caring attitude, commitment to serving low-income patients.
7. Essential Physical Requirements: This job is performed mostly in a typical inside, office environment. Essential physical requirements of this job include: light physical effort; repetitive motions of wrists, hands, and/or fingers; standing, walking, lifting, reaching, kneeling, bending, stooping, pushing, and pulling; frequent sitting; lifting and/or moving items weighing a minimum of 10 pounds (assistance is available as needed); ability to read forms and computer screens and to read correspondence and other documents.
8. Essential Mental Abilities: Strong organizational skills, attention to detail, must possess problem solving/reasoning skills, assess and evaluation various situations. Knowledge of federal and state regulations for health care plans. Ability to interpret and manipulate numbers, analyze, assessing/evaluating, and exercise good judgment. Must demonstrate concern for accuracy and attention to detail.
9. Essential Sensory Requirements: Essential sensory requirements include the ability to: read computer keyboard, monitor, and documents; prepare and analyze documents; read extensively; hear, recognize, and assess verbal presentations of patients; receive and convey detailed information orally, by telephone and in person; convey accurate and detailed instructions by speaking to others in person and by telephone.
10. Exposure to Hazards: Possible exposure to airborne/blood borne pathogens, possible exposure to body fluids/blood. Worker is subject to inside and outside environmental conditions on a frequent basis with moderate/extreme noise. Worker has contact with consumers and other staff and may be exposed to severe medical conditions presented by them. Exposure to hazardous substances is a moderate risk and there are possible and physical injurious conditions.
Blood/Fluid Exposure Risk
Category I
1. Tasks routinely involve a potential for mucous membrane or skin contact exposure to blood, fluids, or tissue.
2. Use of personal protective equipment (PPE), when appropriate.
Age Specific Competency
Possesses knowledge and skills required to effectively care for and assist patients in the following age groups:
1. Neonatal (Birth – 30 days)
2. Infant (30 days to less than 1 year)
3. Pediatric (1 year – 12 years)
4. Adolescents (12 years to 18 years)
5. Adult (18 years – 65 years)
6. Geriatric (65 years – Death)
Telecommuting
• Position NOT eligible for Telecommuting
Benefits
*Coverage below based on a 1.0 FTE; Medical, Dental, Paid Leave, Holidays are prorated based on FTE
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Benefit: |
Coverage: |
Effective: |
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Medical Premera (Self Insured) Preferred Provider |
Employee covered - $50.00 per month Dependents covered – please refer to the benefits Guide 2024 for rates |
First of the month following the first date of employment. |
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Dental Washington Dental |
Employee covered – 100% Dependents covered – 50% |
First of the month following the first date of employment. |
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Paid Leave |
120 hours – Year 1 136 hours - Year 2 |
Paid Leave may be used immediately for sick leave and after 3 months employment for vacation. Maximum accrual cap of 320 hours; hours in excess of 320 hours will automatically transfer into the employees EIB. |
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Extended Illness Bank (EIB) |
Allows for maximum accrual of 200 hours |
PTO hours in excess of 320 will transfer into EIB. Employees are eligible to use EIB hours after at least 3 consecutive scheduled working days of PTO (max 24 hours) which have been used for a personal illness and/or a qualifying event under FMLA or the WA Family Care Act. |
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Holidays |
88 hours related to: · New Year’s Day · Memorial Day · 4th of July · Labor Day · Thanksgiving Day · Day after Thanksgiving · Christmas Eve · Christmas Day · 3 Diversity Days |
Holidays are calculated as 8-hour days if full time, 1.0 FTE, and paid based on the calendar year (January 1 through December 31). Holiday hours will be added to the employee’s timecard automatically. If an employee is part-time, as documented in our HR/Payroll system, Holiday hours will be pro-rated. If an employee starts after the calendar year has begun, holiday hours will be prorated based on remaining holidays in the calendar year and diversity days will be prorated as outlined below: · Jan 1- April 30: 3 diversity days (24 hours if 1.0 FTE) · May 1 – August 31: 2 diversity days (16 hours if 1.0 FTE) · Sept 1 – Dec 31: 1 diversity day (8 hours if 1.0 FTE) Please refer to the Paid Leave policy for additional details. |
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403(b) Retirement Plan Lincoln Financial |
150% CVCH match up to 3% of the employee’s contribution |
Immediately. Vesting schedule: 20% at 2 years, 50% at 3 years, 60% at 4 years, and 100% at 5 years. |
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Employee Assistance Program Mutual of Omaha |
Free short-term counseling for employee and family |
Immediately. Call 800-316-2796 |
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Long-term Disability Mutual of Omaha |
Employee Only (variable) |
First of the month following the first date of employment. |
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Benefit: |
Coverage: |
Effective: |
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Basic Term Life Mutual of Omaha |
Employee Only (1x annual salary, up to $200,000) |
First of the month following the first date of employment. |
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Group Accidental Death and Dismemberment (AD&D) Mutual of Omaha |
Employee Only (1x annual salary, up to $200,000) |
First of the month following the first date of employment. |
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Supplemental Term Life Mutual of Omaha |
Employee / Spouse / Dependent(s) |
First of the month following the first date of employment. |
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Voluntary AD&D Mutual of Omaha |
Employee / Family |
First of the month following the first date of employment. |
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Health Reimbursement Arrangement RedQuote |
Reimbursement for out of pocket expenses for services received at CVCH (medical, dental, and prescription) by employees and their dependents enrolled in our medical plan. Up to $750 per family per year. |
First of the month following the first date of employment. |
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Flex Plan: Medical RedQuote |
Flex Plan: Maximum $3,200 per year Direct Deposit available |
First of the month following the first date of employment. |
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Flex Plan: Dependent Care RedQuote |
Flex Plan: Maximum $5,000 per year Direct Deposit available |
First of the month following the first date of employment. |
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AFLAC |
Supplemental insurance – cafeteria plan |
First of the month following the first date of employment. |
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Wellness Stipend |
CVCH will reimburse staff up to $30 per month for a local gym membership OR CVCH will reimburse up to $150 per year for a subscription type workout program service (i.e.: Beachbody on Demand, Les Mills, etc.) |
Immediately. Once employee has submitted invoice to HR/Payroll department. |
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Cell Phone Discounts |
Discounted monthly access fees Discounted select accessories and special equipment |
Available for personal cell phones, currently in place with AT&T & Verizon |
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Benefit: |
Coverage: |
Effective: |
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Tuition Reimbursement |
For approved courses, the cost of tuition, books, and lab fees may be reimbursed at 75% of the actual costs up to a maximum of: · $4,000 for an Associate’s degree, vocational, technical, or certification program · $6,000 for a Bachelor’s degree · $8,000 for a Master’s degree |
Upon approval; regular employees who work at least 20 hours per week, have successfully passed their evaluation period and are in good standing may apply.
Employees must agree to work for a period of one (1) year from the date of receipt of tuition reimbursement and obtain satisfactory completion of approved courses or Challenge Exams. |
Compensation: $19.38-$27.74/hourly (based on experience)
Salary : $150 - $200,000
