ADAP AND ACCESS COORDINATOR

Job Summary: The ADAP and Access Coordinator provides program support as a member of the multi-disciplinary HIV care team at Santa Rosa Community Health (SRCH), application assistance with ADAP and other Office of AIDS programs, documenting Ryan White eligibility/Cap on Charges, and ensuring patients’ insurance/coverage and non-medical social needs are addressed. These duties will primarily occur on-site at SRCH; however, patient enrollment activities may rarely occur at other locations such as local hospitals.

Pay Range: $26.82 – $36.74/hour

Abbreviations:

ADAP AIDS Drug Assistance Program

AES ADAP Enrollment System

PreP-AP Pre-Exposure Prophylaxis Assistance Program

OA-HIPP Office of AIDS Health Insurance Premium Payment Program

OA-PCIP Office of AIDS Pre-existing Condition Insurance Program

Specific Tasks/Duties:

• Screen VIDA and at-risk patients for eligibility for all relevant insurance, coverage and programs including ADAP, PrEP-AP, OA-HIPP, OA-PCIP, Lark Drugs Prescription Share of Cost Program, Medi-Cal, Ryan White and Covered CA.
• Identify, track and assist patients with annual and semi-annual enrollments and renewals of the programs listed in the prior bullet point to prevent lapses in coverage, including scheduling appointments and ensuring patients are aware of necessary documentation.
• Track applications that have been submitted and follow up with patients and/or appropriate agencies as necessary; provide support/education to patients if any issues arise with their applications.
• Process patient ADAP complaints and grievances according to CA Office of AIDS and clinic policies.
• Ensure all SRCH information in the AES is accurate and current.
• Provide consultation and support to Access Navigators processing ADAP/PrEP-AP at all SRCH sites if the case arises that a patient does not wish to enroll/re-certify at VIDA's clinic campus.
• Keep a log of patients who are assisted both in person and by phone (daily, weekly, and monthly statistics).
• Help patients with private insurance navigate the insurance process including acting as the main point of contact with private insurers to procure Prior Authorizations.
• Support the facilitation of English/Spanish consumer advisory focus groups.
• Schedule appointments, track, interface, and troubleshoot lab orders/results, perform pre-registration and confirmation calls for Team VIDA as assigned.
• Route triage calls to appropriate RN or other VIDA team members as appropriate.
• Assist VIDA patients in need of medical transportation to appointments and dental referrals.

Other Duties

• Attend staff meetings and participate in team-based Quality Improvement processes.
• Review accuracy of client data, maintain up-to-date client-related records, complete data entry into EHR and appropriate database(s) and meet deadlines for required documentation according to the protocols/standards of SRCH and Team VIDA.
• Maintain client records in accordance with protocol; maintain patient confidentiality at all times.
• Maintain appropriate professional boundaries at all times with all clients.
• Participate in ongoing training, workshops, conferences, and forums to increase knowledge as directed by supervisor.
• Other duties as assigned.

MINIMUM QUALIFICATIONS:

Education:

• High school diploma or equivalent.
• Bachelor's degree preferred.

• CDPH Office of AIDS ADAP/PreP-AP Certification required
• Must have the ability to successfully complete the Certified Application Assistant program within first 30 days in the position.
• Must have ability to successfully complete training, pass the exam, and pass the Department of Justice screening to become a Certified Enrollment Counselor with Covered California.
• Must yearly take the Certified Enrollment Counselor training and pass the exam with Covered California.

Experience:

• Bilingual in English and Spanish (speak, read, and write) Preferred.
• Experience with HIV disease preferred.
• Experience with Medi-Cal and ADAP preferred.
• Experience with electronic health records preferred.
• Must have valid California driver's license

Knowledge and Skills:

• Strong organizational skills with ability to prioritize projects, work relatively independently, manage multiple tasks, and meet deadlines.
• Ability to comprehend complex program requirements and educate patients on those requirements with simple language.
• Maintains confidentiality of patients at all times.
• Proficiency with Microsoft Office applications including Outlook, Word, Excel.
• Ability to work independently and as part of a team.
• Sensitivity to and willingness to interact with persons of various social, cultural, economic, and educational backgrounds with topics including sensitive health issues.
• Strong verbal, written, and interpersonal communication.
• Ability to maintain detailed logs of activity and status of insurance application.
• Demonstrated ability to type 35 words per minute.
• SRCH is an equal opportunity employer to all, regardless of age, ancestry, color, disability (mental and physical), exercising the right to family care and medical leave, gender, gender expression, gender identity, genetic information, marital status, medical condition, military or veteran status, national origin, political affiliation, race, religious creed, sex (includes pregnancy, childbirth, breastfeeding, and related medical conditions), and sexual orientation.

Physical Requirements:

While performing the duties of this job, this position is frequently required to do the following:

• Use standard office equipment AND ACCESS, input, and retrieve information from a computer. Use computer keyboard with manual and finger dexterity and wrist-finger speed sufficient to perform repetitive actions efficiently for extended periods of time.
• Communicate effectively in person or via telephone in a manner which can be understood by those with whom the person is speaking, including a diverse population.
• Give and follow verbal and written instructions with attention to detail and accuracy.
• Perform complex mental functions and basic arithmetic functions; interpret complex laws, regulations, and policies.
• Vision: see details of objects at close range.
• Coordinate multiple tasks simultaneously.
• Reach forward, up, down, and to the side to access files and work supplies.
• Sit or stand for minimum periods of one hour at a time and come and go from the work area repeatedly throughout the day.
• Lift up to 10 pounds.
• Ability to travel to other office and community locations.
• SRCH provides reasonable accommodation for individuals with a physical or mental disability to apply for jobs and to perform the essential functions of their jobs unless it would cause an undue hardship.