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Form of workMVHC is growing and has an immediate opportunity for a Patient Assistance and Access Specialist to join our South Zanesville team!
Thank you for your interest in Muskingum Valley Health Centers and for considering MVHC as your next career path! At MVHC, we believe it takes a team to help change the face of health care. MVHC serves as a critical healthcare resource to ensure that all members of our community have access to affordable and high-quality health care. Our staff is dedicated, constantly learning, and eager to make a difference in the lives of the thousands of patients we serve each year. We strive to hire those who embrace our mission and values and pride ourselves in developing a team of employees that you can call family. If you want to make a difference and are passionate about what you do, consider MVHC for future employment and a rewarding career!
We invite you to review the job posting below. If you meet the requirements and qualifications for this opportunity, we encourage you to apply.
GENERAL SUMMARY:
The Patient Assistance and Access Specialist is responsible for the processing of referrals and tracking for the assigned service lines. The Patient Assistance and Access Specialist ensures access to medication through Patient Assistance applications and processing medication prior authorizations for the Adult Service Line. The Specialist can be trained to be a Certified Application Counselor which identifies, educates, and supports individuals and families by assisting them with the screening and enrollment process into Medicaid, Medicare and the Health Exchanges. Active in-reach and outreach efforts are conducted in order to ensure MVHC patients and community members gain access to healthcare. The Specialist ensures access to transportation to medical appointments through scheduling transportation for patients in need.
Minimum Qualifications:
- 1-2 years of previous physician office experience preferred
- CPR certification required
- Electronic Health Record knowledge
- High School Diploma or equivalent
- Knowledge of community resources within Muskingum and adjacent counties, especially resources serving minority and low-income populations
- May require evenings or weekends as needed for outreach events
- Must have reliable transportation and be willing to travel locally and periodic out-of-town travel
- Strong organizational and communication skills necessary
- Understanding of and sensitivity to issues of concern to low-income and minority populations
WORKING CONDITIONS:
· Average working hours with possible non-traditional hours
· Carrying up to 20 lbs occasionally
· Good working conditions in an office environment
· Lifting up to 30 lbs 4-5 times a day
· Normal coordination and/or visual attention to connection with the standard flow of work
· Sitting 1-2 hours at a time (8-10 hours a day)
· Standing 1-2 hours at a time (8-10 hours a day)
· Walking approx. 30 minutes per hour throughout the day
· Withstands pressure and deals with emergency situations as needed
DUTIES and RESPONSIBILITIES:
- Accurately track and record all patient referrals
- Appropriately schedule all referral appointments while coordinating with the patient and the outside providers.
- Collaboratively work with community partners to arrange transportation for patients to all medical appointments as needed
- Collects and collates in-reach and outreach activity and impact for reporting purposes
- Complete and maintain all required paperwork, records, and documents
- Complete Patient Assistance applications and track follow-up requirements
- Creates and maintains a calendar of events for in-reach and outreach efforts
- Document all referrals into the patient’s chart in the EPIC system
- Educate applicants of how programs function, when and where they can use the medical coverage
- Educate applicants of requirements and structure of programs to prevent loss of coverage
- Educates applicants on required documents for enrollment in all programs
- Efficiently notify the patient of their appointment and provide instructions if needed
- Explore reason for noncompliance with referrals and assist in removing any barriers, working with the Care Coordinator
- Performs medication prior authorizations for assigned service lines
- Proficiently arrange and prioritize emergency referrals, surgeries, and or prior authorizations
- Provide education and presentations to MVHC providers and staff, community organizations, agencies, business, faith-based organizations and any other groups in order to reach the target population
- Provide follow up with referring provider via Epic for patients who are noncompliant with referrals
- Provide general program information and perform outreach and enrollment functions in MVHC, partner agencies, and community partners
- Screens applicants and assists uninsured patients in enrolling in applicable insurance programs
- Send needed information to outside providers if not an EPIC provider
- Submit, track and document medication and surgical prior authorizations
- Support other Health Center activities and perform other duties as assigned
- Track all assigned monthly statistics
- Track enrollment and effective dates of coverage to help applicants prevent lapse of coverage.
- Verifies accurate insurance information
- Work as a liaison to community organizations, agencies and other groups as well as attending meetings, health fairs and any other community activities
Position details:
Full-time with benefits
About MVHC:
Founded in 2008, MVHC serves as a best-in-class health care resource to ensure all members of the communities we serve have access to high-quality, affordable health care. As your "community of care," we are dedicated to serving the primary care needs of the residents in each of our convenient locations in Muskingum, Morgan, Coshocton and Guernsey counties. We are local, non-profit, and community owned. The MVHC community is comprised of more than 300 staff and providers committed to health care, and we truly appreciate the opportunity to improve the lives of residents in the communities we serve!
We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.
Why join MVHC?
At MVHC, we strive to create an environment which promotes healthy work-life balance, one that provides you the opportunity to make a difference in the lives of our patients, while maintaining your family and personal objectives. This is an exciting time of growth for MVHC where we are positioned to expand Access to the communities that we serve. We hope that you will consider joining the MVHC team.
- Employee satisfaction rating of 90%
- Equal opportunity employer; selection of applicants for employment is based only on qualifications and the requirements of a specific job
- We are local, non-profit, and community owned
- We offer a team approach to patient-centered comprehensive primary care
We’ll also reward your hard work with:
- A comprehensive benefits package including medical, dental, vision, prescription drug, and a health savings account option for those who qualify.
- All insurance benefits are available for both employee and family, regardless of what a spouse may be offered through his/her employer.
- 401k with employer match for those who qualify
- Paid time off plus seven paid holidays per year for those who qualify.
- Employer paid life insurance
- Life insurance voluntary benefits
- Employee Assistance Program (EAP)
- Educational Assistance Program for those who qualify
- Access to Credit Union
- Wellness program◦ Payroll deduct at area fitness center◦ Ability to earn an insurance premium reduction for those who qualify.◦ Fitness membership monthly stipend
- And much more!
