What are the responsibilities and job description for the Patient Services Coordinator(Benefits) - Bilingual Spanish position at VNA Health Care?
Job Code:
2000005003.05042022
Location:
Aurora, Illinois
FT/PT Status:
Regular Full Time
Description:
This position oversees processes, certification, and required activity reporting established by CMS for the Certified Application Counselor (CAC) program and HRSA Outreach & Education (O&E) grant. Works with key staff to ensure CAC program compliance associated with CMS and the HRSA O&E grant. Responsible for the day-to-day management of the CAC staff who provides benefit services (Patient Service Representative III and ACA assisters). Provides government reporting on activities under Medicaid/Marketplace ACA programs and activities.
Primary Functions:
- Prepares, implements, and evaluates all quality, metrics and performance improvement activities as directed by CMS, HRSA and the Illinois Primary Health Care Association, including staff training and development, activity metrics, and grant administration activities.
- Submits quarterly HRSA reports in a timely manner and develops action plans to address any identified issues.
- Establishes and implements appropriate tracking controls to ensure compliance with grant guidelines and requirements, including managing the certification/recertification process of CAC staff, as well as compiling and submitting all metric reports for CAC staff activity.
- Develop, improve and update policies and procedures in collaboration with the Vice President of Revenue Cycle Operations and the Vice President of Human Resources & Marketing/Chief Communications Officer to ensure effective processes and communication surrounding HRSA O/E grant program.
- Works collaboratively with other VNA Directors/Coordinators/Managers to integrate, coordinate and promote VNA’s benefit service assistance, including working with the Director of Marketing to create new communications as needed, and the Director of Outreach and the CAC team under Outreach, tracks outreach activities for HRSA required quarterly reporting
- Monitors metrics for all benefit enrollment and ACA call activities for reporting, quality, process effectiveness to regularly to determine efficiency.
- Monitors the suitability and integrity of informational and educational materials used to promote knowledge, benefit services, and resources for VNA patients.
- Provides supervision and management of the CAC staff whose primary function is to provide benefit services, including selection, orientation, education, evaluation and disciplinary action.
- Manages work schedules, logistics, ACA call center activities, and monitors performance of the Patient Service Representatives III and ACA assisters.
- Maintains an adequate and appropriate staffing plan that most effectively meets patient and facility needs at all of VNA’s sites.
- Attends in-service presentations, seminars, and webinars to stay abreast of guidelines as it relates to the CAC program, policies, and Federally Qualified Health Centers (including CMS, HRSA, IPHCA, and CAC-related webinars).
- Evaluates equipment and supplies being used for effectiveness as well as cost effectiveness.
- Assists with report development, writing and implementation of program grants as needed, such as Title X reporting.( Family Planning )
- Promotes a high-level of professional behavior by staff members and takes appropriate and timely action to address issues when identified.
- Serves as a role model for others and exhibits a high level of professional behavior.
- Takes appropriate and timely action to address issues when identified.
- Familiarizes and complies with all VNA policies and procedures.
- Meets VNA Health Care standards of behavior expectations.
- Follows established guidelines for use and/or disclosure of protected health information. Employees should report any breaches of the Health Insurance Portability and Accountability Act (HIPAA) rules to the Privacy Officer (Director of Quality, Education & Risk Management) immediately. Failure to comply with HIPAA policies and procedures will result in disciplinary action, up to and including termination of employment.
- Other duties as assigned.
Qualifications
- Strong Microsoft Office Application Skills
- Assister/Navigator Certificate (Federal, In-Person Counselor, or Certified Application Counselor) required
- Bachelor’s degree required with a major in management, Graduate degree preferred
- Knowledge of Federally Qualified Health Centers, with strong knowledge in health care policies and HIPAA
- At least two years managing grant activities
- Supervisory and project management experience required
- Minimum 3 years health care setting experience preferred
- Knowledge and ability to establish professional relationships and contribute positively to a team program
- Health policies and requirements met. (See Personnel Policies)
Essential Functions/Physical Requirements:
1. Ability to communicate effectively verbally and in writing.
2. Ability to drive a car.
3. Ability to climb stairs and ambulate in and out of enrollment event sites.
4. Ability to deal effectively with high levels of stress.
5. Ability to sit and for long periods of time.
2. Ability to drive a car.
3. Ability to climb stairs and ambulate in and out of enrollment event sites.
4. Ability to deal effectively with high levels of stress.
5. Ability to sit and for long periods of time.
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