Senior Community Health Worker

SUMMARY

Olive View UCLA Medical Center (OVMC) is a facility / department within the Los Angeles County Department of Health Services (LACO-DHS). Olive View UCLA Medical Center (OVMC) is a community hospital where the primary focus is to contribute to the health of the communities it serves by providing high quality, patient-centered care.

Description :

Qualified individuals will use several technology platforms, this includes ORCHID electronic health records and websites to assist in determining insurance coverage verification. This functional unit is a fast-paced, high-volume environment which interacts with patients. This position must adhere to HIPAA and patient confidentiality requirements while providing high levels of customer services in a culturally and linguistically sensitive fashion. As one of the first points of contact with Olive View UCLA Medical Center and the Department of Health Services, this position is essentially to creating an environment for a positive patient experience.

ESSENTIAL FUNCTIONS

Patient Access :

• Greets and registers patients in person, not limited to obtaining demographics, preferred pharmacy, emergency contact and insurance information; enrolling patient using electronic system; providing forms to patients and completes paperwork for requested services; determining when language interpretation is needed; and orienting patients to Health Services by providing direction to appropriate locations for services
• Evaluates patients’ financial data and resources to determine ability to reimburse the County for services consistent with department policy; completes / assists patients with completion of benefits forms for third-party resources; contacts private insurance companies to verify coverage and obtain authorization for services; verifies existing governmental coverage for health care services; and refers patients without existing financial resources or with complex financial eligibility issues to a Patient Financial Services Worker or Patient Relations Representative
• Communicates with patients, responsible relatives and / or representatives, attorneys, employers, and insurance companies to explain County policies and obtain, verify, or clarify information required to complete billing forms
• Completes required federal, state, and County forms for patients during Emergency Department / Urgent Care visits
• Re-verifies eligibility in the month of the appointment to financially clear patients for appointments; conducts patient outreach by phone and / or mail; explains coverage options; refers patients to member services as needed; and cancels appointments
• Checks-in patients for appointments to explain payment options, obtain signatures, collect fees, and update records of insurance and patient identification

DESIRABLE QUALIFICATIONS :

Operating Systems :

Customer Services :

JOB QUALIFICATIONS

Education / Experience

Certificates / Licenses / Clearances

Other Skills, Knowledge, and Abilities

PHYSICAL DEMANDS

Stand : Occasionally

Walk : Occasionally

Sit : Constantly

Handling : Frequently

Reach Outward : Occasionally

Reach Above Shoulder : Occasionally

Climb, Crawl, Kneel, Bend : Not Applicable

Lift / Carry : Occasionally – Up to 15 lbs.

Push / Pull : Occasionally – Up to 15 lbs.

See : Constantly

Taste / Smell : Not Applicable

Not Applicable = Not required for essential functions

Occasionally = (0 - 2 hrs / day)

Frequently = (2 - 5 hrs / day)

Constantly = (5+ hrs / day)

WORK ENVIRONMENT

General Office Setting, Indoors Temperature Controlled

EEOC STATEMENT

It is the policy of Heluna Health to provide equal employment opportunities to all employees and applicants, without regard to age (40 and over), national origin or ancestry, race, color, religion, sex, gender, sexual orientation, pregnancy or perceived pregnancy, reproductive health decision making, physical or mental disability, medical condition (including cancer or a record or history of cancer), AIDS or HIV, genetic information or characteristics, veteran status or military service.