Job Description

Overview

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"To enhance the quality of life for men, women and children in the greater Los Angeles area through the provision of high quality, accessible and affordable healthcare services."

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We offer fantastic benefits, competitive pay, and a great family-oriented environment!

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We offer:

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- Medical Benefits - FHCCGLA pays 100% of employee's Kaiser; Anthem Blue Cross; Health Net; and United Health Care coverage (HMO Plan) subject to change during open enrollment.
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- 403 B - Through Mutual of America, the company matches up to 5% of employee's salary.
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- Dental Benefit - MetLife Only (HMO/PPO Plan).
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- 11 Holidays Observed.
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- 2 Floating Holidays
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- Vision Benefit -MetLife Plan.
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- 1 Birthday Holiday
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- Life Insurance - Accidental Death & Dismemberment; and Long-term Disability.
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- 7 Paid Sick Leave - 56 hours Full-Time
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- Paid Sick Leave – 40, Part-Time and Per-Diem
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- Employee Assistance Program
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- 2 weeks' Vacation
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- AFLAC Benefits
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This would be a great opportunity to make a difference with you onboard!

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POSITION TITLE:Patient Retention & Utilization Specialist

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DEPARTMENT: Quality Improvement

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REPORTS TO: Quality Improvement (Q.I.) / Risk Management Coordinator

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POSITION OVERVIEW:

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The Patient Retention & Utilization Specialist is responsible to contact all applicable patients to attempt retention efforts and/or ensure increased utilization of all needed FHCCGLA services. The primary focus of this position will be maintaining patient retention and maximizing utilization of services. Shall outreach to active and non-active patients who have not received services within the recommended periodicity.

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Responsibilities

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DUTIES/RESPONSIBILITIES:

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- Responsible for establishing and implementing strategies to improve utilization and retain patients through changes.
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- Collaborates with other departments to increase retention, utilization and access to care and services as needed.
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- Enhance communication with patients regarding FHCCGLA services to improve quality service, reduce no-show rates, retain patients and ensure utilization of all services such as:
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- Women's Health
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- Behavioral Health
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- Dental
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- Optometry
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- Nutrition
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- Podiatry
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- Works in conjunction with quality improvement department with guidance from the C.M.O.



to develop and implement strategies to better engage and retain patients.
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- Contacts current and non-active patients to connect them to pertinent care services.
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- Responds to patients' inquiries and follows-up on patient issues and resolutions to ensure quality customer service.
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- Coordinates resources to improve patient ability to adhere to appointments, including assistance with transportation.
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- Maintains knowledge of eligibility, enrollment, and program specifications for CHDP, Medi-Cal, Medicare and other insurance programs.
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- Conducts GAP reports from, NextGen and COZEVA to track utilization of services and determine which patients are due for various preventive care health maintenance measures and follow-up.
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- Follows all FHCCGLA safety, regulations, practices and policies & procedures.
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- Works with the operations managers to manage patient scheduling and flow to address bottlenecks, scheduling issues, etc. – notifies supervisor of all concerns.
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- Ensures HIPAA compliance by maintaining strict confidentiality of all patient data and E.H.R./Practice Management System (PMS) according to regulations and FHCCGLA's P&P;'s.
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- Remains informed of specific programs/payors, insurances accepted, and services being offered at FHCCGLA.
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- Serves as a liaison between clients and medical staff.
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- Assists clients with completion of forms.
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- Educates clients regarding available benefits (health coverage programs) and will refer directly to FHCCGLA outreach & enrollment specialists for eligibility screening and/or application assistance.
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- Participates in key pertinent meetings, such as:
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- Quarterly Staff (Q.S.) Training
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- Q.I./Q.A.
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- Medical Advisory Committee (M.A.C.), as needed
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- Etc.
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- All other tasks as assigned.
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Qualifications

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MINIMUM QUALIFICATIONS:

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- High school diploma, minimum (or GED equivalent).
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- FQHC experience, highly preferred.
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- Excellent analytical & reasoning skills.
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- Motivation to take initiative and multi-task to ensure all tasks performed are completed thoroughly, accurately and with minimal or no errors.
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- Excellent writing and verbal communication skills. Highly enthusiastic, approachable and confident communication style capable of motivating others.
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- Knowledge of administrative principles and procedures.
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- Computer knowledge preferred (e.g., NextGen (E.H.R. & PMS), Microsoft Word, Excel & PowerPoint).
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- Ability to adapt to changing schedules, deadlines and demands, and a heavy workload (e.g., late entry to stay late to contact patients unable to reach).
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- Must be able to communicate effectively, in both English & Spanish, verbally and written.
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- Exercises good judgment and professionalism when dealing with all FHCCGLA patients.
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- Ability to work with patients and staff from diverse socio-economic, ethnic and cultural backgrounds, preferred.
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- Strong interpersonal and problem-solving skills, to include persuasiveness, assertiveness and sensitivity when dealing with patients as well as agency staff.
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- Willingness to adapt to changes in clinic schedules, agency growth and expansion.
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- Ability to function self-sufficiently, requiring little supervision.
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- Commitment to the mission & vision of Family Health Care Centers of Greater Los Angeles, Inc.
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- Transportation required. Will need to travel to FHCCGLA clinic sites as necessary.
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- Evenings and weekends may be required, with advanced notice when feasible.
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- Current California Driver License.
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ADDITIONAL ELIGIBILITY QUALIFICATIONS:

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- Ability to work well with others in a professional and team-oriented environment.
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- Well-developed interpersonal skills, friendly personality and able to motivate staff by promoting teamwork.
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- Willingness to travel.
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- Strong planning and organizational skills.
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- Problem analysis and critical thinking skills.
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- Excellent customer service skills.
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- Knowledge of the following (but not limited to), preferred:
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- My Health LA
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- PPO's
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- HMO's
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- Medicare
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- Family PACT
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- CHDP
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- Medi-Cal
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- Managed Care Plans
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Min (For Export)

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22.00

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Max (For Export)

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22.91

📌 Patient Retention and Utilization Specialist (New South Wales)
🏢 Family Health Care Centers of Greater Los Angeles
📍 New South Wales