Patient Services Coordinator

East Boston Neighborhood Health Center; Alliston; On-site; CAD 40,000 - 70,000; Full time

Job summary

An established industry player is seeking a Patient Services Coordinator to support new patient assignments and advocate for patients. This role involves recruiting, assessing, and interviewing patients for eligibility in various health coverage programs. The ideal candidate will be bilingual in English and Spanish, possess strong organizational and communication skills, and have a solid understanding of government-sponsored health insurance programs. Join a dedicated team focused on providing exceptional service and support to the community, ensuring all applications are accurately processed and patients receive the coverage they need.

Qualifications

• Bilingual fluency in Spanish and English is required.
• Experience with Mass Health is preferred.

Responsibilities

• Assist patients with eligibility for government-sponsored health coverage.
• Ensure all applications are complete and processed timely.

Skills

Bilingual (English/Spanish)

Customer Service

Organizational Skills

Communication Skills

Time Management

Leadership Skills

Education

HS Diploma/GED

Tools

EPIC

MAP

POSC/MMIS

Job description

Patient Services Coordinator
Monday - Friday, 8:00 AM - 5:00 PM
Full time, benefit eligible
Bilingual (English/Spanish) required

The scope of a Patient Services Coordinator includes support of the health center’s new patient primary care provider (PCP) assignment, registration, insurance enrollment processes and acts as patient advocates. The primary functions include actively recruiting, assessing, screening, and interviewing potential and actual patients of all ages for eligibility to government-sponsored health coverage programs. The Patient Services Coordinator is responsible for assisting with ensuring that all eligibility applications are complete, accurate, and processed in a timely manner and that pertinent coverage and other important data is entered correctly into EPIC.

Schedule: Monday - Friday, 8:00 AM - 5:00 PM.

Essential Duties and Responsibilities:

1. Processes applications for actual and potential patients of EBNHC to obtain or maintain eligibility for health coverage not limited to MassHealth (includes disability, 65+, and Buy In), Health Safety Net, Health Connector, Children’s Medical Security Plan.
2. Thoroughly and accurately assesses and screens patients to determine probable eligibility for a variety of health coverage programs. This includes comprehensive and up-to-date knowledge of the eligibility programs, the eligibility requirements, and covered benefits/services by program, and any out-of-pocket costs to the patient.
3. Thoroughly and concisely completes applications for eligibility in a timely manner.
4. Completes all interface with the state for all applications ensuring that the applications and supporting documentation were completely sent/received.
5. Updates EPIC appropriately with coverage, FPL, Enrollment Notices, etc.
6. Uses all applications and eligibility systems available appropriate to the patient’s situation, specifically, MAP, POSC/MMIS, etc.

Qualifications and Requirements:

1. HS Diploma/GED.
2. Bilingual fluency Spanish/English required.
3. Mass Health Experience is preferred.
4. Demonstrated understanding of all government-sponsored health insurance programs.
5. Previous Customer Service work or volunteer experience required.
6. Demonstrated excellent organizational, communication, and time management skills.
7. Exceptional judgment, initiative, and leadership skills.
8. Demonstrated ability to promote a team environment with proven successful outcomes.