Access Coordinator

ClareMedica Health Partners, LLC; Orlando (FL); On-site; USD 42,000 - 54,000; Full time

Job summary

Claremedica Health Partners, LLC is seeking an Access Community Benefits Coordinator in Orlando, FL. The role helps patients access government and community programs, guiding them through Medicaid, SNAP, LIHEAP, Lifeline and other benefits, while coordinating with care teams to remove barriers to care.

Responsibilities include eligibility screening, Medicaid redeterminations, new member orientations, outreach to generate leads, and meticulous documentation in the EHR system to support quality

Qualifications

• Experience with DCF Medicaid & SNAP, SSA - SSI, Retirement, Disability and Medicare, Section 8 Housing, LIHEAP, STS and additional Community Social Programs.
• Data Entry and MS Office proficiency required.
• English, Spanish and Creole speakers a plus.

Responsibilities

• Medicaid recertifications: assist patients with DCF Medicaid redeterminations and recertifications.
• Eligibility screening: conduct screenings for Medicaid eligibility and Dual Eligibility (Medicare & Medicaid).
• Dual member growth: identify and support eligible patients to increase Dual Eligible members.
• New member orientations: educate patients about benefits and access.
• Lead generation & outreach: generate a minimum of 10 qualified Access leads per month.
• Access engagement rate: ensure 90% of members are engaged and seen by an Access Representative.
• Application assistance: help with SNAP, LIHEAP, Lifeline, LTC Waiver, STS, etc.
• Documentation in EHR: record all interactions and outcomes.
• Team collaboration: coordinate with clinical teams and outreach staff to wrap services.

Skills

Customer service

Data entry

MS Office

Excel

Communication

Multitasking

English

Spanish

Creole

Tools

MS Office

Excel

Job description

Access Coordinator# Access CoordinatorOrlando, FL 32818; Clermont, FL 34711; Orlando, FL 32862## Description**At Claremedica, exceptional is the standard.**Driven by our purpose to enhance the lives of the seniors in the communities where we have the privilege to work, live, and play, the Claremedica team is comprised of the brightest and best in their fields of expertise. From clinical excellence to unparalleled administrative support and beyond, we’re working together to help seniors live happier, healthier, fuller lives.That kind of teamwork and passion for excelling can only exist in a workplace that fosters employees’ growth and wellness and where their full potential and value are realized. At Claremedica, we’re excited about great people like you. We’re even more excited to support you with the resources, training, benefits, competitive compensation, and more to help you thrive and succeed in our communities.**Opportunity awaits – welcome to Claremedica.****ESSENTIAL FUNCTIONS**The Access Community Benefits Coordinator plays a critical role in supporting patients by connecting them with essential social service programs that enhance their overall well-being and access to care. As a key liaison between patients and available community resources, the coordinator is responsible for:* Program Navigation & Assistance: Assisting patients in accessing and applying for a wide range of government and community benefit programs, including: + Medicaid through the Department of Children and Families (DCF) + Medicare Savings Programs + SNAP (Food Stamps) + Lifeline Government Phone Assistance + Long-Term Care Waiver Medicaid + LIHEAP (Low-Income Home Energy Assistance Program) + Disabled Parking Permit Applications + Special Transportation Services (STS) + Section 8 Housing Assistance* Patient Advocacy: Acting as an advocate to help patients understand their eligibility, complete applications, and follow up on the status of services.* Community Resource Navigation: Maintaining up-to-date knowledge of available programs, application processes, and eligibility requirements to provide accurate guidance and support.* **Collaboration & Communication: Working closely with** **center administrator****,** **marketing sales** team, and external agencies to ensure coordinated support for patients’ social and health-related needs.* Documentation & Reporting: Accurately documenting assistance provided and maintaining compliance with organizational and regulatory requirements.The Access Community Benefits Coordinator serves as a compassionate and knowledgeable resource, ensuring that patients are empowered to access the full spectrum of benefits available to them for improved quality of life and health outcomes.**DUTIES AND RESPONSIBILITIES**The Access Community Benefits Coordinator is responsible for ensuring eligible members receive timely and effective support in accessing public assistance programs and are fully engaged with Claremedica's Access services. Key duties and responsibilities include:* **Medicaid Recertifications**: Assist patients with **DCF Medicaid redeterminations and recertifications**, ensuring documentation is submitted on time to avoid lapses in coverage.* **Eligibility Screening**: Conduct thorough screenings of all members for **Medicaid eligibility and Dual Eligibility (Medicare & Medicaid)** to maximize benefit access and improve health outcomes.* **Dual Member Growth**: Strategically identify and support eligible patients to increase the number of **Dual Eligible** members at each center, contributing to overall center performance metrics.* **New Member Orientations**: Conduct **comprehensive new member orientations** to educate patients about available benefits, services, and how to access them through Claremedica’s Access program.* **Lead Generation & Outreach**: Consistently **generate a minimum of 10 qualified Access leads per month**, referring patients to the appropriate sales or enrollment teams for PCP Changes or Plan Changes - New Sales.* **Access Engagement Rate**: Ensure **90% of members per center are engaged and seen by an Access Representative**, tracking contact efforts and outcomes to maintain a high level of program participation.* **Application Assistance**: Provide direct support with applications for programs such as SNAP, LIHEAP, Lifeline, LTC Waiver, STS, and other community-based services.* **Documentation & Reporting**: Maintain accurate records of all interactions, applications, and outcomes in internal systems and databases in compliance with organizational protocols.* **Team Collaboration**: Partner with clinical teams, care managers, and community outreach staff to coordinate services and ensure patients receive holistic, wraparound support.* **Documentation in EHR**: **Accurately document all daily member appointments, interactions, and services provided in the Electronic Health Record (EHR) system** to support performance tracking.The coordinator plays a key role in reducing social barriers to care and enhancing patient satisfaction by connecting members with the support they need to live healthier, more stable lives.Collaboration with Other Departments:* Centers/Center Admins: Medical Assistant* Center Operations & Sales Team:* Welcome & Patient Engagement**WORKING CONDITIONS**General office working conditions.**PHYSICAL DEMANDS**The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential function. While performing the duties of this job, the employee will be required to stand, walk, sit, use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; climb stairs, balance; stoop, kneel, crouch or crawl; talk or hear. The employee must occasionally lift and or move up to 15 pounds. Specific vision abilities required by the job include close vision, distance vision, peripheral vision, depth perception, and the ability to adjust your focus. Manual dexterity is required to use desktop computers and peripherals. | | || --- | --- || **FREQUENCY FACTOR TABLE** | || **FUNCTION** | **FREQUENCY** || Walking and standing | Less than 25% || Sitting | More than 75% || Physical Hand and Finger Dexterity (office equip. typewriter, computer) | More than 75% || Close vision the ability to adjust Focus (typewriter and/or computer) | More than 75% || Talking and Hearing | More than 50% || Lifting less than 10 pounds | Seldom || Lifting 10-30 pounds | Seldom |**WORK ENVIRONMENT**Work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of his job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.**TRAVEL**Local travel between care centers may be required for coverage.**SAFETY HAZARD OF THE JOB**Minimal Hazards## Qualifications**QUALIFICATIONS/REQUIREMENTS*** Experience with DCF Medicaid & SNAP, Social Security SSA - Supplemental Security Income SSI, Retirement, Disability and Medicare, Section 8 Housing, LIHEAP, STS and additional Community Social Programs.* Customer Services Skills* Data Entry and Experience with MS/Office (Word, Excel & Outlook) required. Advanced analytics reporting via Excel.* English, Spanish and Creole speakers a plus.* Demonstrable ability to communicate, build trust and rapport with clients on the phone.* Proven ability to juggle multiple projects at a time, while maintaining sharp attention to detail.