Access Representative I - West Fairfield

Communicare+OLE; Fairfield (CA); On-site; USD 332,000 - 406,000; Full time

Benefits offered by this job

Medical, Dental, Vision Coverage

PTO 18 days

Holidays 10 + float

403(b) retirement plan matching

Tuition reimbursement

Job summary

CommuniCare+OLE, established in 2023 by the union of OLE Health Napa/Solano and CommuniCare Health Centers of Yolo, is seeking an Access Representative I in West Fairfield, CA. The role supports patient access with a focus on service quality and accuracy across EMR, eligibility, and scheduling workflows.

The position is nonexempt/hourly, with a schedule Monday–Friday 8am–5pm and some Saturdays. Benefits include comprehensive medical coverage, PTO, holidays, retirement plan options, and tuition

Qualifications

• High School Diploma or GED required.
• Entry level; one year healthcare experience preferred.
• Bilingual English/Spanish/Dari/Punjabi/Vietnamese strongly preferred.
• Must certify and remain current in CPR certification.
• Strong analytical and problem-solving skills with attention to detail.
• Data entry skills and experience with Microsoft Office and EMR/EHR systems preferred.

Responsibilities

• Greet patients in person or by phone and provide courteous customer service.
• Input patient data accurately into EMR before saving to records.
• Screen patients for insurance eligibility using prescribed scripts and refer self-pay patients to Eligibility Specialist.
• Answer calls promptly and document encounters using the designated form.
• Schedule appointments and pre-register patients; provide program information as needed.
• Collect co-pays and payments; balance cash and receipts at shift end.
• Maintain patient privacy and confidentiality; secure PHI at all times.
• Assist with training new staff and support team during peak times.
• Open mail and process forms; follow managed care procedures for authorizations.

Skills

Bilingual

CPR certification

Data entry

Microsoft Office

EHR system

Education

High School Diploma

Tools

Electronic Health Records (EHR)

Job description

Position Title

Access Representative I

Department

Medical

Reports To Title

Access Supervisor

DLSE/FLSA STATUS: ( )

____Exempt/Salaried position

_ X__Nonexempt /Hourly position

SUPERVISORY RESPONSIBILITIES ( does this position have direct reports ):

YES

NO

LOCATION: West Fairfield, CA

PAY RANGE: $24.21 to $29.59/ hr , depending on years of experience

SCHEDULE: Monday to Friday, 8am to 5pm (Some Saturdays)

About CommuniCare+OLE

Established in 2023, CommuniCare+OLE is the result of a union of two health centers with a deep roots in their respective communities and reputations for providing high-quality primary care to all, regardless of insurance or ability to pay: OLE Health of Napa and Solano Counties and CommuniCare Health Centers of Yolo County. Building on a legacy established by both organizations in 1972, CommuniCare+OLE is a network of federally-qualified health centers with 17 sites across Napa, Solano, and Yolo Counties. It offers comprehensive care, including medical, dental, behavioral health and substance use treatment, nutrition, optometry, pharmacy, care coordination, referrals, and enrollment assistance to more than 70,000 individuals, and no one is turned away due to lack of insurance, immigration status, or ability to pay. Many services are offered outside of its sites, including mobile health, home visiting, and community and school-based programs.

Benefits

• Medical, Dental, Vision Coverage
• Employer covers 90% of employee medical, dental and vision premium and 50% of dependent premium
• 18 days of PTO (Vacation & Sick)
• 10 Paid Holidays + 1 Float Holiday
• 2% employer match with employee 4% Contribution 403(b) retirement plan
• Tuition Reimbursement of up to $2,000 per Calendar Year for part-time and full-time employees (prorated per Full-Time Equivalent)
• Life & Accidental Insurance Coverage
• Employer contribution for Health Savings Account
  

Job Summary/Overview

The Access Representative I works under the Access Supervisor with a team of administrative, clinical and program staff members to perform a variety of patient services responsibilities. The Access Representative I is responsible for greeting patients in person or on the phone and driving a positive patient customer service experience. The Access Representative will maintain a safe and clean reception area by complying with procedures, rules, and regulations and will also be responsible for maintaining continuity among work teams by documenting and communicating actions, irregularities, and continuing needs.

CommuniCare+OLE provides an inclusive workplace that promotes and values diversity and life experience.

CommuniCare+OLE encourages people of all backgrounds to apply including, but not limited to, Black, Indigenous Peoples,

people of color, immigrants, refugees, women, LGBTQIA+, people with disabilities, veterans, individuals of

all ages and religions, and individuals who have been affected by the legal system.

YOU ARE WELCOME HERE.

***The following reflects requirements and essential functions of this position but does not restrict tasks that may be assigned. Essential functions include basic job duties, core elements, or fundamental responsibilities that an employee must perform to hold the position. Employees must be able to perform these essential functions with or without reasonable accommodation (accommodation may be requested). Duties and responsibilities are not all-inclusive, and they may be assigned or reassigned to this job at any time, due to reasonable accommodation or any other reason. ***

MINIMUM POSITION REQUIREMENTS: EDUCATION, EXPERIENCE, SKILLS/TRAINING

• Education:
  
  

High School Diploma or General Education Degree required.

• Experience/Lived Experience:
  
  

Entry level position; one year of experience in a healthcare setting preferred.

• Special Skills/Training:
• Bilingual in English/Spanish/Dari/Punjabi/Vietnamese strongly preferred.
• Must certify and remain current in CPR certification.
• Strong analytical and problem-solving skills and attention to detail required.
• Data entry skills, Microsoft Office, and Electronic Health Record system preferred.
  
  

Essential Functions And Responsibilities

Demonstrates exceptional customer service skills including greeting patients in a kind, compassionate and courteous manner; responds effectively to patient questions; manages multiple priorities and heavy patient workloads with patience and confidence.

Accurately inputs patients data in full on their records before saving onto EMR system

Makes use of designated script and protocol to screen patients for insurance eligibility; refer all self pay patients to Eligibility Specialist prior to scheduling a follow-up visit; place calls to patients prior to appointment in order to confirm eligibility.

Answer all telephone calls in a timely, efficient, and courteous manner leading to high patient satisfaction; takes accurate and comprehensive encounters at all times using the designated message form.

Schedules patient appointments with providers and provides accurate information to patients regarding a wide variety of programs and services; pre-registers all patients; places reminder calls to patients to confirm appointments.

Accurately charges patients without funding sources according to the CommuniCare+OLE sliding scale; Collects cash and credit payments from patients; assures that all monies are counted and balanced with receipts at the end of the designated shift .

Enforces patient privacy and confidentiality guidelines with all clients; ensures that all protected health information is out of view of other patients at all times, and is secure when work shift has ended; Ensures that all protected health information is disposed of in the proper manner when required.

Carries tablet to greet and direct patients at entrance when appropriate.

Completes the check in process and registers patients for their appointments.

Provides assistance during training of the new staff .

Schedule appointments as needed, according to policies and guidelines

Capture patient demographic information, insurance information, structured data into Electronic Health Records with each patient encounter, scan all forms into Electronic Health Records as applicable and appropriately change check in status

Verify insurance eligibility through proper insurance variation systems and updating payor codes

Ensure required forms are completed and signed; provide assistance to patients in completion of applicable forms

Collect and post co pays, payments, existing balances, and provide necessary receipts

Reconcile monies with day sheet detail report and ensures safe keeping of all cash, checks and credit cards transactions received

Prompt follow up of telephone encounters/recalls/appointment request

Open incoming mail and process or direct as appropriate.

Keep log of all patients given Presumptive Eligibility and submit to State on a weekly basis (Perinatal Services only)

Follow managed care procedures, as applicable to obtain authorization for services in order to ensure payment and reduce denials.

Attends routine department meetings, in service trainings, and other meetings as required to maintain professional growth and comply with the organization policy

Verify accuracy of information, obtain necessary consents, and documentation on all patients upon registration and scheduling.

Responsible for greeting patients professionally on the phone or in person and driving a positive and personal patient/customer service experience.

All other duties as assigned.