Patient Financial Coordinator

Northeast Health District; Athens, Northern (GA, KY); Hybrid; USD 25,000 - 48,000; Full time

Job summary

The Specialty Care Clinic in Athens, GA seeks a Patient Financial Coordinator to support Ryan White eligibility and enrollment into ADAP, HICP and other patient assistance programs. You will work with a multidisciplinary team to process applications and ensure compliance with program requirements.

Primary duties include benefits counseling, collecting documents for eligibility, assisting with Open Enrollment plan applications, and maintaining CareWare and DataRx to track eligibility and

Qualifications

• High school diploma/GED with 3 years related experience
• Alternate: 1 year experience at Admin Assistant 1 GST050 or equivalent

Responsibilities

• Provide benefits counseling and obtain/process documents to certify Ryan White eligibility for ADAP/HICP and other patient assistance programs.
• Assist clients with obtaining and processing healthcare plan applications during Open Enrollment.
• Maintain and monitor CareWare, DataRx, and other relevant programs to track eligibility, expiration dates, and patient compliance.
• Coordinate, monitor, track, and evaluate insurance enrollment, premium payments, co-pays, and changes in benefits with individuals, agencies, health insurance carriers, pharmacies, and the contracted Pharmacy Benefits Manager.
• Perform data entry and documentation in electronic health records and other databases.
• Provide timely follow-up and communication with clients and staff on deadlines for certification/recertification of eligibility documents.
• Actively participate in interdisciplinary team meetings and collaborate with case management to refer clients to other services as appropriate.

Skills

Benefits counseling

Open Enrollment processing

Data entry in EHRs

Interdisciplinary collaboration

Education

High school diploma or GED

Admin Assistant 1 GST050 or equivalent

Tools

CareWare

DataRx

Job description

Specialty Care Clinic

Athens, Georgia

Annual Salary: $42,000
Job Code: GST051 | Pay Grade: G | Full-Time

The Specialty Care Clinic is seeking a Patient Financial Coordinator to support activities that determine Ryan White eligibility and enrollment of clients into the AIDS Drug Assistance Program (ADAP), Health Insurance Continuation Program (HICP) and other forms of financial assistance. Working with a multi-disciplinary team that includes case management and medical providers, the coordinator will process applications and assume responsibility for ensuring compliance with Ryan White program requirements.

Primary Duties and Responsibilities:

• Provide benefits counseling, obtain and process documents to certify Ryan White eligibility for ADAP/HICP and other patient assistance programs.
• Assist clients with obtaining and processing healthcare plan applications during Open Enrollment.
• Maintain and monitor CareWare, Data Rx, and other relevant programs daily, weekly, and monthly to track upcoming eligibility, expiration dates, and patient compliance.
• Coordinate, monitor, track, and evaluate insurance enrollment, premium payments, co-pays, and changes in benefits with individuals, agencies, health insurance carriers, pharmacies, and the contracted Pharmacy Benefits Manager.
• Perform data entry and documentation in electronic health records and other databases.
• Provide timely follow-up and communication with clients and staff on important deadlines for certification and recertification of eligibility documents.
• Actively participate in interdisciplinary team meetings and collaborate with case management team to obtain information and refer clients to other services, as appropriate.

Minimum Qualifications:

High school diploma/GED and three (3) years of job-related experience

OR

One (1) year of experience at the lower-level Admin Assistant 1 (GST050) or position equivalent

Who we are.We protect lives.The Georgia Department of Public Health is the lead agency entrusted by the people of Georgia to proudly protect lives and promote healthy lifestyles in diverse communities statewide. We are committed to preventing disease, injury, and disability; promoting health and well-being; and preparing the State of Georgia for responding to disasters.

What we offer.As a member of the Georgia Department of Public Health team, you will join a passionate group of individuals who are dedicated to making an impact. No matter your role, you will individually contribute to protecting the lives of all Georgians while receiving a wide range of benefits, so you can:

• Make a Professional Impact– Build your career where it matters and protect lives in the community where you live, work, and play
• Enjoy Workplace Flexibility– Experience flexibility in how you work so you can be your best self for you and Georgia Residents
• Work witha Dynamic and Diverse Team– Collaborative and inclusive way of working where employees share ideas and leverage collective strengths
• Achieve Career Longevity– Countless opportunities for continuous learning/development that support a long-term career
• Take Part in a Hands-on Working Culture– Unique culture of active engagement and problem-solving, no matter your role
• Feel Pride in Where you Work– Be part of making an impact in public health alongside dedicated people just like you

Employee Benefits

• 13 Paid Holidays
• Generous Annual and Sick Leave
• Health, Dental, Vision, and Life Insurance
• State Retirement Plan
• Continuing Education Opportunities
• Employee Assistance Program
• Wellness Program
• Employee Discounts

This position is subject to close at any time once a satisfactory applicant pool has been identified.