Patient Outreach Specialist

Patient Outreach Specialist - Full Time, Days (Anaheim) We are hospitals and affiliated medical groups, working closely together for the benefit of every person who comes to us for care.
We build comprehensive networks of quality healthcare services that are designed to offer our patients highly coordinated, personalized care and help them live healthier lives.
Through collaboration, we strive to provide all of our patients and medical group members with the quality, affordable healthcare they need and deserve.
Under the general direction of the Clinic Operations Manager, the Patient Outreach Specialist will provide patients/individuals with the education needed about our services, assist with the enrollment process, support new membership projects, retention assistance, and develop relationships with strategic community partners.
Employee Value Proposition Prospect Medical Holdings, Inc.
, is guided by a diverse and highly experienced leadership core.
This group maintains the vision that has made Prospect a needed difference-maker in the lives of so many patients today, and many executives contribute to our continued efforts.
As a member of our highly effective team of professionals, benefit eligible positions will receive: Company 401K Medical, dental, vision insurance Paid time-off Life insurance Job Responsibilities/Duties Enters new patient demographics and updates established patient information, as necessary, in EHR to maintain accurate patient medical records.
Obtains both new and established patient insurance information including eligibility and authorization necessary.
Assist patients in applying and/or aligning their health care coverage plans, providing necessary follow-up, and data collection.
Assisting patients identified to navigate the enrollment process to secure needed services.
This includes working on new additions and loss of patients in various networks.
Outreach and schedule patient appointments as necessary to ensure membership retention and growth for the group.
This includes phone calls, email outreach as well as letter and mail-out preparation.
Outreach and educate patients regarding how and where to access health care services.
Outreach to members of new services and new providers.
Assists in conducting assessments of the retention efforts and identifying areas of improvement.
Demonstrates flexibility with work schedule and work assignments, including floating to other medical offices.
Promptly answers and responds to all calls in a professional manner.
Acts as a liaison between patients, referring and treating physicians, staff, hospitals, and others involved in patient care.
Identifies patients’ important needs, answers to their questions and assists with informed patient decisions that may arise prior to and/or post office visits appointment time.
Provides patients with practical resources and offers emotional support and understanding throughout the patient care coordination process.
Outreach to patient membership that have overutilized hospital services.
Maintain quality customer satisfaction.
Monitors patient requests and outgoing messages for various patient experience initiatives such as Follow My Health.
Assists with front office duties where necessary to assist patients to uphold patient experience and support operations including but not limited to clinical setting deliverables.
Prepares welcome materials for new patients and current patients.
Participates in planning discussions and meetings.
Assists in developing tactical plans to support outreach and patient membership goals.
Prepare and submits weekly productivity reports.
Other duties as assigned.
Qualifications Minimum Education: High School Diploma required.
College Courses and/or associate degree in healthcare administration preferred.
Minimum Experience: 3 - 5 years of health care experience in customer service, administration and/or patient care coordination required.
Req.
Certification/Licensure: None With approximately 9,000 physicians to serve our 260,000 members, Prospect Medical Systems is proud to be among the most innovative medical systems in California, Texas and Rhode Island.
Our extensive care services range from primary care and specialty physician services to acute care hospital and skilled nursing facilities to behavioral health and wellness services.
Each of our Independent Physician Associations (IPAs) and networks support the use of advanced diagnostic and treatment tools to provide our members with convenient access to state-of-the-art healthcare.
For 25+ years, Prospect Medical has been focused on our mission of supporting independent physicians where, through risk arrangements, we work closely together with health plans, facilities and healthcare physicians for the benefit of every person who comes to us for care.
We provide quality healthcare services that are designed to offer our patients highly coordinated, personalized care and that help them live healthier lives.
Prospect Medical Systems manages highly successful IPAs by leveraging our best-practices, results-driven administrative services to manage patients under risk arrangements with health plans/CMS.