Career Listings

Under the general supervision of the Outreach Coordinator, Health Center Manager, and oversight of the Director of Health Education and Prevention Programs, the Enrollment Specialist performs a variety of registration and financial screening functions with the objective of determining eligibility for medical care coverage under the terms of various private and public health care and financial services assistance programs. This position will be primarily entail evening and weekend work out in the community. The Enrollment Specialist is responsible for performing the following duties: • Researches and verifies patient eligibility for different programs and insurance coverage • Registers and interviews patients to obtain accurate and complete demographic and financial information. • Informs patients about the availability of governmental funded and discount programs. • Properly completes enrollment applications through electronic and manual systems. • Provides case management services for individuals and families on public and private health insurance programs. • Provides excellent customer service to patients, vendors and employees. • Must have reliable transportation to be used during working hours for off-site appointments and outreach activities.

The Finance Manager is responsible for assisting with General Ledger maintenance, enforcement of fiscal policies and maintaining a system of internal control. Works under the supervision of and reports to the Controller.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES

The Finance Manager is responsible for performing the following duties:

• Assists with the maintenance of the general ledger; prepares monthly journal entries, assists with preparation of schedules and worksheets for reconciliation of balance sheet accounts and revenue accounts.
• Files finance reports, prepares direct method cash flow statement, maintains fixed asset files for audit review and reconciles fixed assets and books depreciation.
• Prepares monthly financial statements and departmental income statements.
• Assists with preparing Sales and Use tax returns, and 571-L property tax returns.
• Assists with grants/contracts reconciliations, journal entries, cost reports, management reports.
• Works with other departments and external personnel to ensure that deadlines are met per the grant/contract requirements.
• Assists with vendor inquiries and with annual audits.
• May provide training to Accounting staff as needed.
• Acts as a resource and leader and may provide supervision for Accounting, Accounts Payable/Receivable, Purchasing, Payroll and Administrative staff.
• Promptly and effectively addresses and brings to resolution employee relations and other departmental matters or concerns.
• Provides resources, support, and solutions to Health Centers regarding unit related issues.
• Interacts and provides support to Management as necessary and attends group or committee meetings if required.
• Will assist with other special projects and duties as assigned, including participation in all safety programs which may include assignment to an emergency response team

The Lead Referral Coordinator provides support to the Referral Center Manager (RCM) with the daily operation of the unit and assists with the oversight of the referral center during the absence of the RCM. The Lead Referral Coordinator works under the supervision of and reports to the Referral Center Manager.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES

The Lead Referral Coordinator may be responsible for performing some or all of the following duties:

• Serves as liaison and resource for Referral Center staff.
• Maintains provider relations. Troubleshoots issues and concerns related to, or from, Specialty/Diagnostic Providers.
• Assists in the training of new Referral Coordinators and other Referral Centers staff.
• Maintains, monitors, and edits Provider distribution list.

• Monitors productivity of Referral Coordinators.
• Generates productivity, status and other reports on a weekly and monthly basis, or as needed.

• Assists with monthly staff meeting preparation. May present on topics such as process changes, updates, company policies, etc.
• Coordinates Referral Coordinators’ schedules.
• Audits Referral Coordinator customer service calls for quality and accuracy. Conducts necessary follow up in the form of reinforcement, coaching, training and discipline when needed.
• Assists the RCM with timecard approvals and requests for time off as needed.

• Assists with writing and presenting of performance evaluations.
• With guidance from RCM, addresses performance and other disciplinary matters as needed.

• Provides excellent customer service to patients, vendors and employees.
• Interacts in a professional manner and works collaboratively Clinicas’ staff, departments, and patients.
• May be assigned duties as a Referral Coordinator including permanent assignment of referral orders according to business needs.
• May assist patients with mental illness, substance abuse problems and or/emotional disturbance.

• Performs other duties as assigned, including participation in all safety programs which may include assignment to an emergency response team.

Functions and Responsibilities: • Performs technical supportive patient care services, utilizing training provided by a certified national or private Medical Assistant school. • Performs routine medical tasks and records information about the patient for the provider. • May assist the provider with patient procedures and may participate in basic administrative and clerical clinic tasks. • Floating to other Health Centers is a requirement.

Under general supervision, performs a prospective data mining of chart reviews, analyzes and deciphers clinical .linguistics and medical terminologies in assigning appropriate ICD-10 CM codes, performs a retrospective review, reviews clinical documentation data validation in compliance with Centers for Medicare and Medicaid Services (CMS), Office of Inspector General (OIG), The Joint Commission, and other regulatory government agencies. Review data validations prior to claim submission. Identify trends where clinical documentation improvement areas and areas of opportunities. Provides provider education. Assess and recommend provider performance report cards and training to support efforts to optimize efficiencies and continuous process improvements.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES

The Risk Adjustment Coder is responsible for the following:

• Comply with organization’s policies and capable of following directions.
• Prioritize tasks, collaborative work environment.
• Performs an ongoing prospective and retrospective chart reviews.
• Analyzes and deciphers clinical linguistics and medical terminologies to assign appropriate ICD-10 CM does.
• Perform chart audits.
• Identify trends in area of clinical documentation inconsistency, insufficiency and discrepancy.
• Build a trustful rapport with providers.
• Effectively communicate clarifications with providers through task query.  
• Provider education on clinical documentation improvement efforts.
• Attention to details impacts accuracy in data validation and quality data analysis.
• Development of hierarchical condition category (HCC) tools and resource materials utilizing scientific evidenced-base medicine.
• Compliance with CMS, OIG, The Joint Commission, and other government regulations and guidelines
• Audits daily encounters to ensure clinical documentations are clear, consistent, concise and completed supported with the monitoring, evaluate, assessment and treatment (M.E.A.T.) or treatment, assessment, monitoring or medicate, plan, evaluate, and referral (T.A.M.P.E.R.™) components and data validation prior to claim submission.
• Track HCC data validation.
• Collaborate with multidisciplinary teams.
• Quantitative analysis data-driven by HCC ICD-10 CM and HCC category count.
• Quality analysis data-driven by HCC validation statuses where areas of improvements and opportunities can be identified. 
• Ad Hoc Review.
• Streamlining workflow processes and collaboration with multidisciplinary teams.
• Other duties and tasks as assigned to identify continuous process improvement workflows.

Will perform other duties as assigned, including participation in all safety programs which may include assignment to an emergency team.

JOB OBJECTIVE

The Information Systems Administrator (ISA) reports directly to and is under the direct supervision of the IS Manager. The ISA will administer and support client workstation and server systems hardware, operating systems and applications software. The ISA will align with the IT objectives towards the delivery of effective IT solutions, systems security, reliability and performance. The ISA will adhere to and promote compliance with the organization’s information systems policies and procedures. The ISA will rely on instructions and established guidelines to perform the functions of the position.

ESSENTIAL FUNCTIONS AND RESPONSIBLITIES

Administer and support workstation and server hardware, operating system software, application and office productivity software and network resources; administer data backup; troubleshoot and recover PC workstation, server and network functionality; support patient processing, clinical tracking and reporting activities; ensure proper and timely communication and resolution of systems issues; train employees on systems use, proper access to corporate network and available resources, use of office software tools and use of business software; other systems administration and support tasks as assigned. Additional duties may also include participation in all safety programs which may include assignment to an emergency response team.