ADAP/HICP Enrollment Specialist

Positive Impact Health Centers (PIHC) is a community leader in providing HIV prevention, care and treatment services. The PIHC model of care assures that persons with HIV have access to medical, pharmacy, dental, behavioral health and social services, providing the best opportunity for patients to achieve high-quality health outcomes.

JOB SUMMARY: The ADAP/HICP Enrollment Specialist is a critical member of a multidisciplinary team which provides efficient, effective and compassionate services to adults living with HIV in a clinical setting. The person in this role assists eligible patients with completion of applications for programs that provide financial assistance for medication and/or healthcare insurance. The person in this role will work collaboratively with members of clinic, social service, pharmacy, front desk, and billing teams.

This position description should not be interpreted as all inclusive. It is intended to identify the major responsibilities and requirements of this position. The incumbents may be requested to perform job-related responsibilities and tasks other than those stated in this position description.

ESSENTIAL FUNCTIONS:

Duties and Responsibilities

• Complete ADAP and HICP applications with eligible patients.
• Document all patient encounters in the clinic electronic medical record (EMR).
• Comply with Client Services Standard Operating Procedures (SOP) and the Georgia ADAP, HICP and CAREWare Manuals.
• Monitor the completion of ADAP/HICP initial and recertification applications, and provide required documents, including income eligibility verification to the Georgia Department of Public Health (DPH) to ensure their timely processing.
• Refer patients who are eligible for the Affordable Care Act’s Healthcare Marketplace to Health Insurance Navigators.
• Participate in monthly DPH conference calls or meetings per DPH request.
• Document all activities and encounters in the appropriate reporting systems.
• Recommend updates, refine and incorporate new processes involved in accessing medications for patients.
• Attend all interdisciplinary staff meetings as directed by supervisor.
• Attend at least eight hours of HIV specific training annually, cultural competency training annually and other applicable trainings.
• Abide by all state, health district and agency policies regarding confidentiality of patient information.
• Abide by all PIHC policies and procedures, including conflict of interest policy.
• Perform other duties as assigned.

Knowledge, Skills, and Abilities

• Possesses exemplary organizational skills.
• Possesses experience working in a healthcare setting, especially with indigent and culturally diverse populations.
• Possesses professional experience (at least one year) in a healthcare setting, preferably in a setting serving low income and uninsured/under-insured individuals
• Ability to work independently and without close supervision when needed
• Possesses Electronic Medical Record (EMR)/Electronic Health Record (EHR) system knowledge.
• Possesses excellent communication skills (writing, spelling, listening and speaking).
• Possesses problem-solving and decision-making abilities.
• Is able to work and function without close supervision.
• Utilizes good time management techniques.
• Follows through to completion of assigned tasks.
• Possesses proficiency in word processing and spreadsheet databases.

Minimum Qualifications

• Minimum of an Associate’s degree in healthcare, social services or related field of study.

Experience

• Possesses a minimum of 1 year work experience in a healthcare setting.

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 accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is frequently required to sit and talk or hear. The employee is occasionally required to walk, use hands to finger, handle, or operate computers, objects, tools, or controls and reach with hands and arms.

The employee must occasionally lift and/or move up to 30 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.