Patient Financial Services Specialist

The Position

Bargaining Unit: Local 2700– General Clerical Unit
The Contra Costa County Health Services Department is offering an excellent opportunity for qualified individuals interested in the Patient Financial Services Specialist position. The department currently has one vacancy within the division.

This team is tasked with duties that include a combination of written/oral communications and collaborating with California Children Services Admin and Medical Therapy staff, as well as the Employment and Human Services Agency. The primary focus of this is to determine program eligibility for prospective clients in regard to residential and financial requirements. This includes but is not limited to, assisting clients in establishing eligibility for the State Medi-Cal program. Onsite interviews are conducted with client families in completing this task. Consideration of due process timelines is a priority. The FE Team performs their assigned duties per the State CCS Case Management Manual, Chapter 6.

We are looking for someone who:

• Creatively problem solves to address both urgent, new challenges as well as long-lasting ones
• Is detail oriented and responsible for accurate and effective written and verbal communication
• Has the ability to be effective during challenging situations, while remaining calm and diplomatic
• Maximizes program effectiveness through strategic vision, planning, and partnership
• Communicates relevant changes and updates of information related to the scope of work to internal and external partners

What you will typically be responsible for:

• Informs individuals, agencies, and community groups about CCS residential/financial eligibility using written and oral methods
• Identifies barriers and assists the applicant/client, especially those families whose primary language is other than English, to secure medical services and coverage of the same
• Clarifies issues related to client address, phone number, health insurance, child custody or guardianship
• Refers clients to appropriate insurance programs, such as Medi-Cal, providing assistance and follow-up, as appropriate, to establish eligibility
• Ensures that financial eligibility procedures are followed accurately and timely
• Performs annual CCS renewals of residential and financial eligibility
• Schedules and conducts interviews of families potentially or currently eligible for Medi-Cal, OTLICP (formerly Healthy Families), or other insurance options, including online application assistance if necessary
• Gathers required information and documentation, including past year’s CA tax returns. Documents communication with families and eligibility determination in CMS Net, and files required documents in chart

A few reasons you might love this job:

• Opportunity to learn new skills and expand experience
• There are unique opportunities to collaborate with internal and external partners
• You will be part of a dynamic team working to improve health outcomes and empower local communities

A few challenges you might face in this job:

• Demands and needs of the program can change rapidly
• Work can be time-sensitive and stressful at times
• You will work in a highly regulated government environment

Competencies Required:

• Analyzing & Interpreting Data: Drawing meaning and conclusions from quantitative or qualitative data
• Critical Thinking: Analytically and logically evaluating information, propositions, and claims
• Legal & Regulatory Navigation: Understanding, interpreting, and ensuring compliance with laws and regulations
• Professional & Technical Expertise: Applying technical subject matter to the job
• Action & Results Focuses (Taking Initiative): Initiating tasks and focusing on accomplishment
• Adaptability: Responding positively to change and modifying behavior as the situation requires
• Attention to Detail: Focusing on the details of work content, work steps, and final work products
• Informing: Proactively obtaining and sharing information
• Listening: Fully comprehending spoken communication
• Customer Focus: Attending to the needs and expectations of customers
• Handling & Resolving Conflict: Managing interpersonally strained situations
• Involving Others (Engaging Teams): Engaging others for input, contribution, and shared responsibility for outcomes
• Teamwork: Collaborating with others to achieve shared goals
• Valuing Diversity: Appreciating the benefits of varied background and cultures in the workplace