Staff Positions

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Data Quality Analyst

Location: Shafter

Job Summary:           Under the general direction of the Data Analytics and Business Intelligence Manager, plans and implements new and existing healthcare quality improvement initiatives and education programs; conducts data collection, reporting and monitoring for key performance measurement activities.

.Essential Job Functions:

  1. Collaborates with other departments to analyze and reports the results of quality improvement studies, initiatives and / or projects to monitor, evaluate and / or continuously improve the quality of healthcare services.
  2. Evaluates the collection, evaluation and / or dissemination of quality improvement data for quality initiatives, studies and / or projects to comply with regulatory requirements and / or accreditation standards.
  3. Writes, prepares, and / or presents reports and analyses to evaluate performance improvement using a variety of sources, including, but not limited to: internal quantitative data; external industry data; survey data; input from members, providers and / or other key stakeholders; input from Molina employees and senior leaders, etc.
  4. Produces reports and analyses that show graphically the results of projects and collaborates as needed to ensure reports meet required timelines, business needs, and other regulatory requirements.
  5. Performs qualitative and / or quantitative analyses to identify important and urgent concerns; develops improvement plans and / or measurements to assess impact of actions.
  6. May participate in other activities such as, but not limited to: the analysis of quality of care issues and serious reportable adverse conditions, the analysis of credentialing files, the analysis of quality metric data, including, but not limited to, UDS, HEDIS, STARS, etc., the analysis of medical records data, etc.
  7. Develops ad-hoc reports as necessary
  8. Presents data where needed
  9. Consults with staff on data and reporting problems and assists in developing means to correct the problems
  10. Provides on-going consultation and technical assistance.

11.Performs other work-related duties as assigned.  Assignments may be verbal or in written form.

 Job Requirements:

  1. HIPAA compliance – Responsible for being aware of, and complying with, all HIPAA regulations and requirements. Treats all patient information as confidential.
  2. Compliance – Ensures compliance with all local, state and federal regulations.
  3. Quality Assessment/Quality Improvement – Participate as assigned in QA/QI activities and contribute towards the overall performance improvement in the organization.
  4. Information Technology – Required to understand each and every key and core business application system in use I.e. NextGen EHR, SAGE, ADP, Office 365, Cloud computing, Data Loss Prevention and contingency planning.
  5. All employees will participate in Patient Centered Health Home Model at Omni Family Health.

 

Qualifications:

Education:

Minimum high school diploma or the equivalent (e.g. GED); Bachelor’s degree in Computer Science (can be substituted with 4 years documented experience in data analysis).

Experience:

Minimum 2 years in an IT position, preferably in a healthcare setting.

Minimum 1-year prior experience in development and/or analyzing performance measures. that support business objectives.

License/Certification:

N/A

Skills/Competencies:

  1. Strong knowledge of SQL, SSRS, SSIS, data analytics, business intelligence, project management, process documentation, advanced SQL querying.
  2. Experience in successfully managing and delivering multiple projects.
  3. Perpetuate industry best practices philosophy among team and facilitate continuous improvement in staff and technology systems.
  4. Embody strong dedication to customer service for internal and external customers and develop strong interdepartmental relationships.
  5. Strong written, verbal and communication skills. With the ability to be persuasive, confident and content expert on subject matter.
  6. Reliable transportation.
  7. Promote and believe in OFH mission statement and vision.
  8. May provide after-hours support as needed and other job-related work as required.
  9. Demonstrates promptness and sense of urgency pertaining to projects, outages, policies and procedures.
  10. Establish and maintain cooperative and effective working relationships with others to include vendors.

Classification:  Full Time Position, Exempt

Patient Access Specialist

Location (Fresno Area):

  • Reedley – Manning Site
  • Reedley – Women’s Site
  • Fresno – Merced Ave. Site
  • Fresno – Women’s Site (First Street)

Job Summary:           Facilitates timely access to care by ensuring patient eligibility and benefits are verified prior to services. Works with health plans to transfer patients to Omni Family Health (OFH) and obtain prior authorization for services when required. Performs check out function and reconciles scheduled appointments with posted charges on a daily basis. Responsible for correcting claims and posting errors. Has knowledge of commonly used medical terms and procedures.

Job Duties:

  1. Verify eligibility and benefits for scheduled patients and same-day appointments according to OFH policy.
  2. Work with Omni staff and health plans to assist patients with switching patients to an OFH provider (PCP).
  3. Resolve registration and authorization issues prior to patient visit. Obtain authorizations for pre-determined procedures when required. Ensure all information required to complete the billing process is obtained prior to patient checkout.
  4. Update patient account to indicate pertinent information required for billing. Review RTS manager daily to correct errors identified prior to patient visit.
  5. Assist patients with identifying the appropriate “Financial Assistance Program” within OFH that meets their needs. Coordinates these needs with Health Center leadership, scheduling & Navigators.
  6. Research documentation with physician and/or other medical personnel if clarification is required. Maintains an effective working relationship with OFH providers and Health Center leadership.
  7. Post charges for completed encounters during checkout.
  8. All other related duties as directed by the Billing Supervisor.

 Additional Duties:

  1. HIPAA compliance – Responsible for maintaining abreast of and in compliance with all HIPAA regulations and requirements. Treats all member information confidential.
  2. Compliance – Ensure compliance with all local, state and federal regulations.
  3. QA/QI – Participate in QA/QI activities and contribute towards the overall performance improvement of the organization.
  4. IT – Required to learn and use the Electronic Health Record and Practice Electronic System) and its components. As required by the job functions and highlighted in the Policies and Procedures. These components include NextGen, PMS, QSI and other electronic features, as they are developed and implemented, as applicable to work environment.
  5. All employees will participate in Patient Centered Health Home Model at Omni Family Health.

Qualifications, Education, and Experience:

Education:

  • Minimum High school graduate or GED.

Experience:

  • Minimum of two year’s experience in handling billing and account receivables in a similar healthcare environment.

License/Certification:

  • N/A

Skills/Competency:

  • Working knowledge of coding rules, regulations, and third party payer requirements preferred.
  • Must possess good customer service skills and professionalism to interact with internal and external customers, patients and staff.
  • Ability to work under pressure.
  • Ability to handle multiple functions.
  • Understanding of community based organizations.
  • Ability to demonstrate effective communication skills (verbal, nonverbal, written) with the medical/dental staff and Office managers.
  • Ability to work proficiently and efficiently in a timely manner.
  • Ability to problem-solve and make decisions consistent with organizational policies and procedures
  • Able to work independently, demonstrating effective initiative, follow-through, organizational skills
  • Knowledge of all payer codes.
  • Knowledge of State and County programs offered by OFH.
  • Ability to relate to the public regardless of ethnic, religion and economic status.

Responsible To:  Billing Supervisor

Classification:  Full or Part Time, Non-exempt

Practice Development Coordinator

Job Summary:       The Practice Development Coordinator works under the Director of Practice Development and will assist with the implementation of the company’s Mergers and Acquisitions processes and will ensure all related tasks are initiated and finalized in an efficient and timely manner for each provider/group.  The Practice Development Coordinator will be the primary point of contact during and after a successful on-boarding of a Merger and Acquisition providers.

Job Duties:

  1. Meet with a potential merger provider lead in a timely manner at their convenience at a place of their choosing to further discuss their plans, timeline and situation.
  2. Provide detailed information about the organization (history, services offered, health center locations, etc.) and explain the merger process should the provider decide to become part of Omni Family Health.
  3. Track and follow up on M&A leads and conduct provider visits as needed and as assigned.
  4. Provide examples of the different merger models and answer any questions they may have.
  5. Provide timely summary of provider practice status changes and share with key staff.
  6. Track progress and maintain accurate files of all providers going through the merger and acquisition process.
  7. Keep Director of Practice Development aware of any provider concerns and problems of an extremely sensitive and highly confidential nature, and of any challenges or issues in the merger and acquisition.
  8. Prepares and delivers confidential Omni Agreements, and obtain provider signature, including but not limited to:
    • Business Associate Agreement
    • Mutual Non-Disclosure Agreement
    • Medical Service Agreement
    • Medical Practice Transition Agreement
    • Asset Purchase Agreements and,
    • Any other agreement required to complete the merger and acquisition.
  1. Distribute executed agreements internally and externally in accordance with company’s Policies and Procedures.
  2. Must be able to work collaboratively with multiple internal departments as well as external organizations to achieve goals, solve problems and meet established organizations objectives.
  3. Ability to maintain knowledge of and conform to company policies and procedures.
  4. Provide excellent customer services skills, including consistently displaying awareness and sensitivity to the needs of internal and/or external clients
  5. Maintain adequate and productive scheduling by contacting providers and/or their office personnel to schedule on-site visits.
  6. Perform other work related duties as directed by the DPD. This additional duties may be given either verbally or in writing.
  7. Must be able to travel to locations both in and out of town that may require overnight stays on occasion; minimum of (2) to three (3) days per month. Must have access to a personal automobile.  

Additional Duties:

  1. HIPAA compliance – responsible for maintaining abreast of and in compliance with all HIPAA regulations and requirements. Treat all patient information as confidential.
  2. Compliance – Ensure compliance with all local, state and federal regulations.
  3. QI – Participate in QI activities and contribute towards the overall performance improvement of the organization.

Qualifications: Education, Skills and Experience

Education:

Minimum high school diploma or equivalent required. Associates degree from an accredited college or university preferably in healthcare administration or other related field preferred.

Experience:

Minimum of five (5) years of provider relations and/or customer service experience working with a medical/provider group, IPA or health plan in a managed care environment required.  Project management and provider contract negotiations preferred

License/Certification

Must have a valid driver’s license with an acceptable driving record.

Skills/Competencies:

  • Must be highly proficient in Microsoft Word, Outlook, Excel and PowerPoint.
  • Must be able to demonstrate relationship management, instill credibility and trust, and influence through collaboration.
  • Excellent communication skills; able to read, write, create professional documents using proper grammar, punctuation, appropriate reading level and speak articulately, using established channels of communication and reporting relationships within the organization.
  • Ability to communicate effectively with all levels of internal/external staff, management, member’s physicians/physician office staff, vendors, etc.
  • Must be attentive to detail, accurate, thorough, and persistent in following through to completion of all activities, demonstrating initiative for completing work assignments.
  • Ability to handle various situations in a professional manner, demonstrating excellent customer service at all times and ability to adapt to change.
  • Ability to effectively provide feedback to team members through written and verbal communication.
  • Work independently, keep workload organized/prioritized and demonstrate effective follow-up and problem solving skills.
  • Ability to read and comprehend documents of a moderately complicated nature.
  • High degree of professionalism and knowledge of business operations.
  • Thorough knowledge of generally accepted professional office procedures and processes.
  • Ability to use the following general office equipment correctly and safely: desktop computer for data entry and typing, printer/copy machine, scanner, facsimile machine, and telephone equipment.
  • Ability to be reliable in attendance and timeliness to work schedules.
  • Ability to adhere to dress code, good grooming, and personal hygiene habits.
  • Extensive conceptual and practical knowledge of HMO/PPO, FFS, capitated and specialty contracting.
  • Maintain adequate and productive scheduling by contacting providers and/or their office personnel to schedule on-site visits.
  • Support the mission, vision and strategic goals of OFH and the department.
  • Attend and participate in required meetings and developmental (training) activities.
  • Maintain all certifications or licensing required by the job.
  • Adhere to all OFH policies and procedures as well as departmental policies and procedures.
  • Maintain strict confidentiality at all times. Perform duties in a manner that ensures compliance with all current laws and regulations (HIPAA, etc.).
  • Perform all work in a safe manner and within established safety guidelines.

 Responsible To:         Director of Practice Development

Classification:             Full Time Position, non-exempt

Behavioral Health Care Coordinator

Location(s):

  • Fresno – Reedley/Manning Site
  • Kern – Delano/Fremont Site
  • Kern – Bakersfield/California Ave. Site

Position Summary:  

The Behavioral Health Care Coordinator will perform a full range of professional clinical case management assignments in a full-functioning capacity and in accordance with policies, procedures and protocols established by Omni Family Health (OFH), licensing and certificate and other regulatory agencies requirements. The Care Coordinator employee will explore basic personality structure in relationship to developing behavioral patterns, mechanisms, and symptoms. The employee shall apply principles, knowledge, and practice of professional social work to provide research, consultation, and preventive social service programs to individuals, families, groups, and organizations in OFH service areas.

Job Duties:

The following are essential job accountabilities:

  1. Responsible for conducting initial patient assessment as well as writing up assessments that meet specified standards for OFH patients who might have mental illness or substance abuse problems, or other relationship issues.
  2. Supports patient access to community services by completing referrals to community resources such as housing, substance abuse programs, case management, food baskets, parenting classes and other related services.
  3. Supports the behavioral health providers by assisting in the completion of or complete (per scope of practice) forms for patients. This includes but not limited to SSI, housing for mental health patients, IHSS, general services such as housing, transportation, JV220, prior authorization for psychotropic medications and jury duty exemptions.
  4. Provides assistance to OFH patients by helping them cope with issues in their everyday lives, relationships and helping them to solve personal and family problems by making appropriate referrals.
  5. Conduct interviews with OFH patients and their families to assess and review their need for seeking help from OFH services.
  6. Assists patient in meeting their issues and needs by providing information and support to community resources.
  7. Provides psychosocial support to patients, their families, or any vulnerable populations so they can cope with chronic, acute, or terminal illness.
  8. Supports patient access to care by developing relationships with area schools, group homes, and non-profit agencies. Utilizing these relationships in making client referrals to appropriate services.
  9. Ensures behavioral health department representation in multidisciplinary teams, committees, and meetings, for example child protection and behavioral health.
  10. Maintains accurate records and prepares verbal and written reports and correspondence related to the work.
  11. Responsible for developing and providing written reports and statistics for any Mental Health Grants as assigned by the Director of Behavioral Health.
  12. Supports case management of patients by following up with patients regarding outside appointments and referrals.
  13. Supports continued development of OFH personnel by providing in-service presentation to staff as needed or required on subjects that position is expert.
  14. Any additional work related duties that are required for patient care under OFH protocol as directed by the Director of Behavioral health. These additional duties may be verbal or provided in writing.

 Additional Duties

  1. HIPAA compliance – Responsible for enforcing compliance with all HIPAA regulations and requirements. Treats all member information confidential.
  2. Compliance – Ensure compliance with all local, state, and federal regulations.
  3. QA/QI – Participate in QA/QI activities and contribute towards the overall performance improvement of the organization.
  4. IT – Required to learn and use the Electronic Health Record and Practice Electronic System and its components as required by the job functions and highlighted in the Policies and Procedures.
  5. All employees will participate in Patient Centered Home Health Model at Omni Family Health.

Qualifications, Education, and Experience

Education:

Bachelor’s degree in Social Work, Counseling, Psychology, or an acceptable related field.

Experience:

Minimum 1-year prior experience in case management preferred.

Skills:

  1. Emotionally mature, objective and sensitive to people and their problems
  2. Ability to handle position responsibilities, work independently, and maintain good working relationships with patients and coworkers.
  3. Empathy, combined with genuine desire to improve the quality of lives of patients is essential, as is the ability to take difficult decisions under pressure.
  4. Bilingual in English and Spanish preferred.

Responsible to:          Director of Behavioral Health

Classification:            Full-time, Non-exempt

Billing Supervisor

 

Position Summary:

Supervises, plans, implements and oversees the syste m-wide activities
related to filing of all claims on both UBs and 1500 forms including cla ims that require invoices and/or reports. References direct data entry (DDE) for verificat ion of beneficiary’s name for Medicare claims. Commun icates reoccurring billing errors to Director of Billing through weekly and monthly reports along with recommendations for solution. Supervise staff in the performance of denial management , claims processing, statement submission and monthly statistics of overall performance. Maintains satisfactory clearinghouse and system level error rates and ensures the accuracy of claims being submi tted for payment. Interact with Omni Family Health’s Health Center Managers and other business office staff in order to facilitate education required to reduce error rates when necessary. Prepares monthly analysis a nd benchmark repo rts on physician and department billing performance.

Job Duties:

The following are essential job accountabilities:

  1. Supervises the submission of elect ronic a nd paper claims daily & monthl y patient
    statements. Through billing staff provides feedback to physician practice staff on data and
    demographic correctio ns. Coordinate with healt h ce nter managers and Omni Family Health staff to maintain expected daily submiss io n benclmrnrks for AR collect ions, closed claims, clean (first pass rate 95%) and bad debt rates (< 5%). Reconciles multiple billing systems and int erfaces, including rejections to ensure time ly billing. Info rm quality review (QR) when additional training needs are identified that will assist billin g an d front office staff wit h issues related to clean claim submission, patient registration or other EPM maintenance concerns. Interviews, hires, and disciplines staff as necessary.
  2. Perform EDI e nrollm ent of new and existing providers to manag ed services. Process
    daily DSG request s and receipts to reco ncile to patien t accounting system submissions and adheres to regulatory guidelines for timely submission and reprocessing. Oversees the submission and receipt of 837, 835 files betwee n Omni Family Health and outside vendors.
  3. Reviews and analyzes clinic level repo rts to ensure all scheduled se rvices have charges updated within department guide lines. Verifies the accuracy and timeliness of billing activities, problems and trends. Works with support personne l to develop effective reporting and diagnostic tools.
  4. Identify and work with all departments to correct potential proble ms from all phases of the billing process including sched uling , authorizat ion and verification, reg istra tion, charge processing , cod ing, denials and follow up.
  5. Various other work-related duties as assigned by supervisor. These duties and
    responsibilities may be added, deleted, or changed at any time at the discretion of management, formally or informally either verbally or in writing.

Additional Duties

  1.  HIPAA compliance – Responsible for enforcing compliance with all HIPAA regulations and requirements. Treats all member information confidential.
  2. Compliance – Ensure compliance with all local, state, and federal regulations.
  3. QA/QI – Participate in QA/QI activities and contribute towards the overall performance improvement of the organization.
  4. IT – Required to learn and use the Ele ctronic Health Record and Practice Electronic System and its components as required by the job functions and highlighted in the Policies and Procedures.
  5. All employees will participate in Patient Centered Home Health Model at Omni Famil y Health.

Qualifications, Education, and Experience

Education:

I. High school graduate with three years of medical billing and accounts receivable experience.

Experience:

  1. Three (3) years of billing and accounts receivable experience or
  2. Two (2) years of Supervisor experience preferred, 5 years of billing experience if not supervisory experie nce

Sk ills:

  1. Ability to operate computers, Microsoft operating system and provide direction to staff as needed.
  2. Must be able to take responsibility and work under pressure.
  3. Basic knowledge of CPT and ICDl0 codes.
  4. Ability to work under pressure and handle multipl e functions.
  5. Knowledge of community based organizations.
  6. Ability to communicate with the providers and medical/dental providers and staff.
  7. Promotes and believes in OMNI mission statement.
  8. Ability to work proficiently and effectively within a timely manner.
  9. Knowledge of account receivable processes, payor codes, and other bookkeeping functions.

Responsible to:     Director of Revenue Cycle

Classification: Full-time , Exempt

Billing Manager

Title:                           Billing Manager       

Position Summary:   The Billing Manager organizes the system-wide activities and staff related to billing for Omni Family Health (OFH). Assumes supportive role to outside vendors, other OFH departments and Health Center leadership. Maintains adequate staffing levels to effectively support the revenue cycle process.

Job Duties:

The following are essential job accountability:

  1. Controls the effectiveness and efficiency of the billing effort. Establishes and monitors billing productivity standards and on-going efforts, monitors outstanding claims and billing activities, maintains a continuous quality improvement program to ensure productive workflow and compliance.
  2. Works with the Collections Supervisor to ensure identified billing issues are resolved timely. In addition, develops effective reporting and diagnostic tools to maintain billing compliance.
  3. Acts as a direct liaison between RCM and health centers by supporting the on-going training requirements for the Front Office Clerks (FOC) through the creation of training materials, videos and quarterly workshops.
  4. Works closely with other departments regarding new RCM updates, Standard Operating Procedures (SOPs) and new Managed Care contract requirements. Coordinates timely resolution of open items and revenue activity within other departments.
  5. Ensures Coding Supervisor maintains provider and staff compliance with expected accurate documentation standards through the completion of baseline audits for new coders and providers as required to be in compliance with CMS guidelines and Federal regulations.
  6. Manages supervisors and staff assigned to RCM. Plans, mentors, reviews and revises work assignments as necessary to meet department goals. Interviews, selects and hires staff. Settles employee problems, disputes, and administers appropriate disciplinary action when necessary. Promotes teamwork and conducts weekly/monthly meetings with direct reports.
  7. Works with OFH RCM leadership to monitor denials specific to billing & coding deficiencies, develop and implement innovative methods to decrease denials that directly impact reimbursement for services rendered.
  8. Completes monthly/quarterly analysis and reports related to FQHC reconciliation, audits and acquisitions.
  9. Assist department director with other assigned tasks/duties and reports as needed. These duties and responsibilities may be added, deleted, or changed at any time at the discretion of management, formally or informally either verbally or in writing.

Additional Duties

  1. HIPAA compliance – Responsible for enforcing compliance with all HIPAA regulations and requirements. Treats all member information confidential.
  2. Compliance – Ensure compliance with all local, state, and federal regulations.
  3. QA/QI – Participate in QA/QI activities and contribute towards the overall performance improvement of the organization.
  4. IT – Required to learn and use the Electronic Health Record and Practice Electronic System and its components as required by the job functions and highlighted in the Policies and Procedures.
  5. All employees will participate in Patient Centered Home Health Model at Omni Family Health.

Qualifications, Education, and Experience

Education:

  • High school diploma or GED
Experience:
  • Minimum of five (5) years billing and accounts receivable experience in a physician practice, preferably in an FQHC environment.
  • Minimum of two years physician coding experience in a multi-specialty environment. Desired, not required.

Certification:

  • CPC, CPCH, and/or CCS-P certification preferred
  • Valid CA driver’s license

Skill/Competency:

  • Ability to work under pressure.
  • Ability to demonstrate effective communication skills with providers and management staff.
  • Ability to develop teaching and auditing tools to provide educational programs for physicians and billing staff.
  • Proficient with excel and other Microsoft office products.
  • Knowledge of 3M encoder and/or encoder pro software.
  • Maintain annual coding certification requirements.
  • Must have a working knowledge of coding rules, and third party payer requirements.
  • Must have reliable transportation.

Responsible to:           Director, Revenue Cycle Management

Classification              Full-time, Non-exempt

Dental Hygiene Outreach Manager

TITLE:                      Dental Hygiene Outreach Manager

JOB SUMMARY:     Under the direction of the Director of Dental services, the Dental Hygiene Outreach Manager works to build Omni Family Health (OFH) community awareness in the health benefits of oral health and the coordinated dental/medical services that OFH provides.  This position acts in accordance with established protocols, the person in this outreach position will oversee and coordinate   contacts to dental care, advocate for oral health, motivate and assist people to prevent dental and oral disease and provide administrative direction and support for OFH’s dental outreach program. Additional duties include providing preventive dental services during outreach activities to individuals and families off site, engage patients with motivational interviewing and goal setting. The Dental Hygiene Outreach Manager will collaborate and communicate effectively with a multidisciplinary team to ensure comfortable and exceptional patient care experience.

JOB DUTIES:

  1. Works to expand OFH’s oral health community outreach and education services by overseeing the planning, organizing, and implementation of dental outreach events and activities within the community.
  2. Coordinates processes to identify high-risk oral health patients and enroll them in the dental services program.
  3. Supports the expansion of the program by developing and consistently updating the tracking process of logged individual patient and community contacts.
  4. Ensures the success of the outreach program by collecting engagement data and submitting regular monthly reports on patients served and community connections.
  5. Work with primary care providers and Dental and Medical Directors to help improve dental services for children and enhance the Medical Dental integration efforts.
  6. Coordinates and links patient to appropriate community resources for health and health-related services consistent with regulatory, contractual and corporate requirements.
  7. Cultivates relationships with referral sources and multi-disciplinary team that includes, but is not limited to medical, dental, prenatal providers, case managers, outreach staff, call center staff and community partners.

Other Duties:

  1. Performs off-site dental prevention activities according to the table of permitted duties and licensure.
  1. Participate as an active member of the NextGen team to coordinate appropriate interdisciplinary care for oral health patients and ensure needed follow-up services.
  2. Maintain current knowledge of oral health as well as different types of dental benefits and insurance.
  3. Provides administrative support and is familiar with clinic procedures such as scheduling of appointments, patient fees, confidentiality, and availability of a variety of services.
  1. Other duties as assigned by supervisor.
  2. Duties and responsibilities may be added, deleted, or changed at any time at the discretion of management, formally or informally either verbally or in writing.

 ADDITIONAL DUTIES:

  1. HIPAA compliance – Responsible for maintaining abreast of and in compliance with all HIPAA regulations and requirements. Treats all member information confidential.
  2. Compliance – Ensure compliance with all local, state and federal regulations.
  3. QA/QI – Participate in QA/QI activities and contribute towards the overall performance improvement of the organization.
  4. IT – Required learning and using the Electronic Health Record and Practice Electronic System and its components. As required by the job functions and highlighted in the Policies and Procedures. These components include NextGen, PMS, QSI and other electronic features, as they are developed and implemented, as applicable to work environment.
  5. All employees will participate in Patient Centered Health Home Model at Omni Family Health.

MINIMUM QUALIFICATIONS:

Education:

Associates of Science or Bachelor’s degree in health-related field, depending on certification type.

Experience:

Minimum 3 years’ prior experience working in a dental office or health care setting, at a school setting preferred.

Previous experience in a supervisory/management role a plus.

License/Certification:

Licensed as a Registered Dental Hygienist or:

RDH Alternate Practice.

Skills/Competencies:

  1. Knowledge of dental terminology required.
  2. Knowledge of MS Office and Excel for report writing and analysis.
  3. Strong communication skills (oral and written) and ability to interact professionally with a variety of stakeholders including patients, families, health professionals, community agencies, and government departments.
  4. Ability to create and manage systems and processes.
  5. Strong analytical understanding and familiar with statistical methodology.
  6. Demonstrated ability to work with persons and groups of diverse racial, ethnic, and economic backgrounds.
  7. Working knowledge of basic oral health practices and terminology.
  8. Strong computer skills and ability to learn quickly new software programs.
  9. Detail oriented and organized.
  10. Ability to work independently and as part of a group.
  11. Interest in community health/health equity.
  12. Integrity and team work.

Contract Administrator

Job Summary:     Under the direction of the Chief Financial Officer, the Contract Administrator is responsible for the management, evaluation, updating, distribution, and system entry of all new and existing contracts, amendments and addendums for Omni Family Health.

 Job Duties:                

  1. Conducts preliminary review of contracts and documents for accuracy with the appropriate departments before authorized representative’s sign, ensuring language meets legal regulatory compliance requirements. Works closely with the office of the CEO to obtain the necessary signatures.
  2. Files contracts physically and electronically within the appropriate storage locations, and manages contract management system.
  3. Provides education to operational, administrative, and clinical staff related to contracts, agreements, leases and any other binding documents.
  4. Oversee and enforce organizational contract development and management activities utilizing organizational principles of integrity and compliance.
  5. Develop standards for contracts, including presentation of budget, payment terms, release, general language and special provisions.
  6. Review contractual performance with appropriate departments to ensure compliance with terms, and identifies conflicts and recommends revisions prior to contract renewal.
  7. Independently monitor, analyze, and report on expiring contracts, working closely with the department leadership to avoid interruption in patient care, health center operations, and/or price continuity.
  8. Develop and monitor key performance indicators for the contracts management function.
  9. Provide contracts and reports to management during audits and at other requests as needed.
  10. Works with administrative staff to communicate with corporate retained attorney on contracts that need legal review.
  11. Prepare vendor termination letters.
  12. Works cooperatively with Legal Counsel to develop contract templates that adheres to state and federal requirements.
  13. Aid in the revisions to contracts, agreements and other corporate documents.
  14. Use contract management software to appropriate store document and create a tickler system for managing contract status (i.e. effective, renewal, and termination dates).
  15. Attend training classes and informative meetings to further corporate law knowledge.
  16. Other work related duties as determined by the Chief Financial Officer. These duties may be verbal or in writing.

 Additional Duties: 

  1. H.I.P.A.A. Compliance – Responsible for maintaining current and in compliance with all H.I.P.A.A. regulations and requirements. Treats all member information confidential.
  2. Compliance – Ensure compliance with all local, state and federal regulations.
  3. IT – Required to learn and use the Policies and Procedures for these components to include M.I.P., Next Gen, Health port, PMS, QSI, OSIS and other electronic tools, as they are developed and implemented, as applicable to work environment. 

Qualifications, Education, and Experience:

Education:

Bachelor’s degree in Healthcare Administration, Business Management or related field preferred. 

Experience:

Minimum four years’ experience in contracting and negotiation experience, preferably in a medical setting.

Certification/License:

Certified Paralegal certification is preferred, but not required.

Skills:

  1. Experience in managed care practices and procedures, specifically in contracting language and negotiations is preferred, but not required.
  2. Expertise in Microsoft Office Suite is required.
  3. Strong problem solving and analytical skills.
  4. Exhibits tact and professionalism in difficult situations.
  5. Demonstrates an understanding of and adheres to privacy, confidentiality, and security policies and procedures related to Protected Health Information (PHI) or other sensitive and personal information.
  6. Meticulous work approach.
  7. Excellent interpersonal skills.

Responsible to:          Chief Financial Officer

Classification:            Full Time Position, Exempt

Data Analytics & Business Intelligence Manager

Job Summary:           Under the general direction of the Director of Information Systems, this position will focus on data governance, analytics and developing the business analytics department to help improve and model the data of the organization; quality of case, patient satisfaction rate, and productivity to increase the overall efficiency across all departments corporate wide. Additionally, this position will be responsible for the organization’s data warehouse architecture and create business intelligence dashboards and interactive reports in support of the strategic goals of the organization.

Essential Job Functions:

  1. Determines and defines data needed to be collected and the appropriate data resources for specific data projects including but not limited to computerized systems and hard copy data stores.
  2. Formulates, implements, and enforces proper data collection policies and procedures
  3. Trains and educates users on data collection tools, equipment and develops proper data collection process
  4. Develops a data verification process to assure data is accurate and justified.
  5. Facilitates data quality standards and works with reporting agencies and organization stakeholders to ensure standards and data verification.
  6. Ensures quality data collection techniques are established for reporting purposes
  7. Assists in maintaining interfaces between systems that facilitate the transmission and collection of data
  8. Develops data modeling and dashboards for consumption by specific departments
  9. Develops in conjunction with other business user’s rules for data sets, collection and use.
  10. Monitor and manage tickets submitted and hold data team accountable for timely close of tickets and issues.
  11. Provides guidance, coaching and mentorship to the data team.
  12. Manages contract with data collection software vendor
  13. Maintains close working relationship with software vendor
  14. Ensures data system is operational, functional and effective and rectify through analysis and training.
  15. Provides necessary access to reporting agencies to submit data
  16. Assists reporting agencies with set-up, testing, and implementation of data collection software.
  17. Troubleshoots data submission errors and data error issues
  18. Ensures that all vendor updates are properly installed and rolled out
  19. Performs and documents procedures for data preparation including data cleaning, standardization and analysis
  20. Develops data collection and evaluation methodologies, including format design, project criteria and requirements, data compilation, relevancy and usage.
  21. Develops and implements evaluation methodology related to various data programs to determine completeness and adequacy of the data collection procedure.
  22. Understands and ensures privacy law and standards
  23. Evaluate and analyze current systems to improve operations and patient care
  24. Prepares data, through dashboards, multidimensional reports for distribution and consumption of executives and leaders.
  25. Develops a process for ad-hoc reports as necessary
  26. Present verified data where needed
  27. Develops the process to integrate the data of the organization with various internal and external sources.
  28. Researches and recommends trending, predictive analysis and artificial intelligence technology.
  29. Shares data with other State and Federal agencies, as required
  30. Facilitates the secure transmission of data as needed
  31. Consults with IT Management and internal department staff on data and reporting problems and assists in developing means to correct the problems
  32. Foster relationships with other entities in regards to data collection, reporting and transmission
  33. Provide on-going subject matter expert consultation and technical assistance as required.
  34. Other related duties as directed by CIO.

Job Requirements:

  1. HIPAA compliance – Responsible for being aware of, and complying with, all HIPAA regulations and requirements. Treats all patient information as confidential.
  2. Compliance – Ensures compliance with all local, state and federal regulations.
  3. Quality Assessment/Quality Improvement – Participate as assigned in QA/QI activities and contribute towards the overall performance improvement in the organization.
  4. Information Technology – Required to understand each and every key and core business application system in use I.e. NextGen EHR, SAGE, ADP, Office 365, Cloud computing, Data Loss Prevention and contingency planning.
  5. All employees will participate in Patient Centered Health Home Model at Omni Family Health.
  6. Ability to supervise, plan, design and direct the work of subordinate staff as assigned.
  7. Demonstrates the ability and experience in planning, budgeting, organizing, and documenting network and systems design and configuration.
  8. Perpetuate industry best practices philosophy among team and facilitate continuous improvement in staff and technology systems.
  9. Embody strong dedication to customer service for internal and external customers and develop strong interdepartmental relationships.
  10. Strong written, verbal and communication skills. With the ability to be persuasive, confident and content expert on subject matter.
  11. Reliable transportation.
  12. Promote and believe in OFH mission statement and vision.
  13. Develop and co-author IT departmental policies, procedures, standards and protocols
  14. May provide after-hours support as needed and other job-related work as required.
  15. Demonstrates promptness and sense of urgency pertaining to projects, outages, policies and procedures.
  16. Establish and maintain cooperative and effective working relationships with others to include vendors.
  17. Performs other job-related work as required.

Qualifications:

  1. Education: Bachelor’s degree in information technology/computer science, business, clinical or related field This can be substituted with 6 years documented experience in database development, business intelligence or data architecture.
  2. Experience: Equivalent experience in mentoring junior level IT staff is required; 2 years in an IT lead position, preferably in a healthcare setting. Experience in successfully managing and delivering multiple projects.
  3. Knowledge: Strong knowledge of SQL, SSRS, SSIS, data analytics, business intelligence, project management, process documentation, advanced SQL querying.

Purchasing Manager

Job Summary:           Under the direction of the Chief Financial Officer, the Purchasing Manager is responsible for managing vendors and sourcing equipment, goods, and services. As the Purchasing Manager, you will also be responsible for administering the bidding process and contracts for vendor performance. This position is responsible for ensuring the timeliness of Omni Family Health’s supply inventory replenishment while simultaneously considering account needs, cash flow, and overall product and distribution strategy.

Job Duties:    

  1. Propose improvements to the current purchasing system that will improve vendor relationships and lower the cost of doing business and coordinating delivery of products and services to meet realistic schedules.
  2. Collaborate with inventory control to develop metrics for gauging inventory level needs and then maintaining those levels throughout the year.
  3. Manage the department’s day-to-day purchasing activities and ensure that all purchasing agents are meeting their personal performance standard.
  4. Manages purchasing agents and other personnel within the department to make certain they are properly trained, conducting business according to policy and procedure, and that they look after the interests of the company.
  5. Reviews all purchase requests to make certain that products or services are purchased for a reasonable and legitimate business purpose and that the requests for purchases have been properly authorized.
  6. Recommends, drafts, and updates policies and procedures and ensures compliance within the department
  7. Responsible for conducting negotiations with supplies as necessary. Agreements, purchase orders, or other contractual documents are personally prepared and approved by the Procurement Manager, or by other members of the Purchasing Department as delegated by the Procurement Manager.
  8. Collaborate with inventory control and develop metrics for gauging inventory level needs and then maintaining those levels throughout the year.
  9. Conducts research and analyses to make forecasts to anticipate supply problems and take preventive actions.
  10. Researches new products, processes, and recommends those that could be beneficial to the company as well as attending trade shows and seminars to keep informed of the latest technology.
  11. Effectively communicates with management on any business development that might affect the company and makes recommendations regarding those developments.
  12. Resolve supplier/contractor disputes, if required, and ensures compliance in contractual obligations to the company and that they are serving the company’s best interest.
  13. Develop and maintains annual budget for the Purchasing Department and monitor the approved budget to control all costs.
  14. Other related duties as required by Chief Financial Officer.

Additional Duties: 

  1. HIPAA Compliance – Responsible for maintaining functional knowledge of and in compliance with all HIPAA regulations and requirements. Treats all member information confidential.
  2. Compliance – Ensure compliance with all local, state and federal regulations.
  3. QA/QI – Participate in QA/QI activities and contribute towards the overall performance improvement of the organization.
  4. IT – Required learning and using the Electronic Health Records and Practice Electronic System and its components. As required by the job functions and highlighted in the Policies and Procedures.
  5. All employees will participate in Patient Centered Health Home Model at Omni Family Health.

Qualifications, Education, and Experience:

 EDUCATION:

Bachelor’s Degree in Business Administration, or a related field.

EXPERIENCE:

Minimum two (2) years or more years of supervisory experience required.

Four years or more of purchasing management experience including supply management, tracking budgets, vendor relationships, customer service, and documentation skills.

LICENSE/CERTIFICATION:

APICS certification preferred.

SKILLS:

  1. Strong knowledge of supply chain management required.
  2. Knowledge and understanding of inventory management policies required.
  3. Ability to communicate and maintain an effective working relationship with staff.
  4. Ability to operate independently, supervise projects, assignments, multi-disciplinary teams, and personnel.
  5. Strong organization skills

Responsible To:    Chief Financial Officer

Classification:       Full Time Position, Exempt

Self-Pay Collector I

Location: Corporate Bakersfield

Position Summary:   Research and secure payment for uninsured, sliding scale, and under insured patients within the billing department. Utilize billing, collecting, research, and correspondence communication to solve accounts within Omni within the patient accounting system. Collects deposits and co-payments for uninsured, under insured, sliding fee scale and self-pay patients. Explains Omni Family Health financial policies and provides to patients in an attempt to offer alternatives to resolve outstanding balances. Acts as a liaison between the patient, the business office, and clinics to enhance account receivables performance and maximize service excellence. Provide a variety of patient and financial service tasks.

Job Duties:

The following are essential job accountabilities:

  1. Identify all payer sources for patient. Perform patient registration, verification of benefits and ensure accurate demographic entry for all patient accounts within EPM system.
  2. Assist all patients with identifying alternative payment options while minimizing risk to OFH accounts receivable. Coordinate with accounts receivable staff regarding denial management corrective actions.
  3. Prioritize work to minimize interruptions and increase efficiency in collections process.
  4. Ensure continuous communication between the patient and OFH staff prior to scheduled procedures.
  5. Document all financial arrangements within EPM and notify specific clinic within approved department timelines
  6. Perform retrospective audits of new self pay accounts to update demographic information.
  7. Participate in patient accounts receivable collection campaigns as needed to meet department goals.
  8. Handle overflow patient calls
  9. Performs other related duties as assigned

Additional Duties 

  1. HIPAA compliance – Responsible for enforcing compliance with all HIPAA regulations and requirements. Treats all member information confidential.
  2. Compliance – Ensure compliance with all local, state, and federal regulations.
  3. QA/QI – Participate in QA/QI activities and contribute towards the overall performance improvement of the organization.
  4. IT – Required to learn and use the Electronic Health Record and Practice Electronic System and its components as required by the job functions and highlighted in the Policies and Procedures.
  5. All employees will participate in Patient Centered Home Health Model at Omni Family Health.

Qualifications, Education, and Experience

Education:

  1. High school diploma or GED

Experience:

  1. Minimum of one year billing and accounts receivable experience in a physician practice environment.

Skills:

  1. Ability to work under pressure.
  2. Ability to demonstrate effective communication skills with providers and management staff.
  3. Ability to draft and implement collection letters.
  4. Proficient with excel and other Microsoft office products.
  5. Knowledge of payor contracts.
  6. Proficiency and accuracy with multiple office tools and software.
  7. Accurate data entry skills with the ability to input data into computer systems, compile statistics, and generate resports.

 

Responsible to:           Collections Supervisor

Classification:             Full-time, Non-exempt

Electronic Claims Processor

Position Summary:   Under the direction of the Supervisor, Billing bills and files all claims on both UBs and 1500 forms.  References DDE for verification of beneficiary’s name for Medicare claims.  Identifies and communicates reoccurring billing errors to Manager and recommends solutions.  Adjusts claims as necessary.  Performs Commercial and Medicare billing and research within timeframe and benchmark expectations by Omni Family Health Management.   Utilizes top customer service skills with all customers:  patients, government agencies, commercial insurances, Hospitals, clinic management, staff and outside vendors.

Job Duties:

The following are essential job accountabilities:

1.       On a daily basis submit electronic and paper claims, monthly patient statements and correct claims. On a daily basis provide feedback to office managers & staff, CBO manager on data and demographic corrections.

2.       Coordinate with office managers and Omni Family Health staff to maintain expected daily submission benchmarks for AR collections, closed claims, clean (first pass rate 90%) and bad debt rates <5%. Update spreadsheet with daily statistics.

 

3.       Process daily DSG EDI requests and receipts to reconcile to patient accounting system submissions and adheres to regulatory guidelines for timely submission and reprocessing.

4.       Submit and receive 837 files from outside vendors.

5.       Manage payer enrollment and EPM maintenance. Notify clinics of updates and changes specific to contract or billing requirements.

6.       Assist in the development, implementation and improvement of internal controls needed to assure and maintain sound billing practices.

 

7.       Other related duties as assigned or requested.

 

Additional Duties

  1. HIPAA compliance – Responsible for enforcing compliance with all HIPAA regulations and requirements. Treats all member information confidential.
  2. Compliance – Ensure compliance with all local, state, and federal regulations.
  3. QA/QI – Participate in QA/QI activities and contribute towards the overall performance improvement of the organization.
  4. IT – Required to learn and use the Electronic Health Record and Practice Electronic System and its components as required by the job functions and highlighted in the Policies and Procedures.
  5. All employees will participate in Patient Centered Home Health Model at Omni Family Health.
 
Qualifications, Education, and Experience

Education:

1.       High school diploma or GED

Experience:

  1. Three years of patient accounts, Medicare and commercial physician billing experience.
  2. Prior experience processing claims in a multi-specialty environment for physicians, Hospitals preferably within an FQHC setting.

 

Skills:

  1. Ability to work under pressure.
  2. Ability to demonstrate effective communication skills with providers and management staff.
  3. Ability to develop teaching and auditing tools to provide educational programs for physicians and billing staff.
  4. Proficient with excel and other Microsoft office products.

 

Responsible to:           Billing Supervisor

 

Classification:             Full-time, Non-exempt

Immune Support Program (ISP) Coordinator

Location: Visalia

Job Summary:   The Immune Support Program (ISP) Coordinator is responsible for quality improvement (QI) and participates in various activities that evaluate and document compliance of Ryan White, Part C and related grant funded vendors in their adherence to comprehensive public health service guidelines and other standards of care for persons living with HIV and AIDS.  This position is responsible for coordination of activities involved in QI. In addition, this positon receives instructions, guidance, and reports to the Immune Support Program (ISP) Manager on matters relevant to Ryan White and related grant(s). This position will coordinate the development of assessment tools and processes to be utilized during QI reviews with the Quality Improvement program. Develop and conduct technical assistance workshops to address required changes to local standards. Represents Omni Family Health (OFH) in the community, interacting and networking with community service agencies that provide services to HIV positive individuals and their families. Cultivates and maintains communication and networking with multi-ethnic organizations in the HIV/AIDS community. This position will also be responsible for providing direct medical and non-medical case management services to clients of the program and will assist patients in  access into the program and coordinate various wrap around services (e.g., medication assistance, housing, mental health counseling, substance abuse counseling, transportation and legal services).  This position is non-exempt under CA wage order and Fair Labor and Standards Act (FLSA).

  Job Duties:

  1. Functions as part of a team in the provision of patient care and performance of daily activities.
  2. Develop excellence in case management services, which will enrich and enhance the quality of life, dignity and respect of people infected and/or affected by HIV/AIDS.
  3. Conduct a comprehensive assessment and administer an acuity scale to determine the medical, psychosocial, and social service needs of HIV+ clients. Face to face and phone contact with clients completed at minimum of once every 30 days.
  4. Ensure clients are enrolled in medical care and receive appropriate referrals to needed services as established in case plan.
  5. Advocate for clients and assist them in the procurement of benefits and services. Provide necessary information, referrals for established care plans and advocate for client needs,
  6. Responsible for entering all required client related data into Next Gen within two (2) business days of completing the service.
  7. Timely professional maintenance of records and documentation, including progress notes, treatment plans and ongoing evaluation of client progress, consistent with agency expectations and ethical standards.
  8. Assists the ISP Manager in monitoring the quality assurance and evaluation process ensuring contract compliance and outcome and process objectives for clients and their families are met.
  9. Assists in the preparation of monthly narrative and statistical reports covering progress toward meeting outcome and process objectives established in the case management contract.
  10. Follow all confidentiality and HIPPA guidelines and protocols.
  11. Provide AIDS Drug Assistance Program (ADAP) and Ryan White enrollment to own caseload and ensure all eligible clients complete the ADAP enrollment process.
  12. Increase relationships and communication with other Omni Family Health programs and locations. Represent Omni Family Health to other organizations and community groups. Network with other AIDS service providers.
  13. Support and participate in activities and group events organized by Omni Outreach Department.
  14. Participate in all multi-disciplinary team meetings, staff meetings, and selective staff development trainings, as directed.
  15. Maintain a flexible schedule to allow for some weekend work as well as emergency coverage of shifts to meet the needs/demands of clients and related activities and events. This will include travel to other facilities as well as working evenings and/or weekends.
  16. Coordinate and post weekly schedules, advising ISP Manager with any changes or time-off requests.
  17. Performs other work-related duties as assigned. Additional duties may be given either verbally or in writing.

Additional Duties:

  1. HIPAA compliance – Responsible for maintaining abreast of and in compliance with all HIPAA regulations and requirements. Treats all member information confidential.
  2. Compliance – Ensure compliance with all local, state and federal regulations.
  3. QA/QI – Participate in QA/QI activities and contribute towards the overall performance improvement of the organization.
  4. IT – Required to learn and to use the Electronic Health Record and Practice Electronic System and its components. As required by the job functions and highlighted in the Policies and Procedures. These components include NextGen, PMS, QSI and other electronic features, as they are developed and implemented, as applicable to work environment.
  5. All employees will participate in Patient Centered Health Home Model at Omni Family Health.

Qualifications, Experience, and Education:

Education::

  • Bachelor’s Degree in human services or related field or high school degree with 2 years’ experience working in non-profit social service or public health agency.

Experience:

  • Experience with and sensitivity to LGBT-related cultural concerns. Knowledge of health and psychosocial issues concomitant to HIV disease. Previous HIV field experiences a plus.

Certifications/Licenses:

  • Current valid California driver’s license and access to insured vehicle required.

Skills:

  • Exercise tact, objectivity, sensitivity, strategy and judgment in dealing with a variety of people with a variety of co-occurring disorders.
  • Understanding and use of basic office equipment: Computer literacy required, proficiency in MS Office (Word, Excel, Outlook and PowerPoint), projectors, various software including ARIES, and Microsoft office.
  • Preference will be given to individuals with the ability to communicate in Spanish and English; written and verbal.
  • Knowledge and understanding of customs, beliefs, and needs of consumer group(s) served.
  • Knowledge of organizational policies, regulations and procedures to administer patient care.
  • Knowledge of common safety hazards and precautions to establish a safe work environment.
  • Ability to identify problems, provide information and provide alternative solutions.
  • Skilled in preparing and maintaining records, writing reports and responding to correspondence.
  • Skilled in establishing and maintaining effective working relationships with patients, medical staff and the public.
  • Ability to work independently with minimum on/off site supervision.
  • Ability to maintain quality control standards.
  • Ability to react calmly and effectively in emergency situations.
  • Ability to interpret, adapt and apply appropriate written guidelines and work practices.
  • Ability to communicate clearly.

Reports to:   Immune Support Program Manager

Classification: Full-time; non-exempt

Senior Data Analytics Specialist

Job Summary:           Under the direction of the Business Systems Director, the Senior Data Analytics Specialist works on a team responsible for performing a full range of activities ensuring technology based operational effectiveness and excellence. The Senior Data Analytics Specialist is responsible for requirements gathering, design, and development of innovative Business Intelligence (BI) and Data Analytics solutions to provide business reporting

Job Duties:

  1. Directs and oversee implementation of new analytics technology applications across all functional areas ensuring user adoption and satisfaction.
  2. Inform and escalate larger issues to Business Systems Management.
  3. Work with Business Systems Management to establish priorities and deadlines.
  4. Gather business requirements from the business on BI and Data Analytics projects.
  5. Manage the BI/Analytics backlog of trouble tickets, prioritizing according to customer and internal needs, and develop top-quality dashboards using BI and Data Analytics solutions.
  6. Provide strategic and technical direction for analytics including defining KPIs and methodology, designing test-and-learn experiments, growing data sources and producing regular customer insights to answer key business questions.
  7. Oversee reports and dashboards that provide insights into key programs and initiatives on an on-going basis.
  8. Provide analytic/ad hoc data request support to various teams.
  9. Collaborate with IT and business unit resources to understand business requirements and ensure the successful creation of reports.
  10. Resolve BI/Analytic incidents and requests issued.
  11. Help document existing and future BI applications.
  12. Adhere to project standards defined by and approved by Business Systems Management.
  13. Utilize process improvement techniques in streamlining existing as well as new business requirements
  14. Obtain business requirements using interviews, document analysis, requirements workshops, surveys, business process descriptions, use cases, scenarios, business analysis, task, and workflow analysis.
  15. Analyzes and communicates application adoption issues, including problems with application functionality, data design and functional and technical software issues
  16. Recommends alterations and enhancements to improve application optimization and availability
  17. Translates business information needs into solution requirements
  18. Educate and assist customers utilizing system tools to help drive reporting and collaboration needs as required
  19. Strong analytical and project management skills required including thorough understanding of how to interpret customer business needs and translate them into application and operational requirements
  20. Take input from management and appropriately and accurately apply comments/feedback
  21. Clearly articulate ideas and thoughts verbally
  22. Accurately prepare written business correspondence that is coherent, grammatically correct, effective, and professional

Additional Duties:

  1. HIPAA compliance – responsible for maintaining abreast of and in compliance with all HIPAA regulations and requirements. Treats all member information confidential.
  2. Compliance – Ensure compliance with all local, state and federal regulations.
  3. QA/QI – Participate in QA/QI activities and contribute towards the overall performance improvement of the organization.
  4. IT – Required to learn and use the Electronic Health Record and Practice Electronic System and its components. As required by the job functions and highlighted in the Policies and Procedures. These components include NextGen, PMS, QSI and other electronic features, as they are developed and implemented as applicable to the work environment.
  5. All employees will participate in Patient Centered Health Home Model at Omni Family Health.

Qualifications:

  1. Bachelor’s Degree in healthcare IT, computer science or information systems or equivalent experience required.
  2. Minimum 3+ year’s hands-on experience developing BI reporting, dashboards, and visualization solutions using any BI solution.
  3. 1-2 years’ experience in data warehouse and BI design, development and support.
  4. Experience with database and logical models and analytical and quantitative models and an understanding of relational databases

Insurance Collector I

Position Summary:   Research and secure payment for managed care accounts within the billing department. Utilize billing, collecting, research, correspondence, and independent problem solving skills of account errors within Omni Family Health standards and timeframes. Reconcile complex, multi-payment accounts as necessary. 

 Job Duties:

  1. Perform the adjustments, refunds etc. common with billing knowledge to bring account to zero balance within established timeframes.
  1. Follow up on required daily accounts based on assigned practice and/or payer to reduce the A/R and maintain Omni Family Health Key performance indicators (KPI). 
  2. Submit appeal letters on unpaid and underpaid claims applications.
  3. Prioritize work to minimize interruptions and increase efficiency in collections process.
  4. Prepare and submit weekly & monthly AR summary of activity report for all assigned practices/payers to department manager with detailed action plans and/or unresolved issues.
  5. Establish and maintain an efficient filing system for all Omni Family Health employed provider group and payor contracts.
  6. Perform retrospective audits of new self-pay accounts to update demographic information.
  7. Participate in accounts receivable collection campaigns as needed to meet department goals.
  1. Notify the contracted billing company of payor written refund requests. Services accounts where Omni Family Health has a request for patient refund.  Prepares paperwork for the refund approvals.

Additional Duties

  1. HIPAA compliance – Responsible for enforcing compliance with all HIPAA regulations and requirements. Treats all member information confidential.
  2. Compliance – Ensure compliance with all local, state, and federal regulations.
  3. QA/QI – Participate in QA/QI activities and contribute towards the overall performance improvement of the organization.
  4. IT – Required to learn and use the Electronic Health Record and Practice Electronic System and its components as required by the job functions and highlighted in the Policies and Procedures.
  5. All employees will participate in Patient Centered Home Health Model at Omni Family Health.

 Qualifications, Education, and Experience

Education:

  1. High school diploma or GED

 Experience:

  1. Minimum of one year billing and accounts receivable experience in a physician practice environment

 Skills:

  1. Proficiency and accuracy with multiple office tools and software.
  2. Accurate data entry skills with the ability to input data into computer systems, compile statistics, and generate reports.
  3. Ability to work under pressure.
  4. Ability to demonstrate effective communication skills with providers and management staff.
  5. Ability to draft and implement collection letters.
  6. Proficient with excel and other Microsoft office products.
  7. Knowledge payor contracts.

Responsible to:           Collections Supervisor

Classification:             Full-time or Part-time, Non-exempt

Health Home Care Coordinator

                                                                        JOB DESCRIPTION

Location: 

  • Shafter

Job Summary: This position is responsible for assigned social work case management functions for Omni Family Health (OFH). The primary duty of the Health Home Care Coordinator is to identify and assist members that are displaying a complex variety of social and/or emotional needs and usage of services reflective of abuse, lack of compliance to medical or pharmaceutical instructions, or self-destructive habits. The care coordinator coordinates with these members and the member’s primary care provider in an effort to provide better medical management and to track and gauge the effectiveness of that effort.

The Health Home Care Coordinator will work closely with a multi-disciplinary team in the health home model, outpatient case management and primary care to develop and provide clinical services that are necessary to achieve an extended healthcare focus beyond the inpatient setting or traditional primary care of specialist office visits. The Health Home Care Coordinator will plan and implement medical social service delivery programs, promote coordination, continuity of care, and quality management in support of Health Home members/patients. This position serves as a liaison to all Health Home staff, providers, and members to provide services.

Job Duties:     

  1. Engage with members in the Health Home Project (HHP).
  2. Monitor treatment adherence.
  3. Provide health promotion and self-management training.
  4. Make frequent calls to the HHP members.
  5. Establishes and maintains interpersonal relationships with both internal and external staff and other agencies.
  6. Assists members and/or families/significant others, regarding discharge issues.
  7. Provides case management in conjunction with other case management staff and community providers in emergency and non-emergency situations.
  8. Documents interactions with members and providers as required and maintains records of referral interactions with behavioral health.
  9. Has the ability to independently assess the psychosocial functioning needs of patients and their family members and to formulate and implement a treatment plan, identifying the patient’s problems, strengths, weaknesses, coping skills and assistance needed, in collaboration with the patient, family and interdisciplinary treatment team.
  10. Other duties related to HHP as assigned.
  11. Home visits if indicated.

 Job Requirements:    

  1. Excellent written, verbal and interpersonal communication skills.
  2. Have strong leadership with ability to integrate multi-disciplinary teams.
  3. Ability to demonstrate knowledge and experience of complex systems of care.
  4. Ability to work under pressure.
  5. Ability and willingness to treat all patients with the utmost kindness and consideration in the most trying situations.
  6. Friendly personality with the desire to work with the public.
  7. Ability to handle multi-functions.
  8. Understanding of community based organizations.
  9. Promotes and believes in OFH mission statement.
  10. Ability to relate to the public regardless of ethnic, religious and economic status.
  11. Must be willing to work at any Omni Family Health, location, other that the assigned site and be agreeable to work weekends, if so needed.
  12. Must obtain a Valid California Drivers License at all times plus proof of insurance, to allow you to be placed in all Omni Family Health clinics if needed.
  13. Must have active Basic Life Support Certification from the American Heart Association.
  14. Commitment to the concepts of preventive health care program and team approach to health care delivery.

 Additional Duties:

  1. HIPPA compliance – Responsible for maintaining abreast of and in compliance with all HIPPA regulations and requirements. Treats all member information confidential.
  2. Compliance – Ensure compliance with all local, state and federal regulations.
  3. QA/QI – Participate in QA/QI activities and contribute towards the overall performance improvement of the organization.
  4. IT – Required to learn and use the Electronic Health Record and its components. As required by the job functions and highlighted in the Policies and Procedures. These components include NextGen, and other electronic features, as they are developed and implemented, as applicable to work environment.
  5. All employees will participate in Patient Centered Health Home Model at Omni Family Health.

 Qualifications, Education, and Experience:

  1. Must be a graduate of an accredited school of nursing, with a current California LVN license or a Certified Medical Assistant.
  2. Two years in care coordination service delivery.
  3. Previous patient centered medical home and NCQA knowledge a plus.
  4. Bilingual in English/Spanish preferred

 

Responsible To:          Health Home Project Manager

Classification:             Full or Part Time Position, Non-exempt

 

 

 

 

 

 

 

 

Senior Facilities Technician (Fresno & Reedley)

Two (2) Positions

Location(s) 

  • Fresno

Job Summary:  Under the general direction of the immediate Supervisor and in accordance with       

Omni Family Health (OFH) policies, procedures, with protocols in this area of          operation, to do a variety of skilled and semi-skilled work on the construction and maintenance of buildings, grounds and equipment.

 

Position Responsibilities:

The following are essential job duties:

  1. Checks building, equipment, and grounds to locate conditions indicating the need for repair and maintenance work.
  1. Perform building repairs involving plumbing, irrigation systems, painting, carpentry, mechanical, structural, flooring, and simple electrical work.
  2. Clean, repair and install signs as needed.
  3. Uses a variety of hand and power tools in the performance of maintenance work.
  4. Detailed Tasks Include:
  • Repairs furniture and equipment.
  • Moves and installs partitions, walls, etc.
  • Install park structures and equipment.
  • Build small structures and cabinets.
  • Build forms and installs concrete supports; mixes, pours, and finishes concrete.
  • Installs, services and repairs plumbing, water and sewer systems and simple wiring systems and equipment.
  • Applies paints, varnishes, and stains, lacquers, and enamels to building interior and exterior, furniture and other equipment.
  • Repairs small appliances, tools and other equipment. Operates light motorized equipment, digs ditches and lays pipe.
  • Designs and installs irrigation systems.
  • Maintains and repairs impact rotor sprinklers, drip irrigation systems and control valves.
  • Troubleshoots computerized and electro-mechanical controller problems.
  • Performs minor painting.
  • Repairs small appliances, tools and pieces of equipment.
  • Performs refuse removal and processing.
  • Performs related work as assigned.
  • Promotes and believes in OFH mission statement “Health for All”.
  • Ability to relate to the public regardless of ethnic, religious and economic status.
  • Other duties as assigned by the Facilities Supervisor.

Additional Duties:

  1. HIPAA compliance – Responsible for maintaining abreast of and in compliance with all HIPPA regulations and requirements. Treats all member information confidential.
  2. Compliance – Ensure compliance with all local, state and federal regulations.
  3. QA/QI – Participate in QA/QI activities and contribute towards the overall performance improvement of the organization.
  4. IT – Required to learn and use the EHR/EOHR (Medical Practice Electronic System) and its components. As required by the job functions and highlighted in the Policies and Procedures. These components include NextGen, Healthport, PMS, QSI and other electronic features, as they are developed and implemented, as applicable to work environment.

Qualifications, Education, and Experience:

  1. High school diploma or GED. Employee must be able to have full dominance of the English language and demonstrate reading, writing and speaking proficiently at a high school graduate level.
  2. Must have 5-8 years in similar work experience “hands-on experience and/or training”.
  3. Must have knowledge of the practices utilizing, tools, equipment, and materials used in the carpentry, painting, plumbing, and electrical trades; ability to determine the need for repairs; ability to estimate time and materials needed to perform a job; ability to use hand tools utilized in the building trades; ability to follow oral and written directions; ability to use good body mechanics and follow basic safety practices in the performance of job duties.
  4. Must be able to lift, push or pull weights commensurate with work assignments.
  5. Must be able after training to demonstrate the correct use of chemicals, supplies, equipment and tools assigned.
  1. Must obtain a valid California driver license at all times plus proof of insurance, to allow you to be placed in all Omni Family Health clinics as needed.
  2. Must be willing to work at any Omni Family Health location, other that the assigned site and be agreeable to work weekends, if so needed.
  1. Must pass pre-employment and other examinations as required.

 

All employees will participate in Patient Centered Health Home Model at Omni Family Health.

Responsible To: Facilities Supervisor

Classification: Full or Part Time Position, Non-Exempt

Report Writer

JOB DESCRIPTION

Title:                        Report Writer

Job Summary:     Under the direction of the Director of Information Systems , the Report Writer is responsible for assessing and meeting the reporting needs of the organization. Responsible for maintaining development standards for the data services team and fulfilling all requests through analysis and development of requested reports.

Job Duties:

  1. Work closely with data services team to determine report and database requirements.
  2. Develop recurring reports using SSRS and or/BI solution.
  3. Some ad-hoc report development in Excel, SSRS, and /or BI solution.
  4. Help create and document technical designs and project requirements.
  5. Improve existing database structures and modify, enhance and maintain existing reports.
  6. Creating design specifications for reports based on customer report request.
  7. Generate routine and ad-hoc reports using reporting tools to complete data requests.
  8. Present information in a concise, user-friendly format by determining target audience needs to support decision processes
  9. Ability to communicate effectively with all levels of staff to exchange information, ideas, and answer inquiries
  10. Maintain an inventory of existing and needed reports
  11. Identifying and validating the appropriate technological solution for various reporting needs
  12. Maintain and nurture relationships with key report users
  13. Interface with users to define report deliverables, issues, questions, needs, trends, and timing.
  14. Adhere to development methodology and standards
  15. Leverage strong communication skills to create relationships with partners and end-users

Additional Duties:

  1. HIPAA compliance – responsible for maintaining abreast of and in compliance with all HIPAA regulations and requirements. Treats all member information confidential.
  2. Compliance – Ensure compliance with all local, state and federal regulations.
  3. QA/QI – Participate in QA/QI activities and contribute towards the overall performance improvement of the organization.
  4. IT – Required to learn and use the Electronic Health Record and Practice Electronic System and its components. As required by the job functions and highlighted in the Policies and Procedures. These components include NextGen, PMS, QSI and other electronic features, as they are developed and implemented as applicable to the work environment.
  5. All employees will participate in Patient Centered Health Home Model at Omni Family Health.

Qualifications:

Education:  Bachelor’s degree in Computer Science, Business Administration or Health Information Management; or approved equivalent combination of education and experience.

Experience: 2 or more years of experience with SSRS, Business Intelligence Development Studio, SQL Server 2008 R2 or higher.

Skills:

  • Strong SQL skill set for querying complex data structures
  • Demonstrated understanding of data warehouse concepts and database programmability
  • Experience developing ETL packages using SSIS a plus
  • Self-starter; able to search for solutions
  • Strong prioritization and interpersonal skills

Responsible to:          Director of Information Systems

Classification:            Full Time Position, Non-exempt

QR Auditor

JOB DESCRIPTION

Location: Corporate Bakersfield

Job Summary:

The Quality Review (QR) Auditor (Clinical) performs initial and ongoing quality audits and education to Omni Family Health (OFH) providers and coders to ensure that billing codes are appropriate lessening the need for rework.  This position also provides education to the medical and coding staff in collaboration with the clinical documentation requirements, specific to coding queries and documentation issues.  Audit and educate medical and coding staff on issues related to the government mandated guidelines and the outpatient prospective payment system (OPPS).  Provide educational assistance via monthly/quarterly reports on correct coding to physicians and non physician providers.

Job Duties:

The following are essential job accountability:

  1. Work with Supervisor to provide summary reports to the CMO.
  2. Ensure quality of department work product by assisting in department(s) review and coding all physician and non-physician provider (NPP) services for appropriate and accurate billing, following Medicare guidelines; and maintaining compliance with federal rules and regulations.
  3. Ensures provider and staff compliance with expected accurate documentation standards by conducting baseline audits for new coders and providers and provide results and conduct follow up visit within 72 hours of audit completion to ensure appropriate and accurate CMS guidelines and Federal regulations are being followed. Responsible for development of action plan to be completed within initial 90 days of employment with OFH when issues are identified.
  4. Expected to provide face-to-face reviews and trainings to OFH staff (including providers and mid-levels) at OFH health center locations.
  5. Regularly monitor coding workflow, productivity and coding quality to respond to increased variances and coding optimization opportunities.
  6. Ensures that work quality for coders and provider by conducting monthly & quarterly audits as identified by baseline results of 85% or below.
  7. Responsible to schedule timeframe for corrections based on audit findings and has the authority to request corporate compliance with documentation expectations.
  8. Assist billing office in auditing and coding of employed physicians and mid-level providers within OFH.
  9. Supports compliance by assisting in the education of accurate and timely documentation practices and of coding medical services in compliance with CMS guidelines and Federal Rules & Regulations.
  10. Works with OFH billing office leadership to monitor denials specific to coding deficiencies, develop and implement innovative methods to decrease denials that directly impact reimbursement for services rendered.
  11. Assist in researching coding and billing issues, and analysis of data for reports.
  12. Various other work-related duties as assigned by supervisor. These duties and responsibilities may be added, deleted, or changed at any time at the discretion of management, formally or informally either verbally or in writing.

Additional Duties

  1. HIPAA compliance – Responsible for enforcing compliance with all HIPAA regulations and requirements. Treats all member information confidential.
  2. Compliance – Ensure compliance with all local, state, and federal regulations.
  3. QA/QI – Participate in QA/QI activities and contribute towards the overall performance improvement of the organization.
  4. IT – Required to learn and use the Electronic Health Record and Practice Electronic System and its components as required by the job functions and highlighted in the Policies and Procedures.
  5. All employees will participate in Patient Centered Home Health Model at Omni Family Health.

Job Requirements

  1. Ability to work under pressure.
  2. Ability to demonstrate effective communication skills with providers and management staff.
  3. Ability to develop teaching and auditing tools to provide educational programs for physicians and billing staff.
  4. Proficient with excel and other Microsoft office products.
  5. Knowledge of 3M encoder and/or encoder pro software.
  6. Maintain annual coding certification requirements.
  7. Must have a working knowledge of coding rules, and third party payer requirements.
  8. Must have reliable transportation.

 

Qualifications, Education, and Experience

Education:

  • High school diploma or GED
Experience:
  • Minimum of two years billing and accounts receivable experience in a physician practice environment.
  • Minimum of three years physician coding experience in a multi-specialty environment.

Certification:

  • CPC, CPCH, and/or CCS-P certification required

 

Responsible to:           Director of Billing

Classification              Full-time, Non-exempt

Risk Manager

Job Summary:

The position reports directly to the Director of Quality Improvement (DQI). Position usually requires frequent contact with patients and/or with professional and/or supportive personnel who provide patient care. Applicant must be able to deal effectively with a variety of people, work as a team member, exercise good judgment, and maintain a friendly and positive attitude at all time. Coordinate the processes involved in managing general liability and risk exposures for a healthcare facility and may be called on to: Investigate patient complaints and medical malpractice claims.

Job Duties:

1. Functions as the lead manager, coordinator, and point of contact for risk management policies and activities.
2. Responsible for developing and implementing a systematic approach for managing and minimizing risk throughout the clinic.
3. Manages the data needs and information flow for the program.
4. Develops guidelines, recommendations, or implements process improvements to address high areas of vulnerability within the organization.
5. Responsible for developing a systematic approach to assessing and improving organizational processes as well as ensuring the development of appropriate policies.
6. Conducts reviews of policies, procedures, OSHA directives and guidelines to recommend changes and prioritization of performance improvement and risk management activities.
7. Performs ongoing education to staff based on changes in the appropriate standards and requirement of medical/dental center processes.
8. Works with the DQI and/or Chief Operations Officer (COO) and departments delegates to help provide risk management training, knowledge, and skills to clinical staff and other trainees.
9. Implements, coordinates, and updates the organization risk management program.
10. Conducts special assignments as delegated by the COO and may participate or lead organization committees, teams, etc., as a quality management representative.

11. Performs a variety of duties related to managing potential risks and liabilities within their facility. This includes creating and implementing policies that improve both patient care and employee safety. Educating and training staff about potential risks is also a core responsibility of this job. Risk managers may also work with the health center’s legal counsel in situations of medical malpractice or workers’ compensation claims.
12. Work daily with other staff to assess potential risks. They may take phone calls about patient complaints or accusations of abuse or negligence. Data is also collected and is accessed to identify problems or weaknesses in health center procedures. The health care risk manager must further draft and submit accident reports to the appropriate persons and agencies.
13. Depending upon the circumstances, health care risk managers may report to the health center’s legal counsel, quality director, or an executive officer such as the Chief Executive Officer or Chief Operation Officer.
14. In addition, the position ensures that legal aspects of medical records practices, release of information, and health center responsibility for confidentiality and privacy are being met.
15. Other work related duties as directed by the Director of Quality Improvement or COO. These additional duties can either be verbal or in writing.
16. The intent of this job description is to provide a representative and level of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a declaration of the total of the specific duties and responsibilities of any particular position. Employees may be directed to perform job-related tasks other than those specifically presented in this description.

Qualifications, Education, and Experience:

EDUCATION: Bachelor’s degree in a related field is required (e.g., health care administration, accounting, finance, insurance or law). Individual with no college degree will be evaluated on case to case basis. Each two years of related experience will be substituted for one year of college.

EXPERIENCE: Must have at least 3 years of experience in a medical setting of which 1 year in a supervisory role.

CERTIFICATION: American Society for Healthcare Risk Management affiliation preferred

Skill Requirements:
• Knowledge is required of health center policies and procedures, as well as governmental regulations. Consequently, a nursing or other medical background is also good preparation for this job.
• Must have knowledge of:
o Registration procedure concepts
o ICD-9 and CPT Codes
o Payer Codes/ Sources
o Insurance Verification
o Basic supervisory/management skills
o Customer relations
o Program requirements: CHDP, Family Planning, Medi-Cal, Medi-Cal Managed Care, Medicare, HMOs, or PPOs, sliding fee scale, etc.
• Ability to work under pressure.
• Ability and willingness to train staff in customer service as well as protocols/ procedures in front office, billing and customer service.
• Ability to handle multi-functions.
• Promotes and believes in Omni’s mission statement.
• Ability to relate to the public regardless of ethnic, religious and economic status.
• Must be willing to work at any Omni Family Health location, other that the assigned site and be agreeable to work weekends, if so needed.
• Must demonstrate excellent telephone skills. Must demonstrate excellent communication skills with staff and clientele.
• Skills in using practice management software, spreadsheets and other computer software programs.
• Ability to organize and set priorities in order to function in a professional manner.
• Skills in meeting deadlines.
• Ability to communicate and maintain an effective working relationship with staff and providers.
• Ability to operate independently, supervise personnel and train business unit personnel when necessary.

Responsible To: Director of Quality Improvement

Classification: Full Time Position, Exempt

Front Office Clerk (Dental)

JOB DESCRIPTION

Location: 

  • Panama

Job Summary:

    1. This position is one of the most important functions in the health care delivery system and the first point where contact is made personally or by telephone. The person will receive the patient and direct them to the services needed. Making appointments and making preliminary assessment category of payment for patients are essential before a provider can see them.

Job Duties:

        1. Welcome patients as they contact the center personally or by telephone, and explain the services available, payment categories, and billing procedures.
        2. Schedule appointments; direct walk-in patients and emergencies as per established policies and procedures.
        3. Answer all incoming calls and route them to the appropriate staff.
        4. Register all patients per registration protocols and collection all documentation and billing information per billing protocol. Ensure proper documentation and data collection/ documentation.
        5. Assure that all services provided have been checked out properly for each patient.
        6. Reviews and verifies patient coverage of insurance or other agencies and computes the charges to be paid by the patient.
        7. Collects deposits or co-pays/deductibles prior to the patient being seen by the provider per established policies and procedures. Inform patient of their outstanding balance, collect said balance, and issue cash receipt when monies are collected.
        8. Balance cash register in accordance with the cash handling policy.
        9. Work closely with Medical, Dental and Nursing staff to assure smooth patient flow and cut down on waiting time.
        10. Work closely with the health promotion personnel and refer them to patients who did not keep their appointment for follow-up.
        11. Under supervision, work with various agencies such as “Kern County Welfare Department” in scheduling patients who needed assistance.
        12. Call and remind patient of his/her appointment.
        13. Follow up on “no show” patients on a daily basis.
        14. Communicate patient’s problem/complaint to the Senior MA or his/her designee.
        15. Other related duty as the job requires.

Job Requirements:

        1. Ability to work under pressure.
        2. Ability and willingness to treat all patients with the utmost kindness and consideration in the most trying situations.
        3. Friendly personality with the desire to work with the public.
        4. Ability to handle multi-functions.
        5. Understanding of community based organizations.
        6. Knowledge of bookkeeping and office functions.
        7. Promotes and believes in OFH mission statement.
        8. Ability to relate to the public regardless of ethnic, religious and economic status.
        9. Must be willing to work at any Omni Family Health location, other that the assigned site and be agreeable to work weekends, if so needed
        10. Must obtain a Valid California Drivers License at all times plus proof of insurance, to allow you to be placed in all Omni Family Health clinics if needed.

Additional Duties:

        1. HIPAA compliance – responsible for maintaining abreast of and in compliance with all H.I.P.A.A. regulations and requirements. Treats all member information confidential.
        2. Compliance – Ensure compliance with all local, state and federal regulations.
        3. QA/QI – Participate in QA/QI activities and contribute towards the overall performance improvement of the organization.
        4. IT – Required to learn and use the EHR/EOHR (Medical Practice Electronic System) and its components. As required by the job functions and highlighted in the Policies and Procedures. These components include NextGen, Healthport, PMS, QSI and other electronic features, as they are developed and implemented as applicable to the work environment.

Qualification, Education, and Experience:

      1. High school graduate/GED with one year of medical or dental experience in similar setting.
      2. Formal training from a vocational school in lieu of the above.
      3. Ability to relate to patients, through familiarity with medical terminology and triage procedure.
      4. Must believe in health care with dignity for all.
      5. Ability to speak read and write in English and Spanish is desirable. All employees will participate in Patient Centered Health Home Model at Omni Family Health.                                                                                                              Responsible To: DHSA (Dental)/ Dental Manager                           Classification: Full or Part Time Position, Non-exempt

Call Center Associate

JOB DESCRIPTION

Locations: 

  • Fresno Area
  • Shafter

Job Summary:

    1.           This position is as important as any other function in the healthcare delivery system.  Receiving calls from patients and help them with their appointment needs. Calling patients to make appointments and promote Omni Family Health services by consulting, gathering information, and evaluating patient needs over the phone.  Support mission, goal achievement, organizational quality, and the patient-centered medical home philosophy we operate by incorporate core organizational values of quality, respect, integrity, partnership, and compassion in all activities and decisions.

Job Duties:

        1. Greets patients as they contact the center, provide quality & excellent customer service to every call.
        2. Schedule appointments, remind patients of their appointment, and update patient demographics, per established policies and procedures.
        3. Promptly Answer all incoming calls and route them to the appropriate staff as needed.
        4. Register all patients per registration protocols over the phone.
        5. Call patients for follow up per policies and procedures.
        6. Call and schedule new patients on their first visit based on the member list and procedure established.
        7. Calling patients to make appointments for services offered.
        8. Promote OFH services by consulting, gathering information, and evaluating patient needs.
        9. Work closely with other departments on appointment scheduling and services offered to ensure smooth patient flow and ct down waiting time.
        10. Respond to patients’ inquiries, requests, dispute over the phone, and route it to the appropriate department or staff.
        11. Explain the services available, payment categories and billing procedures.
        12. Attend all mandatory programs training such as Medi-Cal, CHDP, BCCP, FPACT, and so on as required.
        13. Perform & Assign Tasks within the Electronic Health Record system.
        14. Initiate Medication Refill Requests
        15. Perform all other tasks related to Call Center Department areas of responsibilities.
        16. Follow Call Center Associate Policies and Procedures

Job Requirements:

        1. Ability to work under pressure, provide verbal communication, and proper telephone etiquette.
        2. Ability and willingness to treat all patients with the utmost kindness and consideration in the most trying situations.
        3. Friendly personality with the desire to work with the public.
        4. Ability to handle multi-functions.
        5. Understanding of community based organizations.
        6. Communicate patients’ problems to the appropriate staff.
        7. Knowledge of bookkeeping and office functions.
        8. Promotes and believes in OFH’s mission statement.
        9. Ability to relate to the public regardless of ethnic, religious and economic status.

Additional Duties:

        1. HIPAA compliance – responsible for maintaining abreast of and in compliance with all H.I.P.A.A. regulations and requirements. Treats all member information confidential.
        2. Compliance – Ensure compliance with all local, state and federal regulations.
        3. QA/QI – Participate in QA/QI activities and contribute towards the overall performance improvement of the organization.
        4. IT – Required to learn and use the EHR/EOHR (Medical Practice Electronic System) and its components. As required by the job functions and highlighted in the Policies and Procedures.
        5. All employees will participate in Patient Centered Health Home Model at Omni Family Health.

 Qualification, Education, and Experience: EDUCATION:

        • High school graduate or GED required.

EXPERIENCE:

        • A minimum of one-year experience in the medical field answering phones, setting appointments and handling patients’ questions and/or complaints is desirable.

CERTIFICATION/LICENSE:

        • Medical Assistant certificate desirable.

SKILLS:

        1. Ability to relate to patients through familiarity with medical terminology and triage procedure.
        2. Must believe in health care with dignity for all.
        3. Demonstrated ability to build and maintain good customer rapport.
        4. Ability to speak, read and write in Spanish is desirable.
        5. Electronic Health Record knowledge is desirable.

  Responsible To:  

      1. Call Center Supervisor/Business Management Associate

Classification:

      Full or Part Time Positions, Non-exempt

Dental Office Manager

  Locations:   

    • White Lane
    • Tehachapi

Job Summary: 

Under the general direction of the Dental Health Services Administrator, in accordance with established protocols, the person in this position shall be responsible for supervising and training front office and back office staff according to their job duties. In addition, and as recommended by the Dental Health Services Administrator, may perform other related work to include, but not limited to, dental FOC duties, clinical DA duties, making appointments, answering the phone, ordering supplies and doing the dental billing.

Job Duties:                             

  1. Front Office Supervision:
  • Responsible for the training of the Front office staff and orientation of the new hires           including training for EDR/Dentrix/QS1 and other job related procedures.
  • Responsible for conducting performance evaluations on all of the dental front office staff.
  • Observe front office efficiency:
    1. Make sure the patients are processed within reasonable time.
    2. Review and make certain that registration is completed properly and in accordance to established protocols.
    3. Review and make certain that cash register is balanced – receipts are issued properly for each day.
    4. Review all route slips throughout the day and make certain they are completely accurate in their entirety, including all necessary attached documents.
    5. Make sure that route slips are turned into billing department within 24 hours of date of service.
    6. Answer some of the dental front office call – as needed
    7. Observe dental records:
      1. Make sure the charts are filed properly.
      2. Review pending items.
      3. Review to make sure that all subpoenas are answered within allowed time.
      4. Communicate any chart issues with the dental providers 
        1. Observe phone etiquette and voice mails:
  • Make sure the calls are answered within 4 rings
  • Make sure that voice mails are checked at least every other hour.          
  •  
  • Back office supervision:
  • Responsible for the training of dental assistants and the orientation of new hires at the back.
  • Responsible for conducting performance evaluations on all of the dental assistants.
  •  
  • Observe back office efficiency:
  1. Greets patients in waiting area and escorts patients to the operatory.
  2. Assist the dentist in the administration of treatment at the chair side as required or directed by the dentist.
  3. Promote an atmosphere supportive of good dental and general health by demonstrating good oral hygiene, question patients to ascertain home care status, instruct patients in techniques of flossing and brushing in accordance with protocol.
  4. Maintain a sterile and neat working environment according to current infection control procedures.
  5. Review the health history, make chart entries under the direction of the operator and assure completion of forms and signatures.
  6. Assume the responsibility associated with any expanded duties that may be delegated by the dentist.
  7. Familiarize the patient with the aspects of their dental visit and provide support and compassion to that patient when it is needed.
  8. Stock operatories and maintain clinical supply inventory. Review daily schedule to set up appropriate trays and instruments.
  9. Serve as supply liaison, communicate with purchasing department and vendors to assure prompt receipt of all orders.
  10. May perform dental assistant job description according to the table of permitted duties.
  11. Observe staff customer service, handle patient complaints, address and resolve employee problems, as well as patients.
  12. Oversee all logs initiated within the Dental Department and delegate assistants to     maintain various logs at each site.
  13. Assist in overseeing the sterilization, infection control practices, and OSHA compliance within the dental department.
  14. Make sure that QI reports are done on a monthly basis and all CCPs are resolved as established by QI protocol.
  15. Assess and create goal for improvement for the site operation.
  16. Review and report building physical condition and equipment condition periodically and as needed, and provide any suggestions or proposal accordingly.
  17. Cash box reconciliation and other related duties.
  18. Serve as liaison for all community events within Omni service area as well as areas of the Dental Department. Coordinates with the health education department and assign dental assistants to attend these events.
  19. Collaborate the annual dental inventory with the Fiscal Department.
  20. Aware of Safety and OSHA practices, participate in Infection control committee.
  21. Review and make certain that referrals are completed in a timely manner, and logged according to established protocols, policies and procedures.
  22. Any other duties or responsibilities the chief dental officer or the dental district administrator may assign when the need arises.
  23. Promote and believe in community clinics health mission.
  24. Ability to relate to the public regardless of ethnic, religion and economic status.

Administrative Duties:

  1. Assist the district administrator and CDO with various administrative duties including preparing the monthly schedules, EZ Labor and related forms/requests, etc.
  2. Attend internal and external meetings on behalf of the dental department as assigned by the Chief Dental Officer.
  3. Responsible for supervision and training of dental staff as needed and orientation for new hires.
  4. Work closely with the Quality control team, Review QI reports and perform Registration Audits and QI check, and forward QI results to the Chief Dental Officer.
  5. Work closely with Human Resources department and all other departments as deemed necessary per the Chief Dental Officer.
  6. Communicate site operation and submit monthly report to the district administrator.
  7. Communicate/follow up on all route slips corrections/completions with Billing.
  8. Handle patients’ complaints and employee conflicts in timely and efficient manner.
  9. Revise dental supply orders monthly for all sites and communicate with purchasing department as needed.

Job Requirement:

  1. Demonstrate knowledge of dental health education subjects.
  2. Ability to complete forms in an orderly and accurate fashion, computer literate, familiar with Microsoft Word, Excel, Power point, etc.
  3. Able to use sound judgment. Possess a calm disposition and the ability to work easily with people.
  4. Ability to work with clinical staff and handle pressure from more than one provider.
  5. Ability to relate to the public in all areas (racial, ethnic, and economic).
  6. Willing to work evenings and/or weekends; willing to travel to various Dental sites to train and mentor staff as recommended by the Chief Dental Officer.
  7. Willingness to participate in community events such as health fairs, etc.
  8. Have the ability to communicate fluently in both English and Spanish.

 Additional Duties:

  1. HIPAA compliance – Responsible for maintaining abreast of and in compliance with all H.I.P.A.A. regulations and requirements. Treats all member information confidential.
  2. Compliance – Ensure compliance with all local, state and federal regulations.
  3. QA/QI – Participate in QA/QI activities and contribute towards the overall performance improvement of the organization.
  4. IT – Required to learn and use the Electronic Health Record and Practice Electronic System and its components. As required by the job functions and highlighted in the Policies and Procedures. These components include NextGen, PMS, QSI and other electronic features, as they are developed and implemented, as applicable to work environment.
  5. All employees will participate in Patient Centered Health Home Model at Omni Family Health.

 Qualifications, Education, and Experience:

Education:

  1. High school graduate (or GED)

Experience:

  1. Three years’ experience as a dental assistant and/or dental FOC.
  2. At least one (1) year management experience at a dental office setting; Must have leadership abilities and demonstrate management skills.

License/Certification:

  1. Certification as a Dental Assistant (RDA preferred).

Skills:

  1. Familiar with dental insurance codes, processing claims, dental software (Dentrix, NextGen or similar software), and other dental front office work.
  2. Proof of completing radiation safety course.
  3. Certificate for coronal polishing.

Pharmacy Technician

 Location:

  • N. Chester

Job Summary:           The Pharmacy Technician position is responsible for supporting and assisting the operation of the pharmacy department. This position is expected to perform additional job related responsibilities and duties throughout the facility as assigned and/or as necessary and will assist the pharmacist in inventory control of pharmacy stock, do routine clerical duties, (i.e. type memos etc.) bookkeeping duties as required, and other duties relating to the pharmacy.

Job Duties:

An individual must be able to perform successfully the essential function of this position with or without reasonable accommodation.

  1. Ensures that patient data and information is accurate when entering prescription data into pharmacy software by reading the prescription; translating prescription information into corresponding system codes; transcribing appropriate prescription data; and creating or modifying patient records
  2. Supports work of the area by filling prescriptions by retrieving prescription orders; counting, pouring, measuring or weighing medication tablets, liquids and creams; mixing or reconstituting medications as needed , selecting, filling and labeling prescriptions containers; and operating scanning equipment, and/or operating dispensing systems to ensure prescription accuracy.
  3. Ensures effective customer service by monitoring and resolving problems in the prescription fulfillment process by processing information for third party insurance claims; rescanning illegible images; alerting patients to inventory that is out of stock, partial fills, and the need for providers’ authorizations on refills; and identifying situations requiring pharmacist’s actions and resolution.
  4. Supports the work of the area by processing customer purchases by operating cash registers and related hardware; approving monetary transactions; and using appropriate procedures for different payment types and items sold
  5. Supports customer services by communicating and engaging with patients throughout the day in point of sale and in questions related to billing of insurance
  6. Supports quality and customer services by assist the pharmacist in translating the consultation mandated by board of pharmacy by being able to communicate with majority of patients in the health center in their language.
  7. Promotes Pharmacy services through interceptions made with patients waiting in the Clinic, and through communications with Providers, Medical Assistants and Front office clerks to ensure our patients are taking advantages of our full pharmacy services.
  8. Supports the reputation of the department and organization by promoting and maintaining the Pharmacy’s professional reputation and provides patients with pharmacy products and services in accordance with local, state, federal laws, 340B medications program requirements, HRSA and OPA regulations by assisting the pharmacist in the prescription fulfillment process
  9. Ensures quality by maintaining the pharmacy and its merchandise; stocking and rotating merchandise and supplies from our Vendors, handling claims and returns; answering the pharmacy telephone; processing third party insurance claims; filling prior authorization forms and e-TARs; completing, maintaining and securing paperwork, forms and other documentation.
  10. Ensures quality when checks out prescriptions from the pharmacy to the customer at pick-up area by verifying patient information according to organization policies and procedures. Marks appropriate prescriptions for pick-up; retrieving prescription bag from will-call bin; scanning security tags; gathering electronic signatures for the health insurance portability and Accountability Act (HIPAA) acknowledgement and third party payer, if applicable; and using required files to log sales of restricted Pharmaceutical items.
  11. Completes work assignments and priorities by using policies, data, and resources; collaborating with managers, co-workers, patients, and other business partners; identifying priorities, deadlines and expectations; carrying out tasks; communicating progress and information; determining and recommending ways to address improvement opportunities; and adapting to and learning from change, difficulties, and feedback.
  12. Supports the overall organization of the area by handling, moving, and displaying of goods in safe and correct. Reports poor inventory practices and low in-stock levels in assigned area. Uses inventory tools and equipment in safe and correct ways.
  13. Follows safety and Security guidelines and related Laws and Regulations when handling, storing, and providing Pharmacy goods and records, and When filling prescriptions. Provides correct pharmacy information to patients or refer them to the pharmacist when unable to do so.
  14. Supports health of patients and organization by ensuring the prevention of drug diversion and fraudulent prescriptions. Monitors pharmacy access and maintains security measures. Reports instances of potential prescription fraud and/or diversion to the pharmacist. Adheres to standard operating procedures for handling controlled substances, removing outdated merchandise, and disposing of trash.
  15. Ensures that area meets policy and procedure expectations by prohibiting the presence of personal belongings in the Pharmacy.
  16. Ensures that area meets departmental expectations by keeping the pharmacy neat, clean organized, and clutter free.
  17. Maintains awareness about the abuse of amphetamine and methamphetamine and other related community health issues.
  18. Shows care and concern when serving our patients. Asks questions in order to understand patient’s needs. Uses policies and information in order to exceed patient’s expectations. Find and uses the right resources (People, products, tools) at the right time in order to resolve patients requests.
  19. Listens to others and asks questions to learn and understand what is being asked. Understands and communicates the right information to associates and leaders when they need it. Communicates in a respectful and professional manner.
  20. Ensures the quality of their work by making sure work is correctly done. Works on top priorities first. Makes a consistent effort to get results. Meets deadlines. Takes action in order to solve problems so work can be completed in a timely manner
  21. Shows integrity and ethical behavior in all workstations. Reports ethical and compliance issues promptly.
  22. Supports the organization’s objectives by adapting to changing work demands. Ability to stay focused on work when faced with change or difficulties. Stays open to and learns from assignments and feedback.
  23. Supports the safety and wellbeing of coworkers by moving through narrow, confined spaces such as stacks of merchandise or supplies, storage areas and closets.
  24. Works to support the team and organization by agreeing to work varying shifts as required. Required to learn and use the Electronic Health Record and Practice Electronic System and its components. As required by the job functions and highlighted in the Policies and Procedures. These components include NextGen, PMS, QSI and other electronic features, as they are developed and implemented, as applicable to work environment.
  25. All employees will participate in Patient Centered Health Home Model at Omni Family Health.

Additional Functions and Responsibilities:

  1. HIPAA compliance – Responsible for maintaining abreast of and in compliance with all HIPAA regulations and requirements. Treats all member information confidential.
  2. Compliance – Ensure compliance with all local, state and federal regulations.
  3. QA/QI – Participate in QA/QI activities and contribute towards the overall performance improvement of the organization.
  4. IT – Required to learn and use the Electronic Health Record and Practice Electronic System and its components. As required by the job functions and highlighted in the Policies and Procedures. These components include NextGen, PMS, QSI and other electronic features, as they are developed and implemented, as applicable to work environment.
  5. All employees will participate in Patient Centered Health Home Model at Omni Family Health.

Minimum Qualifications:

EDUCATION/CERTIFICATION:

  1. Graduate from High School or equivalent.
  2. Completion of pharmacy technician training program from accredited school.
  3. Pharmacy Technician License – active and current licensure/certification with State Board of Pharmacy.

EXPERIENCE:

  1. Minimum 6 mos. experience in pharmacy setting (ideally through completion of pharmacy technician program).

SKILLS:

  1. Bilingual preferred. Please note: expressed fluency in second language will be tested up job offer.
  2. Basic typing skills 45 WPM
  3. Familiarity with basic office machines e.g., copiers, scanners, etc.
  4. Intermediate computer skills. Customer service skills within a retail and/or healthcare environment..

Responsible To:  Director of Pharmacy and Staff Pharmacist/Chief Pharmacist

Classification:     Full Time Position, Non-exempt

 

Grants Management Specialist

 JOB DESCRIPTION

 Location:    Corporate Bakersfield

 Job Summary:     Under the direction of the Compliance and Business Services Manager and in accordance with OFH policies and procedures, the person in this position will primarily be responsible for management of grants, policies and other administrative projects. The main focus for this person will be to coordinate grant and project commitments to meet established goals, including communications with sponsors, stakeholders, etc. This person will spend a significant time on project management responsibilities and may need to provide regular reports. As assigned, lead or assist in the planning, implementation and introduction of grant funded projects or the implementation of operational processes.

Job Duties:

GRANTS/AWARDS MANAGEMENT

  1. Research, organize, write, and manage a portfolio of foundation and corporate grants and awards in coordination with other development staff.
  2. Explore and submit applications for opportunities of recognition through awards/certifications that will elevate the organizations image and reputation.
  3. Explore opportunities for funding in various categories and submit applications or work with grant writer to assist with other grant preparation.
  4. Compile and tally collections of data and statistics in a timely manner in order to meet reporting obligations of funding agencies on a monthly and quarterly basis as needed or required.  Skilled in data analysis, manipulation of data, graphical representation of data.
  5. Investigate how various factors including financing mechanisms, organizational processes and structures, evolving health technologies and individual behavior act separately and together to affect the delivery of health care at OFH for grant writing purposes.
  6. Coordinate grant writing activities and maintain grants matrix.
  7. Contribute to the production and coordination of governmental or federal grants and any reporting as necessary.
  8. Coordinate meetings with sponsors, stakeholders, etc. as necessary to kick off the implementation of projects.
  9. Will develop tools to monitor progress to support the departments as the projects are implemented.
  10. Must have the ability to prioritize work tasks and meet deadline time frames and have the ability to understand a situation quickly and make judgments.
  11. Other duties as required by the funding agencies, and/or as agreed upon by the management staff as the case may be currently or in the future.

POLICY MANAGEMENT

  1. Make sure that all policies, procedures and protocols have been updated at least once every two years and that any changes have been discussed at the appropriate levels, approved by the respective committee, copies of the updates have been distributed to appropriate OFH staff and ensure electronic access. Ensure that appropriate policies for overall organization policy implementation are followed and staff responsible, held accountable.
  2. Lead OFH policy development and review, manage the effective and timely communication and dissemination of policies and procedures, and ensure the highest and best use of policy management.
  3. As the Policy Manager, this person will be the administrator for the policy management system utilized by OFH.
  4. The Policy Manager will provide policy management support to the administrative, compliance, quality, nursing, and organization-wide employees/departments.
  5. Act as a central information source by maintaining and distributing policies, procedures and forms as necessary.
  6. Set up user permissions and maintain access rights to the policy management system.
  7. Set up taxonomy and table of contents within policy management system for all policies.
  8. Will facilitate training for all users as necessary and will ensure knowledge of product and be alert to any updates to the software.
  9. Research, compile, process and coordinate policy data, e.g. data entry, report generation, metrics, collection. Etc.

Other Job Duties:

  1. Familiarize self with reports and activities in each particular area below:
    • UDS and OSHPD requirements
    • Clinical performance measures requirements
    • Program and Grant expectations
    • Licensing and other health safety requirements
    • Familiar with relevant accreditation standards and expectations
    • Billing Census Reports
    • Meaningful Use
    • HPSA Surveys
    • HRSA Activities
    • EHB Activities
    • Community Health Needs Assessment
    • Awards for Organizational Recognition

Other duties as assigned by supervisor. Duties and responsibilities may be added, deleted, or changed at any time at the discretion of management, formally or informally either verbally or in writing.

Key Competencies:

  1. Ability to work under pressure.
  2. Must be able to project manage.
  3. Friendly attitude with the desire to work with the public.
  4. Ability to multi-task and handle multiple functions.
  5. Understanding of community based organizations.
  6. Knowledge of bookkeeping and office functions.
  7. Promote and believe in OFH mission statement.
  8. Ability to relate to the public regardless of ethnic, religious and economic status.
  9. Must be willing to work at any Omni Family Health, location, other that the assigned site and be agreeable to work weekends, if so needed.
  10. Must obtain a Valid California Driver’s License at all times plus proof of insurance, to allow you to be placed in all Omni Family Health clinics if needed.

 Additional Duties:

  1. HIPAA compliance – Responsible for maintaining abreast of and in compliance with all HIPAA regulations and requirements. Treats all member information confidential.
  2. Compliance – Ensure compliance with all local, state and federal regulations.
  3. QA/QI – Participate in QA/QI activities and contribute towards the overall performance improvement of the organization.
  4. IT – Required learning and using the Electronic Health Record and Practice Electronic System and its components. As required by the job functions and highlighted in the Policies and Procedures. These components include NextGen, PMS, QSI and other electronic features, as they are developed and implemented, as applicable to work environment.
  5. All employees will participate in Patient Centered Health Home Model at Omni Family Health.

 Qualifications, Education, and Experience:

  1. Minimum of Bachelor’s Degree in Business or related field or high school graduate/GED with a minimum of two (2) years of experience working with grants or a similar setting can be substituted for educational requirement.
  2. Experience of 1-2 years in project management required.
  3. Must believe in health care with dignity for all.
  4. Must be proficient at public speaking and presenting.
  5. Must be proficient with Microsoft Word, Excel, Power Point, etc.
  6. Ability to speak read and write in English and Spanish is desirable.

Responsible To:         Compliance and Business Services Manager

Classification:            Full time, Exempt position.

Administrative Assistant/Receptionist

Location: Administration – Bakersfield

Job Summary:          Under the supervision and direction of the immediate supervisor, the Administrative Assistant/Receptionist is responsible for handling front office reception and administrative duties including welcoming guests, answering phones and directing all company inquiries appropriately. Deliver superior customer service to both external customers and internal staff. Sort all corporate mail and correspondence, follow up on all outstanding matters, maintain administrative files, and perform other related administrative duties.

Job Duties:

  1. Serve visitors by welcoming, directing and announcing them appropriately.
  2. Answer, screen and forward any incoming phone calls to appropriate individual or department; Provide basic information when needed.
  3. Receive and sort daily mail and deliveries.
  4. Maintain a safe and clean reception area by complying with procedures, rules and regulations.
  5. Coordinate office and conference room meeting space as necessary.
  6. Maintain security by following procedures and controlling access including keeping visitor log and issuing visitor badges.
  7. May type and proofread a wide variety of reports, letters, memoranda and correspondence; May take and transcribe dictation.
  8. Responsible for organizational functions and general meeting support including scheduling meetings, arranging meeting space and securing food and supplies as needed.
  9. Maintain accurate files and records as per Omni policies for easy follow up or as directed by the immediate supervisor.
  10. Assist and work closely with all corporate personnel and assure smooth flow of data and report to the department head as required.
  11. Assist with administrative duties as directed.
  12. Operate copier, mail sorting machine, fax and other office machines as directed.
  13. Other administrative duties and/or responsibilities as the immediate supervisor may assign from time to time.

Job Requirements:

  1. Ability to work under pressure and handle multi-functions in proficient and efficient manner.
  2. Must possess exceptional verbal and written communication skills.
  3. Must be familiar with the health care delivery system practices through education, training or experience. Must understand patient demands and hold effective communication skills with the public.
  4. Must be alert and respect confidentiality of information of all types “General personnel, and/or patient related information.”
  5. Promotes and believes in OFH mission statement.
  6. Ability to relate to the public regardless of race, ethnicity, religion, age, sex, disability or economic status.
  7. HIPAA compliance – Responsible for staying abreast of and in compliance with all HIPAA regulations and requirements. Treats all member information confidential.
  8. Compliance – Ensure compliance with all local, state and federal regulations.
  9. QA/QI – Participate in QA/QI activities and contribute towards the overall performance improvement of the organization.
  10. IT – Required to learn and use the Electronic Health Records and Practice Electronic System and its components. As required by the job functions and highlighted in the Policies and Procedures. These components include NextGen, PMS, QSI and other electronic features, as they are developed and implemented, as applicable to work environment.
  11. All employees will participate in Patient Centered Health Home Model at Omni Family Health.

Qualifications, Education, and Experience:  Level I

  1. High school graduate or equivalent with at least 3-5 years administrative/reception experience in a similar setting.
  2. Higher education may be a substitute for experience depending on the degree of education, personality, and line of studies.
  3. Experience with the Microsoft Office suite including Word, Outlook, Excel and PowerPoint required.
  4. Must be able to take dictation and type at least 55 WPM.
  5. Knowledge of office procedures is required.

Level II

  1. All qualifications and experience from Level I.
  2. Minimum one-year experience as an Administrative Assistant/Receptionist I at Omni Family Health.
  3. Demonstrated ability to take on additional administrative projects as instructed by immediate supervisor.
  4. Some higher education preferred.
  5. May supervise Administrative Assistant/Receptionist I.

This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needed.

Responsible to:          Executive Assistant to the CEO & Director of Special Projects Classification:           Full or Part Time Position, Non-Exempt  

Business Analyst

Job Summary:    Under the direction of the Chief Financial Officer and/or designee, the Business Analyst is responsible for continual monitoring of key performance indicators, creating budget/financial performance reports and analysis on the fiscal and operations activities of Omni Family Health. This position analyzes and documents business and workflow processes through standardized data system reporting. Includes communication with Finance Department staff, Revenue Cycle Management, providers, health center managers, District Administrators, and operation/ancillary staff regarding outcome measurements and analysis by location and service line.

Job Duties:    

  1. Prepare and submit weekly, monthly, quarterly, and annual management and financial, cash flow, and statistical reports, including funding reports to funding agencies, and other required financial/progress reports with the funding agencies’ requirements and policies and procedures established in the area by the Omni Family Health management and Board of Directors.
  2. Review for accuracy and reconcile different cost center accounts by location and by service line.
  3. Coordinate the development and management approach of operating and capital budgets for internal control. Provides information and assists staff and program directors in budget preparation, implementation, and monthly variance analysis.
  4. Responsible for employee position control, personnel budget, and calculating the correct provider to support staff ratios.
  5. Prepares, balances, complies, and enters budget data; performs statistical analysis of cash flow, labor hour’s budgets; monitors and evaluates budgets and cash flow for appropriateness to ensure fiscal solvency and accountability.
  6. Monitors Grant budgeting applications, outcome and implementation
  7. Develops technical solutions to business problems by reviewing analyzing and documenting requirements.
  8. Prepare clinic annual reports (CMS, OSHPD, UDS and PPS Reconciliation) and cost reports as directed by the CFO and/or designee.
  9. Research and analyze financial data for any expansion or new business; creates, organizes, and maintain files using database and spreadsheet programs; retrieves and organizes data into required reporting formats; collects, retrieves and organizes data to identify financial discrepancies and recommends solutions.
  10. Responsible for closing the month/ quarter and yearly and to assure that all reports are ran in accordance with the policies established.
  11. Monitor and evaluate operation effectiveness and recommends changes for improvement to strengthen the organization structure and staffing requirements.
  12. Ability to facilitate stakeholder meetings and manage expectations
  13. Maintain professional presence including final work product and presentations
  14. Monitor, analyze and evaluate the billing/ collection of AR effectiveness. Recommends changes for improvement to strengthen collection, for days in AR management as well as collection turn around days.
  15. Establish clear communication process between departments, especially with operation Managers/Directors and Clinic Supervision. .
  16. All other duties or responsibilities as requested.

Additional Duties: 

  1. HIPAA compliance – responsible for maintaining functional knowledge of and in compliance with all HIPAA regulations and requirements. Treats all member information confidential.
  2. Compliance – Ensure compliance with all local, state and federal regulations.
  3. QA/QI – Participate in QA/QI activities and contribute towards the overall performance improvement of the organization.
  4. IT – Required learning and using the Electronic Health Records and Practice Electronic System and its components. As required by the job functions and highlighted in the Policies and Procedures.
  5. All employees will participate in Patient Centered Health Home Model at Omni Family Health.

Qualifications, Education, and Experience: 

Education:

  1. Graduate from a four-year college with major in Accounting/Finance.

Skills:

  1. Knowledge of Generally Accepted Accounting Principles and procedures in nonprofit accounting.
  2. Proficient in Microsoft Suite.
  3. Knowledge and understanding the principles and techniques of budget preparation, administration, statistical methods, technical writing, and related record keeping.
  4. Ability to communicate and maintain an effective working relationship with staff and funding agencies.
  5. Ability to operate independently, supervise projects, assignments, multi-disciplinary teams, OFH personnel and provide in service education when necessary.

 

Responsible To:    Chief Financial Officer

Classification:       Full Time, Non-Exempt

Registered Dental Assistant (RDA)

JOB DESCRIPTION

 Location:

  • Taft
  • Oildale
  • Fresno 
  • Panama
  • Reedley Manning Site
  • Tehachapi/Ridgecrest (Floater)

Job Summary:   The Registered Dental Assistant performs duties such as: prepare the patient for the treatment, assist the dentist in performing their treatment to the patient in restorative dentistry or oral surgery, prepare materials and equipment for treatment and have them ready for the dentist’s use, take x-rays and assist the dentist in laboratory work.  May perform other related work to include, but not limited to, making appointments, answer the phone, ordering supplies and doing the dental billing.

Job Duties: 

  1. Greets patients in waiting area and escorts patients to the operatory.
  2. Assist the dentist in the administration of treatment at the chair side as required or directed by the dentist.
  3. Promote an atmosphere supportive of good dental and general health by demonstrating good oral hygiene, questioning patients to ascertain home care status, instructing patients in techniques of flossing and brushing in accordance with protocol.
  4. Maintain a sterile and neat working environment according to current infection control procedures.
  5. Review the health history, make chart entries under the direction of the operator and assure completion of forms and signatures.
  6. Assume the responsibility associated with any expanded duties that may be delegated by the dentist.
  7. Familiarize the patient with the aspects of their dental visit and provide support and compassion to that patient when it is needed.
  8. Stock operatories and maintain clinical supply inventory.
  9. Review daily schedule to set up appropriate trays and instruments.
  10. Assist in front office procedures if time allows or need is determined by the Chief Dental Officer or Dentist.
  11. Supervise preventive maintenance of dental equipment.
  12. Serve as supply liaison. Communicates with purchasing department and vendors to assure prompt receipt of all orders.
  13. May perform the following procedures:
    • Obtain endodontic cultures.
    • Dry canals, previously opened by the supervising dentist, with absorbent points.
    • Test pulp vitality.
    • Place bases and liners on sound dentin.
    • Remove excess cement from supragingival surfaces of teeth with hand instrument or floss.
    • Size stainless steel crowns, temporary crowns and bands.
    • Temporary cementation and removal of temporary crowns and removal of orthodontic bands.
    • Placement of orthodontic separators.
    • Placement and ligation of arch wires.
    • lacement of post-extraction and periodontal dressings.
    • Take bite registrations for diagnostic models for case study only.
    • Coronal polishing.

Job Requirements:

  1. Friendly personality with the desire to work with the public.
  2. Ability and willingness to treat all patients with the utmost kindness and consideration in the most trying situations.
  3. Ability to handle multi-functions and complete tasks in orderly and accurate fashion
  4. Understanding of community based organizations and willing to participate in community events such as health fairs, etc.
  5. Promotes and believes in OFH mission statement.
  6. Ability to relate to the public regardless of ethnic, religious and economic status.
  7. Must be willing to work at any Omni Family Health location, other that the assigned site and be agreeable to work weekends, if so needed.
  8. Must obtain a Valid California Drivers License at all times plus proof of insurance, to allow you to be placed in all Omni Family Health clinics if needed.
  9. Able to use sound judgment. Possess a calm disposition and the ability to work easily with people. 

Other Duties

  1. HIPAA compliance – responsible for maintaining abreast of and in compliance with all HIPAA regulations and requirements. Treats all member information confidential.
  2. Compliance – Ensure compliance with all local, state and federal regulations.
  3. QA/QI – Participate in QA/QI activities and contribute towards the overall performance improvement of the organization.
  4. IT – Required learning and using the Electronic Health Record and Practice Electronic System and its components. As required by the job functions and highlighted in the Policies and Procedures.
  5. All employees will participate in Patient Centered Health Home Model at Omni Family Health. 

Qualifications, Education, and Experience:

  1. High school graduate (or GED).
  2. Proof of completing radiation safety course.
  3. One-year experience as a dental assistant.
  4. Certification as a Registered Dental Assistant required.
  5. Certificates for coronal polishing and sealants required.
  6. Demonstrate knowledge of dental health education subjects.
  7. Have the ability to communicate in English and Spanish.

Responsible To:         Staff Dentist, and Chief Dental Officer  Classification:            Full or Part Time Position, Non-exempt

Patient Outreach and Enrollment Specialist (Bilingual: English/Spanish)

Locations:

  • Visalia
  • Shafter Women’s
  • Hanford site
  • Fresno 1st Street Site

Job Summary:     This position is responsible for screening and patient eligibility for multi- programs offered at OFH such as Patient Protection, Affordable Care Act (ACA), Immigration Reform (IR), 3rd Party Payors, Family PACT, Every women counts, Sliding scale etc. The Patient Outreach and Enrollment Specialist are responsible for qualifying patients for financial coverage of services rendered. Patient Outreach and Enrollment Specialist (POES) services may include, but are not limited to, providing individuals and families with education about and assistance with the application process, case manage to ensure successful initial enrollments and annual renewal assistance. POES identify and develop relationships with strategic community partners (schools, service clubs, business, faith community, county staff, and other government agencies) and act as community liaison for OFH Outreach and Medi-Cal Retention programs. Represents OFH in the community and makes presentations at partner organizations and public forums regarding OFH outreach and enrollment initiatives. POES also establish and maintain relationships with County Departments of Social Services to facilitate applications and information sharing. The goal is to increase the number of individuals and families in California who are insured and have access to a Quality Health Plan.. Many patients are Spanish speakers and fluency in Spanish as well as familiarity with the regional Hispanic culture is required. In addition, the ideal candidate must support mission and goal achievement, organizational quality and the patient-centered medical home philosophy we operate by. Incorporate core organizational values of quality, respect, integrity, partnership, and compassion in all activities and decisions. Perform community outreach and marketing to increase Omni Family Health (OFH) effectiveness in responding to the healthcare access needs of persons living in Kern County. Increase the number of area residents, especially those who qualify for the guidelines set by the Patient Protection and Affordable Care Act, who have access to primary and preventive health care services by identifying those eligible for publicly-sponsored insurance programs and other social services and assisting persons identified to navigate the enrollment process to secure needed services. Ensure that newly enrolled members of publicly-funded insurance programs understand how their insurance plan works and have a functional relationship with an appropriate primary care provider. Protect the dignity, privacy, and confidentiality of patients and their families, as well as co-workers and others.

Job Duties: Patient Outreach and Enrollment Specialist (POES) Tasks and Responsibilities (~75% of workload): General Tasks

  1. Possess excellent communication skills to relate with diverse populations, and community organizations.
  2. Assist patients to accurately complete application(s) and successfully enroll/re-enroll into government sponsored health insurance programs or 3rd Party Payors, Family PACT, Sliding scale, Every Women countsetc.
  3. Demonstrated ability to manage databases and spreadsheets
  4. Demonstrated ability to work effectively with government and community partners
  5. Experienced in the use of protected health information (PHI) to comply with HIPAA rules
  6. Skilled in the use of personal computers and related software applications (MS Word, Excel, Access Database, and NextGen)
  7. Provide follow up on all pending applications to ensure enrollment process is complete.
  8. Provide Insurance and Medi-Cal financial counseling.
  9. Follow-up on Medi-Cal enrollment.
  10. Follow-up on Post-Enrollment management.
  11. Outreach to raise awareness of the availability of Quality Health Plans.
  12. Outreach to raise awareness of the availability and necessity of a Primary Care Provider.
  13. Provides information in a manner that is culturally and linguistically appropriate for consumers.
  14. Provide complete, fair and impartial information.
  15. Perform other duties as assigned.

Administrative Reporting:

  1. Collect and summarize process data from all HCN tasks.
  2. Assist in the collections of outcome data.
  3. Maintain and regularly update project database.

Communication:

  1. Meet monthly face to face with the Patient Outreach and Enrollment Specialist (POES) Supervisor to report and review program progress.
  2. Maintain weekly communication with Patient Outreach and Enrollment Specialist (POES) Supervisor staff at OFH.
  3. Contact key personnel at Health Centers and other service/health-related organizations with access to target population to identify status or services and coordinate patient care.
  4. Possess strong interpersonal communication skills; is outgoing, very sensitive and aware of needs of public health clients who experience serious health problems and who have limited resources to address those health needs.

Training Requirements:

  1. Receives initial and ongoing program training.
  2. Receives regular technical support.
  3. Conduct trainings related to Outreach Program activities.

Planning and Program Development:

  1. Assists in conducting assessments of the community to identify availability of competing services, programs and organizations and institutions.
  2. Promotes the program in the community. Makes contact with all relevant healthcare facilities that might also provide diagnostic, treatment or social services to patients.
  3. Participate in planning discussions and meetings. Assist in developing tactical plans to support outreach and patient or payment goals.
  4. Prepare and submits daily/weekly productivity reports.

Project Implementation:

  1. Manage all aspects of the Patient Outreach and Enrollment Specialist (POES) Supervisor activities within the Health Center and in the community.
  2. Regularly update the project database and report to Patient Outreach and Enrollment Specialist (POES) Supervisor program coordinating staff.

Data Analysis:

  1. Provide database reports according to instructions from Patient Outreach and Enrollment Specialist (POES) Supervisor.
  2. Promote the program and materials as directed by the Patient Outreach and Enrollment Specialist (POES) Supervisor.
  3. Develop and maintain a database of healthcare and other enabling services available with data collection on availability and eligibility requirements for patient and client information.

Outreach Coordinator Task and Responsibilities (~25% of workload)

  1. Serve as a central resource for community questions and referrals for both consumers and providers, building relationships with community resources, public health, schools, churches, and other social service organizations to identify, refer and develop resources that remove consumer barriers to accessing needed health and social services;
  2. Identify individuals who qualify for Omni Family Health programs through direct outreach activities and through reports/referrals from community partners, churches, schools, internal data, and others;
  3. Connect with individuals to inform them about OFH services and related community resources and assist identified persons in accessing needed care that facilitates individual and family health, care coordination, continuity of care, and case management;
  4. Assist eligible clients to apply for publically sponsored health care insurance plans, providing necessary follow-up, tracking and data collection to assure continuous enrollment;
  5. Develop and maintain a tracking and follow-up system for Medi-Cal and other social service applications to ensure that all aspects of the process, from application through post-enrollment, have been completed and that the client is able to receive appropriate services;
  6. Maintain statistics/data on contacts; identify needs, problems and service gaps. Track and tabulate contacts, application submission and post-enrollment follow-up;
  7. Initiate post-enrollment support activities with Medi-Cal eligible clients, completing and recording the information required for monthly OFH reports;
  8. Attend appropriate community or networking meetings to facilitate outreach and gathering of information to increase consumer access to a permanent medical home;
  9. Work with local schools, churches, community partners, and key employers to train, coordinate and problem-solve so they can make appropriate referrals to OFH or appropriately support enrollment in or use of services through the Medi-Cal program;
  10. Develop with Marketing Partner, Supervisor, and Health Center Site Manager educational flyers/handouts to distribute through local community-based groups;
  11. Participate in community coalitions and related committees convened to maximize enrollment and education;
  12. Support and contribute to effective safety and risk management efforts by adhering to established policies and procedures, maintaining a safe environment, promoting accident prevention, and identifying and reporting potential liabilities; and
  13. Other related duties as assigned that support organizational goals and objectives and patient centered care.

Essential Functions

  1. Bilingual required (English/Spanish)
  2. CAA Certification – preferred
  3. Periodic state travel; travel between Health Center sites
  4. Occasional evening or weekend work

Skills and Abilities

  1. Skill in exercising initiative, judgment, problem solving and decision-making
  2. Skill in the development and maintenance of effective relationship with medical and administrative staff, patients and the public
  3. Skill in gathering and analyzing objective and subjective data on personnel matters;
  4. Skill in conflict resolution
  5. Skill in identifying problems, recommend solutions, organize and analyze information
  6. Skill in organizing work, delegating and achieving goals and objectives
  7. Skill in operating a variety of office equipment and computer programs
  8. Skill to work under pressure, set priorities among multiple requests
  9. Skill to communicate and present information effectively
  10. Advance personal knowledge base by pursing continuing education to enhance professional development
  11. Non-judgmental attitude
  12. Ability to work independently and as part of a team
  13. Ability to plan, organize and integrate priorities and deadlines
  14. Ability to work at a rapid pace, being involved in several duties at one time
  15. Ability to set priorities and avoid crises management
  16. Ability to remain calm and poised in urgent situations
  17. Ability to communicate effectively in writing and verbally
  18. Excellent time management skills and flexibility
  19. Ability to report to work as scheduled
  20. Demonstrated skills/knowledge of Microsoft Office suite
  21. Ability to maintain confidentiality
  22. Language Skills: Bilingual (verbal & written) in English and Spanish. Any third language a plus (relative to community need – e.g. Tagalog, Vietnamese)
  23. Excellent customer service skills – ability to understand and exceed customer expectations while demonstrating the highest standards of care, respect, and confidentiality
  24. Basic computer skills
  25. Ability to relateeffectively with people of different cultural backgrounds

Knowledge:

  1. Demonstrates positive interactions with the public, patients and children.
  2. Have positive interpersonal relations in dealing with fellow employees, and supervisors, so that productivity and positive employee relations are maximized.
  3. To assist clients in applying for appropriate health care coverage plans, providing necessary follow-up, tracking and data collection.
  4. Fluent in Spanish and English (able to read, write and speak in both English and Spanish). Familiar with the regional Hispanic culture.

Other Job Duties:

  1. H.I.P.A.A. compliance – Responsible for enforcing compliance with all H.I.P.A.A. regulations and requirements. Treats all member information confidential.
  2. Compliance – Ensure compliance with all local, state and federal regulations.
  3. QA/QI – Participate in QA/QI activities and contribute towards the overall performance improvement of the organization.
  4. IT – Required to learn and use the EHR/EOHR (Medical Practice Electronic System) and its components as required by the job functions and highlighted in the Policies and
  5. All employees will participate in Patient Centered Health Home Model at Omni Family Health.

Qualifications, Education, and Experience:

  1. High school diploma.
  2. BA/BS in social services or health education, public health or other health related field preferred.
  3. 1-3 years of experience in program development or other related field desired.
  4. Certified Application Assistance certification can substitute for 1 year of experience.
  5. Minimum two years working in a Primary Care Health Center, Healthcare related field, community or school based social service position. Work as a community health outreach worker and OHP enrollment specialist highly desirable.
  6. Personal commitment to the organization’s mission, vision and core values
  7. Personal commitment to the ACA, IR, and Patient-Center Medical Home philosophy
  8. Keyboarding at a minimum of 45 wpm
  9. Ability to pass a pre-employment drug screen and background test, Tb clearance
  10. Dependable motorized transportation, valid driver’s license and proof of auto insurance
  11. Knowledge of eligibility requirements and application process of all government sponsored health insurance programs
  12. Demonstrated organizational, work management, and group process skills, ability to take initiative to identify and propose new tasks and procedures
  13. Ability to establish and maintain working relationships with a diverse group of staff, public and professionals
  14. Ability to manage time and prioritize tasks
  15. Ability to proofread and edit for accuracy, punctuation, grammar, spelling, and clarity
  16. Demonstrated knowledge and competence in the use of software applications: word processing, spreadsheet, presentation, email applications (Microsoft Office preferred)
  17. Communication skills and the ability to work independently and collaboratively as needed
  18. Ability to travel to work outreach and enrollment sites as required– must have reliable transportation
  19. Current working experience in a Community Health Center setting
  20. Must be able to maintain a good attendance record
  21. Knowledge of Kern County health care system preferred

Responsible To: Healthcare Navigator and Outreach Supervisor

Classification:    Full Time Position, Non-Exempt 

Pharmacy Clerk

           

Location:      

  • Panama Ln. 

 Job Summary:           Under the supervision of the Pharmacy Manager, the Pharmacy Clerk will assist the pharmacist in inventory control of Pharmacy stock, do routine clerical duties, (i.e. type memos etc.), bookkeeping duties as required, and other duties related to the pharmacy.

Job Duties:

  1. Ensures that patient data and information is accurate when entering prescription data into pharmacy software by reading the prescription, translating prescription information into corresponding system codes and transcribing as appropriate.
  2. Ensures effective customer service by monitoring and resolving problems in the prescription fulfillment process by processing information for third party insurance claims; re-scanning illegible images; alerting patients to inventory that is out of stock or partial fills; requests for provider authorizations on refills; identifying situations requiring pharmacist’s actions and resolution.
  3. Supports the pharmacy by processing customer purchases by operating cash registers and related hardware, approving monetary transactions, and using appropriate procedures for different payment types and items sold.
  4. Supports customer services by communicating and engaging with patients throughout the day in point of sale and in questions related to billing of insurance
  5. Supports quality and customer services by assisting the pharmacist in translating the consultation mandated by board of pharmacy by being able to communicate with majority of patients in the health center in their language.
  6. Promotes Pharmacy services through interceptions made with patients waiting in the Clinic, and through communications with Providers, Medical Assistants and Front office clerks to ensure our patients are taking advantages of full pharmacy services.
  7. Supports the reputation of the department and organization by promoting and maintaining the Pharmacy’s professional reputation. Provides patients with pharmacy products and services in accordance with local, state, federal laws, 340B medications program requirements, HRSA and OPA regulations by assisting the pharmacist in the prescription fulfillment process.
  8. Ensures quality by maintaining the pharmacy and its merchandise, stocking and rotating merchandise and supplies from our vendors, handling claims and returns, answering the pharmacy telephone, processing third party insurance claims, filling prior authorization forms and e-TARs, and completing, maintaining and securing paperwork, forms and other documentation.
  9. Ensures quality when checking out prescriptions from the pharmacy to the customer at pick-up area by verifying patient information according to organization policies and procedures. Marks appropriate prescriptions for pick-up, retrieve prescription bag from will-call bin; scanning security tags, gathering electronic signatures for the health insurance portability and Accountability Act (HIPAA) acknowledgement and third party payer, if applicable, and using required files to log sales of restricted Pharmaceutical items.
  10. Completes work assignments and priorities by using policies, data, and resources, collaborating with managers, co-workers, patients, and other business partners, identifying priorities, deadlines and expectations, carrying out tasks, communicating progress and information, determining and recommending ways to address improvement opportunities, and adapting to and learning from change, difficulties, and feedback.
  11. Follows safety and security guidelines and related Laws and Regulations when handling, storing, and providing Pharmacy goods and records, and when filling prescriptions. Provides correct pharmacy information to patients or refers them to the pharmacist when unable to do so.
  12. Supports the health of patients by ensuring the prevention of drug diversion and fraudulent prescriptions. Monitors pharmacy access and maintains security measures. Reports instances of potential prescription fraud and/or diversion to the pharmacist. Adheres to standard operating procedures for handling controlled substances, removing outdated merchandise, and disposing of trash.
  13. Ensures that area meets policy and procedure expectations by prohibiting the presence of personal belongings in the Pharmacy.
  14. Ensures that area meets departmental expectations by keeping the pharmacy neat, clean organized, and clutter free.
  15. Maintains awareness about the abuse of amphetamine and methamphetamine and other related community health issues.
  16. Shows care and concern when serving our patients. Asks questions in order to understand patient’s needs. Uses policies and information to exceed patient’s expectations. Finds and uses the right resources (people, products, tools) at the right time in order to resolve patient’s requests.
  17. Listens to others and asks questions to learn and understand what is being asked. Understands and communicates the right information to associates and leaders when needed. Communicates in a respectful and professional manner.
  18. Ensures the quality of their work by making sure work is correctly done. Prioritizes workload. Makes a consistent effort to get results, meet deadlines and takes action in order to solve problems so work can be completed in a timely manner.
  19. Shows integrity and ethical behavior in all workstations. Reports ethical and compliance issues promptly.
  20. Supports the organization’s objectives by adapting to changing work demands. Ability to stay focused on work when faced with change or difficulties. Stays open to and learns from assignments and feedback.
  21. Supports the safety and well being of coworkers by moving through narrow, confined spaces such as stacks of merchandise or supplies, storage areas and closets.
  22. Works to support the team and organization by working varying shifts as required. Required to learn and use the Electronic Health Record and Practice Electronic System and its components. As required by the job functions and highlighted in the Policies and Procedures. These components include NextGen, PMS, QSI and other electronic features, as they are developed and implemented, as applicable to work environment.
  23. Other work-related duties as assigned.  Additional duties may be assigned either verbally or in writing.

 Additional Functions and Responsibilities:

  1. HIPAA compliance – Responsible for maintaining abreast of and in compliance with all H.I.P.A.A. regulations and requirements. Treats all member information confidential.
  2. Compliance – Ensure compliance with all local, state and federal regulations.
  3. QA/QI – Participate in QA/QI activities and contribute towards the overall performance improvement of the organization.
  4. IT – Required to learn and use the EHR/EOHR (Medical Practice Electronic System) and its components. As required by the job functions and highlighted in the Policies and Procedures. These components include NextGen, Healthport, PMS, QSI and other electronic features, as they are developed and implemented, as applicable to work environment.
  5. All employees will participate in Patient Centered Health Home Model at Omni Family Health.

 Qualifications, Education, and Experience

 Education:

Graduate from high school or equivalent.

Experience:

Minimum 1-year prior work experience as Pharmacy Assistant is preferred.

Skills:

  1. Focused on patient care and customer service.
  2. Basic typing skills.
  3. Promotes and believes in OFH mission statement.
  4. Ability to relate to the public regardless of ethnic, religion and economic status.
  5. Bilingual in English/Spanish may be required

Responsible To:  Staff Pharmacist/Pharmacy Manager

Classification:  Full Time, Non-exempt

Health Center Manager (HCM)

 Location:

  • Fresno – Fresno County
  • Hanford – Kings County
  • Kern – Stine/Ming Site

Job Summary:    The person in this position is part of the team concept in the Patient Center Health Home which is devoted to the delivery of primary care in an ambulatory setting, with an emphasis on prevention and health maintenance. The person in this position reports to the District Health Services Administrator and works closely with the Director of Nursing, providers, nurses, and support staff to assure effective patient and client service objectives in the health centers. The Health Center Manager will oversee the day to day operation of the Front Office and Back Office Staff, ensuring that staff continues performing their duties and carrying on the necessary functions required in accordance with established policies and procedures. The Health Center Manager is responsible for the compliance with federal, state and local requirements pertaining to health center issues. Job Duties:

  1. Observe front office efficiency
  • Make sure that patients are processed within reasonable time.
  • Guarantee excellent customer service to all patients of Omni Family Health.
  • Review and make certain that registration is completed properly and in accordance to established protocols.
  • Review and make certain that co-pay/ balance/ deposits/ share of costs are collected from each patient.
  • Review and make certain that cash register is balanced daily – receipts are issued properly.
  • Make sure telephone calls are answered within three rings.
  • Ensure staff are trained in NextGen, i2i, and data programs in relation to front office duties. Make certain all data is properly captured in NextGen or applicable Practice
  • Management System.
  • Make sure verification and collection of demographics is captured by front office at each patient visit.
  • Guarantee proper insurance verification, work closely with insurance plans, and direct patients to appropriate assistance programs.
  • Properly collect UDS patient information.
  • Monitor the no- show patients and complete the no- show process.
  • Prepare health center for all private, county, state, and federal audits. .
  • Generate, review, and analyze all reports pertaining to the operations of the health center.
  1. Observe back office efficiency
    • Make sure that patients are called back within a reasonable time.
  2. Assess and create goals towards the improvement of the health center.
  3. Report any building physical damage and equipment condition to the General Services Supervisor within 24 hours. Review ancillary services and specialty services:
    • Make sure services are available and provided on a consistent basis.
    • Make sure specialty providers have adequate personnel support.
    • Communicate any chart issues to Nursing staff, District Health Services Administrator and or provider.
  4. Review patient schedules.
    • Make sure that providers are aware of their patient schedule for the day.
  5. Discuss with provider about triage, patient flow, and patient concerns/complaints.
    • Review walk-in status and communicate to provider whether or not triage is needed to avoid back log.
  6. Act as Liaison between staff and District Health Services Administrators, Director of Nursing and Health Center Nurses regarding staff development and satisfaction.
  7. Coordinate involvement of staff in all OFH activities (e.g. Health Fair, Outreach programs, and company functions).
  8. Demonstrate knowledge of safety and OSHA practices.
  9. Follow universal precautions to protect self and patients,
  10. Collect, assess, and report data for Quality Improvement reports.
  11. Make certain MA stock room is supplied as necessary.
  12. Train staff and extern students about OFH policies, procedures, and protocols.
  13. Prepare health centers for any and all site inspections, audits, and health center visits.
  14. Any other duties or responsibilities required by operations staff may be assigned from time to time and when the need arises.

Administrative Duties:

  1. Order and submit all necessary supplies with purchasing department according to established protocols and procedures.
  2. Prepare monthly staff meeting agenda and minutes.
  3. Review QI reports and perform QI checklist.
  4. Directly responsible for all front office personnel.
  5. Communicate with Call Center personnel any provider scheduling conflicts or improvements.
  6. Communicate health center operation and QI results with support staff and direct concerns to District Health Services Administrator. /
  7. Communicate any and all route slips corrections/completion or problems with Billing department.
  8. Submit Monthly report to Operations Management Associate.
  9. Assist providers in closing encounters.
  10. Prepare staff schedules for front office.
  11. Approve/Deny staff request for time off with pay/without pay.
  12. Uphold and maintain HIPAA compliance.
  13. Serve as experts in all patient assistance programs.
  14. Execute all new or revised policies and procedures.
  15. Address patient complaints, prepare incident reports, prepare unusual occurrence reports, and any matter requiring attention in the health center.
  16. Stock and order supplies for the health center.
  17. Employee coaching, counseling, and disciplinary action.
  18. Serve as a member of Omni Family Health Leadership committee and attend all pertinent operations meetings.

Job Requirements:

  1. Ability to work under pressure.
  2. Ability and willingness to treat all patients with the utmost kindness and consideration in the most trying situations.
  3. Friendly personality with the desire to work with the public.
  4. Ability to handle multi-functions.
  5. Understanding of community based organizations.
  6. Promotes and believes in OFH mission statement.
  7. Ability to relate to the public regardless of ethnic, religious and economic status.
  8. Must be willing to work at any Omni Family Health location other than, the assigned site and be agreeable to work weekends, if so needed.
  9. Must obtain a Valid California Drivers License at all times plus proof of insurance, to allow you to be placed in all Omni Family Health centers if needed.
  10. Commitment to the concepts of preventive health care program and team approach to health care delivery.

Additional Duties:

  1. HIPAA compliance – Responsible for maintaining abreast of and in compliance with all HIPAA regulations and requirements. Treats all member information confidential.
  2. Compliance – Ensure compliance with all local, state and federal regulations.
  3. QA/QI – Participate in QA/QI activities and contribute towards the overall performance improvement of the organization.
  4. IT – Required to learn and use the EHR/EOHR (Medical Practice Electronic System) and its components, as required by the job functions and highlighted in the Policies and Procedures. These components include NextGen, Healthport, PMS, QSI and other electronic features developed and implemented, as applicable to work environment.
  5. All employees will participate in Patient Centered Health Home Model at Omni Family Health.

Qualifications, Education, and Experience:

  1. Must have High school diploma or equivalent and have successfully completed and graduated from a medical assistant program with a minimum of three years of experience as a medical assistant or must have graduated from an accredited university with a Bachelor’s Degree in Public Administration, Healthcare Administration, or equivalent. Education and Medical Management experience in lieu of the above.

Level I Work requires 3 year of related administrative or health center/practice management experience to acquire competence in applying general operational practices, personnel practices, accounting and budgeting principles and coordination of health center administrative functions. Level II Work requires 5 years related administrative or health center management experience to acquire competence in applying general operational practices, personnel practices, accounting and budgeting principles and coordination of health center administrative functions. Level III Work requires 5+ years related administrative or health center management experience to acquire competence in applying general operational practices, personnel practices, accounting and budgeting principles and coordination of health center administrative functions.

  1. Venipuncture Certificate or equivalent preferred.
  2. Bilingual in English/Spanish may be required.
  3. Must have leadership abilities and demonstrate management skills.
  4. CPR Certificate preferred.

Responsible To:         District Health Services Administrator Classification:            Full Time Position, Exempt

Grounds Keeper I

JOB DESCRIPTION

Location:

  • Wasco-Full Time

 Job Summary:  Under light supervision, keep building space and grounds clean in an orderly manner. Collect and remove waste, trash, and dust. Sweep, vacuum, and mop on a daily basis. Strip floors and wax as required. Maintain a schedule of maintenance of property and related equipment. Ensure that all property is secured. Responsible for ensuring that all individuals utilize proper entry and exit signs. All tasks to be performed with a professional attitude, efficiently and in accordance with Omni Family Health regulations.

Job Duties: A. Housekeeping

  1. Sweep, vacuum, mop on a daily basis.
  2. Clean, dust and polish furniture, clean windows, walls and ceilings.
  3. Assist in moving and arranging furniture and equipment.
  4. Strip and wax floors as required/scheduled.
  5. Clean and Shampoo carpet as required/scheduled.
  6. Maintain the lawn, flower bed and sprinkle system.
  7. Responsible to maintain the whole facility clean to include painting the building, maintaining wallpaper, lawn and flowerbeds, and maintaining the furniture as required.
  8. To change air filter for air conditioner and light bulbs/ fixtures as needed/ scheduled.
  9. Maintain equipment and materials used in work and advice when repairs are needed.
  10. Do minor electric and plumbing repairs.
  11. Other related duties as required

B.  Security

  1. To check safety devices, such as fire extinguishers, fire sprinklers, fire alarm and burglary alarm to be in working condition at all times.
  2. Responsible for maintaining all site Security.
  3. Assisting in ensuring that all Non-OFH employees are wearing visitor badges and have been authorized to enter any OFH site.
  4. Responsible for all exit and entry doors at site and ensuring those doors are locked if designated.
  5. Responsible for maintaining the alarm system and ensuring proper usage and arming/disarming of the system.
  6. Responsible for the security alarm code.

 C. May be required to assist on other work:

  •  Repairs furniture and equipment.
  • Moves and installs partitions.
  • Install park structures and equipment.
  • Build small structures and cabinets.
  • Build forms and installs concrete supports; mixes, pours, and finishes concrete.
  • Installs, services and repairs plumbing, water and sewer systems and simple wiring systems and equipment.
  • Applies paints, varnishes, and stains, lacquers, and enamels to building interior and exterior, furniture and other equipment.
  • Repairs small appliances, tools and pieces of equipment.
  • Operates light motorized equipment, digs ditches and lays pipe.
  • Operates and maintains pumps and pressure tanks.
  • Designs and installs irrigation systems.
  • Maintains and repairs impact rotor sprinklers, drip irrigation systems and control valves.
  • Troubleshoots computerized and electro-mechanical controller problems.
  • Performs brazing, soldering, and welding.
  • Repairs small appliances, tools and pieces of equipment.
  • Performs refuse removal and processing.
  • Performs related work as assigned.

 Additional Functions and Responsibilities:

  1. HIPAA compliance – Responsible for maintaining abreast of and in compliance with all HIPAA regulations and requirements. Treats all member information confidential.
  2. Compliance – Ensure compliance with all local, state and federal regulations.
  3. QA/QI – Participate in QA/QI activities and contribute towards the overall performance improvement of the organization.
  4. IT – Required to learn and use the Electronic Health Record and Practice Health System and its components. As required by the job functions and highlighted in the Policies and Procedures. These components include NextGen, PMS, QSI and other electronic features, as they are developed and implemented, as applicable to work environment.
  5. All employees will participate in Patient Centered Health Home Model at Omni Family Health.

 Qualifications, Education, and Experience:

  1.  Must be able to lift, push or pull weights commensurate with work assignments.
  2. Must pass pre-employment and other examinations as required.
  3. Must have a clean DMV record.
  4. Must be able after training to demonstrate the correct use of chemicals, supplies, equipment and tools assigned.
  5. High school diploma or equivalent. High School Diploma or equivalent may be substituted with a 2-4 year hands on experience or proven training in such areas addressing the job requirement specified here, along with demonstrated capabilities and passing of a written exam that demonstrates candidate experience.
  6. Promotes and believes in OFH mission statement “Health for All”.
  7. Ability to relate to the public regardless of ethnic, religious and economic status.
  8. Must be willing to work at any Omni Family Health, location, other that the assigned site and be agreeable to work weekends, if so needed.
  9. Must obtain a Valid California Drivers License at all times plus proof of insurance, to allow you to be placed in all Omn iFamily Health clinics if needed.

  Responsible To:         Associate Director of Site Management Classification:            Full or Part Time Position, Non-exempt   Apply-Now

Medical Assistant

LOCATIONS: 

  • Wasco/Lost Hills
  • Oildale (HHP) – HOLD
  • Ridgecrest
  • Reedley (G Street Site)
  • Reedley (Manning Site)

Job Summary: The person in this position is part of the team concept in the Center’s health delivery system, which is devoted to th(e delivery of primary care in an ambulatory setting with emphases on prevention and health maintenance.  Assist the RN, LVN, and the clinical staff in performing their duties and carrying on the necessary functions required in accordance with established policies and procedures.

Job Duties:   

  1. Prepare patient for examination.
  2. Note brief history or the reason for visit in the patient’s chart.
  3. Take and record height, weight, and blood pressure, pulse rate, respiration, and temperature.
  4. Assist the clinical staff in completing examination and procedures as instructed.
  5. Take health history for all patients.
  6. Completely fill out lab slips and other forms, when necessary.
  7. Administer medications and injections for written orders.
  8. Follow universal precautions to protect self and patients.
  9. Assist the medical staff in patient education and family planning counseling. Stock exam rooms with supplies.
  10. Complete MA Performance Criteria training sheet.
  11. Perform CLIA Waived Testing
  12. Interpret for the clinical staff when necessary.
  13. Under the direction of the nurse or provider in charge, takes responsibility of medical supplies and cleaning of the medical instruments and equipment.
  14. Provide HIV/Antibody counseling in accordance with established protocols and in compliance with State and Federal requirements.
  15. Obtain laboratory samples and complete paper work per written orders by the provider.
  16. Any other duties or responsibilities the clinical staff may assign from time to time and when the need arises.

Job Requirements:  

  1. Ability to work under pressure.
  2. Ability and willingness to treat all patients with the utmost kindness and consideration in the most trying situations.
  3. Friendly personality with the desire to work with the public.
  4. Ability to handle multi-functions.
  5. Understanding of community based organizations.
  6. Promotes and believes in OFH mission statement.
  7. Ability to relate to the public regardless of ethnic, religious and economic status.
  8. Must be willing to work at any Omni Family Health, location, other that the assigned site and be agreeable to work weekends, if so needed.
  9. Must obtain a Valid California Drivers License at all times plus proof of insurance, to allow you to be placed in all Omni Family Health clinics if needed.
  10. Commitment to the concepts of preventive health care program and team approach to health care delivery.

 Additional Duties:

  1. compliance – Responsible for maintaining abreast of and in compliance with all HPAA regulations and requirements. Treats all member information confidential.
  2. Compliance – Ensure compliance with all local, state and federal regulations.
  3. QA/QI – Participate in QA/QI activities and contribute towards the overall performance improvement of the organization.
  4. IT – Required to learn and use the Electronic Health Record and Practice Electronic System and its components. As required by the job functions and highlighted in the Policies and Procedures. These components include NextGen, PMS, QSI and other electronic features, as they are developed and implemented, as applicable to work environment.
  5. All employees will participate in Patient Centered Health Home Model at Omni Family Health.

Qualifications, Education, and Experience:

  1. Must have High school diploma or equivalent and have successfully completed and graduated from a medical assistant program or must be certified through the Medical Board of California (in addition to #2 below).
  2. The following will be accepted on a case by case basis in lieu of the above: Medical Assistant training shall be administered in either of the following settings: 1) Under a licensed physician or podiatrist, or under a registered nurse, licensed vocational nurse, a physician assistant or a qualified medical assistant, or 2) in a secondary, post secondary, or adult education program in a public school authorized by the Department of Education, in a community college program provided for in the Education Code, or a post secondary institution accredited or approved by the Bureau for Private Postsecondary and Vocational Education in the Department of Consumer Affairs.
  3. Must have a Venipuncture Certificate or equivalent
  4. Bilingual in English/Spanish may be required
  5. Prior experience as medical assistant is helpful

Responsible To:         Director of Nursing (DNA) and Health Center Nurse (HCN)

Classification:           Full or Part Time Position, Non-exempt

 

Credentialing Assistant

 JOB DESCRIPTION

Location:      Corporate – Bakersfield

Job Summary:    Under the direction of the Credentialing Supervisor and in accordance with Omni Family Health (OFH) Policies and Procedures, this position is a key part of the team responsible for the initial and ongoing credentialing process of all new and established medical and dental providers including obtaining privileges at all appropriate hospitals and health plans. Tracks all re-credentialing, prepares and submits required forms, gathers needed documentation and information. Maintains current knowledge of eligibility and enrollment requirements and communicates changes to Credentialing Supervisor and affected staff. This position may provide support to the overall human resources team in various duties and/or projects.

Job Duties/Responsibilities: 

  1. Supports the overall goals and objectives of OFH, by ensuring the existing and new providers are both privileged to see OFH patients and payer credentialed to the different plans and insurances taken by OFH.  This is done with the timely submission and updating credentialing applications and licenses to all necessary agencies for providers prior to their start date.  This position may be asked to submit application/documentation for hospital privileges to necessary agencies such that providers may see patients at OFH facilities.
  2. Responsible in ensuring OFH provider participation in programs meets with expected guidelines when processing applications as regulated under contract, federal and/or state law or any other agencies.
  3. Supports the team by assist with reviewing credentials of providers to ensure that all documentation has been obtained, reviewed and verified and meets with OFH’s policy and procedures for credentialing and general standards as set by JCAHO and National Association of Medical Staff Services (NAMSS).
  4. Supports the ease of communication and team support by consistently maintain credentialing files for Dental, Medical physicians, mid-level providers, and updating as necessary or required.
  5. May be required to attend management/staff meetings and committee meetings, take notes and prepare meeting minutes as per OFH policies or as directed.
  6. May be requested to assist the Credentialing Supervisor in scheduling and/or arranging for meetings and appointments affecting the work of the area.  Supports the easy facilitation of meetings by ensuring that files to be reviewed or presented are accurate and organized for easy review.
  7. Supports the work of the OFH by responding to information requests in a timely manner.  Additionally, this position may be directed by the Credentialing Supervisor and/or HR management personnel to handle requests for copies of credentialing records or other data requests from other departments and/or areas.
  8. Assists the OFH team by researching questions, making calls and answering requests for information appropriate to information and areas within the functions of credentialing.  Expected to respond to correspondence and distributes to information to appropriate individuals.
  9. Supports the work of the area and department by monitoring and conducting regular follow up on outstanding credentialing applications.  Assists the Credentialing Supervisor by communicating the status of each application assigned as well as assure proper completion and accurate of credentialing reports and/or logs.
  10. Responsible for supporting the Credentialing Supervisor by assisting with the preparation of corporate applications to various programs, such as Medicare, CHDP, VFC, EWC, Family Pact, CPSP, Medi-Cal, Kern Health, IMG, BFMC, etc.
  11. Within the purview of the work assigned, this position is responsible for requesting malpractice insurance policies, updating any internal tracking system.
  12. Responsible for management of provider credentials to ensure that current and active documents are on file.  Is responsible for communicating with providers regarding missing or soon to expire credentials and requesting documents.
  13. Expected to perform clerical functions such as creating letters and memos, create and maintain spreadsheets and distributes correspondence to staff and business partners.

Additional Duties:

  1. HIPAA compliance – Responsible for maintaining abreast of and in compliance with all regulations and requirements as defined under the Health Insurance Portability and Accountability Act (HIPAA). Is expected to treat all OFH team member’s information as sensitive and confidential.
  2. Compliance – Expected to ensure compliance with all local, state and federal regulations.
  3. All employees will participate in Patient Centered Health Home Model at Omni Family Health
  4. QA/QI – Required to participate in QA/QI activities and contribute towards the overall performance improvement of the organization.
  5. Promotes Omni Family Health mission statement, ethics and values through communication, action, and behavior. Expected to demonstrate awareness of, and compliance with, organizational objectives of OFH in providing quality health care access services for all members of the community.
  6. Performs other work-related duties as assigned by supervisor; duties and responsibilities may be added, deleted, or changed at any time at the discretion of management, formally or informally either verbally or in writing.

Qualifications: Education, Skills and Experience

  • EDUCATION: Minimum high school diploma or equivalent; AA/AS degree or Credentialing Specialist (CPCS) certification preferred.
  • EXPERIENCE: Minimum of 2 years’ experience working within the credentialing area of a hospital/health center medical support department or two (2) years of experience as a biller in a healthcare setting (similar position may also be considered as substitute for credentialing experience depending on the level of experience).
  • Proficient with computers systems, networks and software applications (MS Word, Excel) as word processors and spreadsheets required.  Ability to learn and adapt to technology innovations newly introduced to the work environment.
  • Knowledge of office procedures and familiarity with using general office equipment (e.g., copiers, scanners, fax, etc.)
  • Be committed to providing superior customer attention and service at all times at every point of human contact. Ability to anticipate the needs of the customer and deliver on expectations consistently.
  • Ability to communicate effectively in conveying information and/or ideas across all modes of communication (e.g., email, letter writing, telephone conversations, etc.) to internal and external customers.
  • Ability to organize and approach work independently to meet deadlines and possess time management skills.
  • Ability to work quickly and accurately and balance work load against shifting priorities and do so while maintaining a positive outlook and approach.

Responsible To:         Credentialing Supervisor

Classification:            Full Time Position, Non-Exempt

Front Office Clerk

Locations:

  • Stine
  • Fresno – Gettysburg location
  • Ridgecrest
  • Tehachapi

Job Summary: 

This position is one of the most important functions in the health care delivery system and the first point where contact is made personally or by telephone. The person will receive the patient and direct them to the services needed. Making appointments and making preliminary assessment category of payment for patients are essential before a provider can see them.

Job Duties:

      1. Welcome patients as they contact the center personally or by telephone, and explain the services available, payment categories, and billing procedures.
      2. Schedule appointments; direct walk-in patients and emergencies as per established policies and procedures.
      3. Answer all incoming calls and route them to the appropriate staff.
      4. Register all patients per registration protocols and collection all documentation and billing information per billing protocol. Ensure proper documentation and data collection/ documentation.
      5. Assure that all services provided have been checked out properly for each patient.
      6. Reviews and verifies patient coverage of insurance or other agencies and computes the charges to be paid by the patient.
      7. Collects deposits or co-pays/deductibles prior to the patient being seen by the provider per established policies and procedures. Inform patient of their outstanding balance, collect said balance, and issue cash receipt when monies are collected.
      8. Balance cash register in accordance with the cash handling policy.
      9. Work closely with Medical, Dental and Nursing staff to assure smooth patient flow and cut down on waiting time.
      10. Work closely with the health promotion personnel and refer them to patients who did not keep their appointment for follow-up.
      11. Under supervision, work with various agencies such as “Kern County Welfare Department” in scheduling patients who needed assistance.
      12. Call and remind patient of his/her appointment.
      13. Follow up on “no show” patients on a daily basis.
      14. Communicate patient’s problem/complaint to the Senior MA or his/her designee.
      15. Other related duty as the job requires.

Job Requirements:

      1. Ability to work under pressure.
      2. Ability and willingness to treat all patients with the utmost kindness and consideration in the most trying situations.
      3. Friendly personality with the desire to work with the public.
      4. Ability to handle multi-functions.
      5. Understanding of community based organizations.
      6. Knowledge of bookkeeping and office functions.
      7. Promotes and believes in OFH mission statement.
      8. Ability to relate to the public regardless of ethnic, religious and economic status.
      9. Must be willing to work at any Omni Family Health location, other that the assigned site and be agreeable to work weekends, if so needed
      10. Must obtain a Valid California Drivers License at all times plus proof of insurance, to allow you to be placed in all Omni Family Health clinics if needed.

Additional Duties:

      1. HIPAA compliance – responsible for maintaining abreast of and in compliance with all H.I.P.A.A. regulations and requirements. Treats all member information confidential.
      2. Compliance – Ensure compliance with all local, state and federal regulations.
      3. QA/QI – Participate in QA/QI activities and contribute towards the overall performance improvement of the organization.
      4. IT – Required to learn and use the EHR/EOHR (Medical Practice Electronic System) and its components. As required by the job functions and highlighted in the Policies and Procedures. These components include NextGen, Healthport, PMS, QSI and other electronic features, as they are developed and implemented as applicable to the work environment.

Qualification, Education, and Experience:

Education:

  • High school graduate/GED with one year of medical or dental experience in similar setting. Formal training from a vocational school in lieu of the above.

Skills:

  • Ability to relate to patients, through familiarity with medical terminology and triage procedure.
  • Excellent Customer Service
  • Must believe in health care with dignity for all.
  • Ability to speak read and write in English and Spanish is desirable.
  • All employees will participate in Patient Centered Health Home Model at Omni Family Health.

Responsible To:

    1. Health Center Manager

Classification:

      1. Full or Part Time Position, Non-exempt

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Front Office Clerk I (Dental)

LOCATIONS: 

  • Fresno
  • Tehachapi
  • Delano – Fremont Ave. Site
  • Floater (1)

Job Summary: This position is one of the most important functions in the health care delivery system and the first point where contact is made personally or by telephone. The person will receive the patient and direct them to the services needed. Making appointments and making preliminary assessment category of payment for patients are essential before provider can see them.

Job Duties:

  1. Welcome patients as they contact the center personally or by telephone, and explain the services available, payment categories, and billing procedures.
  2. Schedule appointments; direct walk-in patients and emergencies as per established policies and procedures.
  3. Answer all incoming calls and route them to the appropriate staff.
  4. Register all patients per registration protocols an collect all documentation.
  5. Generate route slips for each patient, and assure that all services provided have been checked out properly.
  6. Reviews and verifies patient coverage of insurance or other agencies and computes the charges to be paid by the patient.
  7. Collects deposits or co-pays/deductibles prior to the patient being seen by the provider per established policies and procedures. Inform patient of their outstanding balance, collect said balance, and issue cash receipt when monies are collected.
  8. Work closely with Medical, Dental and Nursing staff to assure smooth patient flow and cut down on waiting time.
  9. Work closely with the health promotion personnel and refer them to patients who did not keep their appointment for follow-up.
  10. Call and remind patient of his/her appointment.
  11. Follow up on “no show” patients on a daily basis.
  12. Communicate patient’s problem/complaint to the office manager or his/her designee.
  13. Other related duty as the job requires.

Job Requirements:

  1.  Ability to work under pressure.
  2. Ability and willingness to treat all patients with the utmost kindness and consideration in the most trying situations.
  3. Friendly personality with the desire to work with the public.
  4. Ability to handle multi-functions.
  5. Understanding of community based organizations.
  6. Communicate patients’ problems to the medical staff.
  7. Knowledge of bookkeeping and office functions.
  8. Promotes and believes in OFH mission statement.
  9. Ability to relate to the public regardless of ethnic, religious and economic status.

Other Duties

  1. HIPAA compliance – responsible for maintaining abreast of and in compliance with all H.I.P.A.A. regulations and requirements. Treats all member information confidential.
  2. Compliance – Ensure compliance with all local, state and federal regulations.
  3. QA/QI – Participate in QA/QI activities and contribute towards the overall performance improvement of the organization.
  4. IT – Required to learn and use the EHR/EOHR (Medical Practice Electronic System) and its components. As required by the job functions and highlighted in the Policies and Procedures.

 Qualification, Education, and Experience:

  1.  High school graduate/GED.
  2. Formal training from a vocational school in lieu of the above.
  3. One year of medical experience from a similar setting.
  4. Ability to relate to patients, through familiarity with medical terminology and triage procedure.
  5. Must believe in health care with dignity for all.
  6. Ability to communicate with people and understand their problems.
  7. Ability to speak read and write in English and Spanish is desirable.

  Responsible To: Staff Dentist/Dental Director/Business Management Associate   Classification: Full or Part Time Position, Non-exempt   Apply-Now

Billing Clerk

 

  •  Corporate Bakersfield

Job Summary: The person handling this position is responsible for correcting, completing, and processing claims of all payer codes. He or She is also required to generate reports from computer in accordance with established procedures.

Job Duties:

  1. Daily key punching into computer when needed to assure accuracy of billing for all services rendered in patients account.
  2. Ensure completion of documentation and coding on the Route Slip and EMR when needed on charges entered in patient’s accounts for a correct and complete billing claim.
  3. Monthly input of all ancillary services to include Health Education Services encounters into the computer to assure accuracy of services rendered.
  4. Daily review of all postings before claim submission.
  5. Daily closing and balancing of day posted.
  6. Enter cash receipts if needed and assure correct allocations, distribution in accordance with the established protocol.
  7. Perform monthly, closing, and balancing no later than the 10th of every month.
  8. Review monthly reports printed. Make arithmetic calculations and check various statistical and accounting tables and reports as required.
  9. Responsible for sending the electronic claims for Medi-Cal, Medicare, and EAPC on weekly basis.
  10. Responsible for sending claims to all private insurance, third party, workers’ comp., hospital billing, CHDP, CHDP-TP, KFHC, Family Planning Program on weekly or monthly basis as directed by the Billing Manager.
  11. Maintain billing file/records by batch in accordance with the established protocol.
  12. All other assignments as directed by the Billing Manager.

Job Requirements:

  1. Ability to work under pressure.
  2. Ability to handle multi-functions.
  3. Understanding of community based organizations.
  4. Ability to communicate with the medical/dental staff and Office Managers.
  5. Some knowledge of bookkeeping and office functions.
  6. Some knowledge of CPT and ICD9 codes.
  7. Ability to work proficiently and efficiently on a timely manner.
  8. Knowledge of all payer codes.
  9. Knowledge of all programs offered by OFH.
  10. Promotes and believes in OFH mission statement.
  11. Ability to relate to the public regardless of ethnic, religion and economic status.

Additional Functions and Responsibilities:

  1. HIPAA compliance – Responsible for maintaining abreast of and in compliance with all HIPAA regulations and requirements. Treats all member information confidential.
  2. Compliance – Ensure compliance with all local, state and federal regulations.
  3. QA/QI – Participate in QA/QI activities and contribute towards the overall performance improvement of the organization.
  4. IT – Required to learn and use the EHR/EOHR (Medical Practice Electronic System) and its components. As required by the job functions and highlighted in the Policies and Procedures. These components include NextGen, PMS, QSI and other electronic features, as they are developed and implemented, as applicable to work environment.
  5. All employees will participate in Patient Centered Health Home Model at Omni Family Health.

Qualifications, Education, and Experience:

  1. High school graduate/GED with one year of experience handling billing and accounts receivables in a similar setting or related field.
  2. Formal training from a vocational school in lieu of the above.
  3. Some training or background in ICD-A / CPT codes.
  4. Some ability to understand and practice bookkeeping and accounting terminology.
  5. Knowledge of medical/dental terminology and billing practices.
  6. Ability to operate computers and other office machines.
  7. Must be able to take responsibility and work under pressure.

Responsible To:         Billing Supervisor

Classification:            Full Position, Non-exempt  

Director of Finance

 SUMMARY:

Under general direction of the Chief Financial Officer (CFO), the Director of Finance & Business Specialist directs the financial, business office, purchasing, banking, bonds and other financial department activities coincidental with defined financial corporate policies and objectives.  The Director of Finance & Business Specialist is responsible for budget planning, maintenance, analysis, reporting, and corrections.  Additionally, this position is responsible to provide financial leadership and direction to Omni Family Health (OFH) through effective business decision determination, strategy development, cost controls and operating and capital budget development. The Director of Finance & Business Specialist works closely with the CFO and other members of the Executive Management Team (EMT) in the development of short and long-term financial plans and budgets to ensure the financial viability of the organization. The Director of Finance & Business Specialist provides management, development, and leadership to the Finance Department and its various teams.  This includes finance, payroll, A/P, Billing, staff accounting, and purchasing.   

JOB DUTIES:

Focus on Finance and Accounting

  1. Provides management and supervision for Finance personnel including Accountants, Accounts Payable, and Controller. Responsible for coaching, counseling and overall performance of team.
  2. Provides fiscal management and general accounting support for the corporation including billing, collection, financial reporting, financial analysis, budgeting, general ledger, purchasing, accounts payable, banking, bonds and payroll oversight.
  3. Develops and maintains accounting policies and procedures in accordance with Generally Accepted Accounting Principles (GAAP).
  4. Provided required monthly and annual reporting to the Federal and State including UDS, OSHPED, SAM and FFR.
  5. Works closely with OFH Controller to monitor cash flows and prepares cash projection as needed.
  6. Safeguards corporate assets by providing proper internal controls.
  7. Provides budget and contract analysis and monitors contract compliance required by funding sources.
  8. Works with CFO to determine department budgets with input from department heads and Executive Leadership Team.
  9. Directs audit activities that include federal and state compliance auditing. Conducts internal audits and prepares/provides required information to external auditors.
  10. Provides monthly financial reports for management and Board of Directors.
  11. Provides other analysis and reports to outside agencies and internally as requested.
  12. Participates in long term fiscal planning in conjunction with strategic plan.
  13. Works in collaboration with other managers to develop/review and implement operational improvements, which emphasize cost containment and still maintain high quality patient care.
  14. Maintains accounting information system utilizing the organization’s general ledger software. Supports the need of the team by having solid experience with or equivalent software and general knowledge of computer networks and wireless systems.

 Focus on Payroll & Purchasing:

  1. Provides management and supervision of payroll and purchasing staff. Responsible for coaching, counseling and overall performance of the team.
  2. Directs all purchasing activities; reviews and updates related policies and procedures. Assists in the development of vendor and management reports pertaining to the purchasing practices of the organization.
  3. Determines depreciation rates to apply to capitalized items and advises management on desirable operational adjustments.
  4. Directs all payroll activities with Human Resources; reviews and updates related policies and procedures.
  5. Reviews and monitors all contracts for compliance; renegotiates contracts as appropriate for cost control.
  6. Evaluates and recommends insurance coverage for:
    1. Protection against property losses and potential liabilities including general liability, malpractice, officer liability and others as needed.
  7. Works with Human Resources to negotiate and manage the employee insurance and benefits plans.
  8. Oversees the process, submit statutory, and benefits remittances on time.
  1.  

 Focus on Teamwork and Individual Performance:

  1. Attends and actively participates in all meetings (e.g., management team meetings, department meetings, program meetings, case management meetings, employee staff meetings) and other activities as required or assigned.
  2. Demonstrates awareness of, and compliance with, organizational mission and objective of Omni Family Health to provide health care access and support services for all members of the community.
  3. Complies with Federal, State and Local legal requirements by following developed OFH Human Resources and corporate policies and procedures.
  4. HIPAA compliance – Responsible for maintaining abreast of and in compliance with all HIPAA regulations and requirements. Treats all member information confidential.
  5. Compliance – Ensure compliance with all local, state and federal regulations.
  6. QA/QI – Participate in QA/QI activities and contribute towards the overall performance improvement of the organization.
  7. IT –May be required to learn and use the Electronic Health Record and Practice Electronic System and its components. As required by the job functions and highlighted in the Policies and Procedures. These components include Next Gen, PMS, QSI and other electronic features, as they are developed and implemented, as applicable to work environment.
  8. All employees will participate in Patient Centered Health Home Model at Omni Family Health.
  9. Demonstrates the ability to focus, provide direction and energize a group around identification of necessary change, the process of bringing about the change and the evaluations and follow-up once the change has been accomplished.
  10. Ability to manage teams within functional area(s). Resolves team conflict collaboratively.  Conducts efficient and effective information exchange meetings.  Demonstrates a genuine intention to collaborate with others including a strong, positive, respectful view of individuals and teams.  Shares information, seeks input, encourages others and maintains awareness of outcomes tied to the mission and strategic goals.  Encourages accountability to the team and teams to be self-directed.
  11. Develops new and unique ideas to improve existing systems or operations, and when new organizational approaches are needed. Encourages innovating efforts in subordinates.  Seeks creative ways to resolve conflicts.
  12. Steps forward to address difficult issues within the team and area and takes ownership of issues. Accepts responsibility for issues and works to minimize effects of problems.
  13. Other duties as assigned by supervisor. Duties and responsibilities may be added, deleted, or changed at any time at the discretion of management, formally or informally either verbally or in writing.

Minimum Requirements:

 Education:                                  

  • BA of BS in Business Administration or Accounting from a recognized college or university required.
  • MBA or CPA preferred.

 Prior Experience:                      

  • Five (5) years progressive experience as Controller or equivalent in a health care environment;
  • Minimum five (5) years’ experience as a supervisor.
  • Experience and understanding of revenue cycle for health services.

Skills:

  • Excellent analytical, accounting, communication, advanced computer and management skills.
  • Knowledge of FQHC and grants management.
  • Strong verbal and written presentation skills.
  • Community Health Center and federal policy familiarity preferred.
  • Attention to detail and excellent follow-through on work tasks.
  • Alertness to detect error in correspondence, records, and statistics.
  • Considerable initiative and judgment involving understanding of general accounting systems; financial analysis procedures; preparing budgets for OFH, interpreting financial statements to the Chief Executive Officer, Executive Leadership Team, and Board of Directors when CFO is unavailable.
  • Demonstrated good problem-solving skills; well organized; able to establish or correct order in paper and information.
  • Able to handle multiple tasks simultaneously.
  • Excellent facilitation skills.
  • Customer-service oriented; Telephone courtesy.
  • Modern office practices and procedures including email; Intermediate to advanced computer skills.
  • Able to quickly build and maintain rapport with patients and providers of differing backgrounds; team player