Access Coordinator (Bilingual-Spanish)

At Claremedica, exceptional is the standard.

Driven by our purpose to enhance the lives of the seniors in the communities where we have the privilege to work, live, and play, the Claremedica team is comprised of the brightest and best in their fields of expertise. From clinical excellence to unparalleled administrative support and beyond, we’re working together to help seniors live happier, healthier, fuller lives.

That kind of teamwork and passion for excelling can only exist in a workplace that fosters employees’ growth and wellness and where their full potential and value are realized. At Claremedica, we’re excited about great people like you. We’re even more excited to support you with the resources, training, benefits, competitive compensation, and more to help you thrive and succeed in our communities.

Opportunity awaits – welcome to Claremedica.

ESSENTIAL FUNCTIONS

The Access Community Benefits Coordinator plays a critical role in supporting patients by connecting them with essential social service programs that enhance their overall well-being and access to care. As a key liaison between patients and available community resources, the coordinator is responsible for:

• Program Navigation & Assistance: Assisting patients in accessing and applying for a wide range of government and community benefit programs, including:
  • Medicaid through the Department of Children and Families (DCF)
  • Medicare Savings Programs
  • SNAP (Food Stamps)
  • Lifeline Government Phone Assistance
  • Long-Term Care Waiver Medicaid
  • LIHEAP (Low-Income Home Energy Assistance Program)
  • Disabled Parking Permit Applications
  • Special Transportation Services (STS)
  • Section 8 Housing Assistance
• Patient Advocacy: Acting as an advocate to help patients understand their eligibility, complete applications, and follow up on the status of services.
• Community Resource Navigation: Maintaining up-to-date knowledge of available programs, application processes, and eligibility requirements to provide accurate guidance and support.
• Collaboration & Communication: Working closely with center administrator, marketing sales team, and external agencies to ensure coordinated support for patients’ social and health-related needs.
• Documentation & Reporting: Accurately documenting assistance provided and maintaining compliance with organizational and regulatory requirements.

The Access Community Benefits Coordinator serves as a compassionate and knowledgeable resource, ensuring that patients are empowered to access the full spectrum of benefits available to them for improved quality of life and health outcomes.

DUTIES AND RESPONSIBILITIES

The Access Community Benefits Coordinator is responsible for ensuring eligible members receive timely and effective support in accessing public assistance programs and are fully engaged with Claremedica's Access services.

 Key duties and responsibilities include:

• Medicaid Recertifications:
  Assist patients with DCF Medicaid redeterminations and recertifications, ensuring documentation is submitted on time to avoid lapses in coverage.
• Eligibility Screening:
  Conduct thorough screenings of all members for Medicaid eligibility and Dual Eligibility (Medicare & Medicaid) to maximize benefit access and improve health outcomes.
• Dual Member Growth:
  Strategically identify and support eligible patients to increase the number of Dual Eligible members at each center, contributing to overall center performance metrics.
• New Member Orientations:
  Conduct comprehensive new member orientations to educate patients about available benefits, services, and how to access them through Claremedica’s Access program.
• Lead Generation & Outreach:
  Consistently generate a minimum of 10 qualified Access leads per month, referring patients to the appropriate sales or enrollment teams for PCP Changes or Plan Changes - New Sales.
• Access Engagement Rate:
  Ensure 90% of members per center are engaged and seen by an Access Representative, tracking contact efforts and outcomes to maintain a high level of program participation.
• Application Assistance:
  Provide direct support with applications for programs such as SNAP, LIHEAP, Lifeline, LTC Waiver, STS, and other community-based services.
• Documentation & Reporting:
  Maintain accurate records of all interactions, applications, and outcomes in internal systems and databases in compliance with organizational protocols.
• Team Collaboration:
  Partner with clinical teams, care managers, and community outreach staff to coordinate services and ensure patients receive holistic, wraparound support.
• Documentation in EHR:
  Accurately document all daily member appointments, interactions, and services provided in the Electronic Health Record (EHR) system to support performance tracking.

The coordinator plays a key role in reducing social barriers to care and enhancing patient satisfaction by connecting members with the support they need to live healthier, more stable lives.

Collaboration with Other Departments:

• Centers/Center Admins: Medical Assistant
• Center Operations & Sales Team:

• Welcome & Patient Engagement

WORKING CONDITIONS

General office working conditions.

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential function. 

While performing the duties of this job, the employee will be required to stand, walk, sit, use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; climb stairs, balance; stoop, kneel, crouch or crawl; talk or hear. The employee must occasionally lift and or move up to 15 pounds. Specific vision abilities required by the job include close vision, distance vision, peripheral vision, depth perception, and the ability to adjust your focus.  Manual dexterity is required to use desktop computers and peripherals. 

WORK ENVIRONMENT

Work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of his job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

The noise level in the work environment is usually moderate.

TRAVEL

Local travel between care centers may be required for coverage.

SAFETY HAZARD OF THE JOB

Minimal Hazards

QUALIFICATIONS/REQUIREMENTS

• Experience with DCF Medicaid & SNAP, Social Security SSA - Supplemental Security Income SSI, Retirement, Disability and Medicare, Section 8 Housing, LIHEAP, STS and additional Community Social Programs.
• Customer Services Skills
• Data Entry and Experience with MS/Office (Word, Excel & Outlook) required. Advanced analytics reporting via Excel.
• English, Spanish and Creole speakers a plus.
• Demonstrable ability to communicate, build trust and rapport with clients on the phone.
• Proven ability to juggle multiple projects at a time, while maintaining sharp attention to detail.