Job Description
Job Description
Description :
Who is Gather Health?
Gather Health is a collective of outreach partners, care partners, clinicians and, most importantly, patient partners who work together to reshape lives and communities. We bring hands-on social and medical care to our patients and work around their needs, both within our care facilities and in their homes. We work alongside local leaders to build communities and provide tailored care experiences that serve the seniors that live within them. When we Gather, we show love, compassion, community, and care.
What is this role about?
Similar roles in medical clinic settings would have titles such as “Practice Administrators” or “Practice Coordinators”. We call this role “Practice Operations Partner” because we see every member of our care team to be an equal level partner who contributes their unique sets of talents. The Practice Operations Partner will be the “face of our clinic”, since this will be the first person that our patients would interact with upon entering the facility. The individual will greet our patients as they walk in the door for their scheduled appointments, or to attend a social event. The administrative duties will include handling inbound / outbound calls, preparing insurance claims, handling the mail / faxes, coordinating transportation, etc. The Practice Operations Partner will work collaboratively with our primary care providers, patient liaisons, EMTs, and fellow clinic administrators, as part of the care-team model.
What are some of the day-to-day duties?
This clinic-based role will include, but not limited to, the following responsibilities :
- Welcoming patients as they enter the clinic, and communicating their arrival to the relevant care-team members
- Handling incoming calls and messages and appropriately addressing or triaging the requests such as appointment scheduling, form completion, medication refills, etc.
- Initiating outbound administrative requests by phone and in writing, such as medical record requests and specialty appointment booking
- Sorting and triaging incoming mail and faxes including scanning and e-filing documents
- Providing information and facilitating office tours for patients interested in joining our practice
- Assisting the Practice Operations Manager with administrative tasks, such as ordering of supplies, scheduling, etc.
- Verifying patient insurance via phone or online and collecting applicable copays for services
- Assisting with scheduling follow-up appointments and referral appointments
- Assisting with scheduling transportation for our patients
- Preparing and submitting accurate insurance claims within the required timeframes
- Resolving claims issues with third party insurance carriers and facilitating requested information in a timely fashion
- Engaging with patients and their family members / caretakers to resolve claim issues and other insurance hurdles
- Providing additional documentation needed for timely claims processing, by conducting research and preparing for appeals
- Providing support to colleagues as needed in a team-based environment to ensure our patients receive the highest quality of service and care possible
- Additional duties as assigned
Requirements :
What are the requirements for this position?
High school diploma or G.E.D.Minimum of two years of experience working a front desk function in a medical clinic (primary care clinic preferred)Strong interpersonal skills with experience working in settings requiring frequent communication via phone and in-personExperience with basic office tools such as email, Outlook calendar, etc.Strong verbal, written, and reading comprehension skills in EnglishAbility to work regular office hours Monday through FridayAbility to work Mondays & Fridays - 16-20 hours per weekWhat are the preferred, “nice to have” requirements?
Strong knowledge of Medicare billing and CPT codingExperience in a call center environmentExperience with Athena or another Electronic Health Record softwareExperience with seniors, under-served populations, individuals with disabilities or other complex social needsBilingual in Haitian Creole, Spanish, Mandarin, Cantonese, or VietnameseWhat are the traits of someone most likely to succeed in this role?
Organized – manages time effectively and operates efficientlyMotivated – thrives in a busy environmentFriendly – people enjoy their company because of their joyful natureCompassionate – they treat people with kindnessPatient – they are not easily frustrated or flusteredResourceful – they are creative when it comes to problem solvingPositive – sees glass as is half full vs. half emptyReliable – takes responsibilities seriously and always shows up on timeWhat are the hours for this position?
Monday – Friday during regular business hours
Why should I join Gather Health?
We are a mission-based organization that is passionate about changing the way seniors experience primary careOur business model is unique and on the cutting-edge of the primary care industryOur leadership team is comprised of experienced individuals who are committed to creating not only the best patient experience, but also an amazing employee experience for our colleaguesWe are intentionally building a strong company culture and providing a compassionate and joyful work environmentThe organization was conceptualized, founded, and launched by experienced co-founders with a track record of success in the healthcare spaceWe offer competitive pay & a great environment for our Part-Time colleaguesI’d like to know more – what’s the next step?
Great! An employment relationship is a two-way street – as much as we want to make sure to hire the right person, we want YOU to feel great about us too. Let’s start by first having an exploratory conversation (via Zoom or phone) and go from there.