Patient Representative - Dorchester at Gather Health

Boston, Massachusetts, United States -

Full Time

Start Date

Immediate

Expiry Date

02 Feb, 26

Salary

0.0

Posted On

04 Nov, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Interpersonal Skills, Communication, Insurance Verification, Appointment Scheduling, Problem Solving, Compassion, Organization, Time Management, Customer Service, Team Collaboration, Bilingual Skills, Medicare Billing, CPT Coding, Electronic Health Record Software, Experience With Seniors, Experience With Underserved Populations

Industry

Health;Wellness & Fitness

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-person · Experience with basic office tools such as email, Outlook calendar, etc. · Strong verbal, written, and reading comprehension skills in English · Ability to work regular office hours Monday through Friday What are the preferred, “nice to have” requirements? · Strong knowledge of Medicare billing and CPT coding · Experience in a call center environment · Experience with Athena or another Electronic Health Record software · Experience with seniors, under-served populations, individuals with disabilities or other complex social needs · Bilingual in Haitian Creole, Spanish, Mandarin, Cantonese, or Vietnamese What are the traits of someone most likely to succeed in this role? · Organized – manages time effectively and operates efficiently · Motivated – thrives in a busy environment · Friendly – people enjoy their company because of their joyful nature · Compassionate – they treat people with kindness · Patient – they are not easily frustrated or flustered · Resourceful – they are creative when it comes to problem solving · Positive – sees glass as is half full vs. half empty · Reliable – takes responsibilities seriously and always shows up on time What are the hours for this position? Monday – Friday during standard business hours. Why should I join Gather Health? · We are a mission-based organization that is passionate about changing the way seniors experience primary care · Our business model is unique and on the cutting-edge of the primary care industry · Our 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 colleagues · We are intentionally building a strong company culture and providing a compassionate and joyful work environment · The organization was conceptualized, founded, and launched by experienced co-founders with a track record of success in the healthcare space · We offer competitive pay and benefits for our Full-Time colleagues, including: o Market-based base salaries o Paid Time Off (total of 3 weeks per year PTO that accrues with each pay period) o 11 Paid Holidays o Medical insurance coverage (health, dental, vision) with no waiting period for enrollment o Short and Long-Term disability insurance at no cost to you o Basic life insurance coverage at no cost to you o 401K match up to 4% of income o Employee Assistance Program at no cost to you o Supplemental benefits available for discounted prices (legal services, Aflac, hospital indemnity, accidental death & dismemberment, etc.) I’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. Gather Health is an Equal Opportunity Employer. All employment decisions are made without regard to age, race, creed, color, religion, sex, national origin, ancestry, disability status, veteran status, sexual orientation, gender identity or expression, genetic information, marital status, citizenship status, or any other basis as protected by federal, state, or local law.

Responsibilities

The Practice Operations Partner will greet patients, handle administrative tasks, and coordinate with care team members. This role is essential for ensuring a welcoming environment and efficient clinic operations.