Description

Who we are: Gather Health delivers Social Primary Care to older adults. Through our unique and differentiated care model and proprietary technology, Gather Health’s solution drives substantial care outcomes by addressing the whole person needs of our target demographic: older, dual eligible adults, the fastest growing government segment. To address the needs of these clinically and socially complex patients, Gather Health’s Social Primary Care solution is comprehensive and wholistic in nature, encompassing care and community within the four walls of Gather Health Centers and in the homes of its patients.

Gather’s model achieves superior care by individualizing care and is reinforced by a three-prong approach: a unique care model quarterbacked by PCPs and supported by multi-disciplinary care teams, tailored Social Care Plans that are led by Gather Guides and facilitated by deeply rooted community partners, and a proprietary “Tech Enabled Home Model.”

Founded in 2022 and born out of the Healthcare Foundry Portfolio, Gather Health is addressing a $1 trillion market in primary care for older adults. Today, Gather Health operates in Massachusetts and is working with a multitude of payer partners on aligning value-based care economics to deliver integrated care. Gather’s leadership team has a track record of building and scaling innovative primary care platforms focused on vulnerable populations, including VillageMD and Commonwealth Care Alliance. Gather has raised $30M backed by Maverick Ventures, Khosla, and HC9 Ventures.

Summary of the Practice Operations Partner Role:

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.

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

Minimum Requirements:

• High school diploma or G.E.D.
• Minimum of two years of experience working a front desk function (primary care/healthcare 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

Preferred Skills:

• 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, underserved populations, individuals with disabilities or other complex social needs
• Bilingual in Haitian Creole, Spanish, Mandarin, Cantonese, or Vietnamese

We are committed to supporting every aspect of your life by offering a total rewards package designed to support your health, financial security, and work-life balance:

• Health: Comprehensive medical, dental, and vision with day-one eligibility
• Protection: Company-paid Life, Short-Term, and Long-Term Disability insurance
• Retirement: 401(k) with company match and immediate vesting
• Time Off: Generous PTO that increases with tenure and 11 paid company holidays
• Wellness: Employee Assistance Program (EAP) and supplemental benefit options

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.