Referral Coordinator - Quincy or Lynn, MA
Gather Health
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?
The Referral Coordination Partner will play a vital role in connecting our patients with specialists and other providers outside of Gather Health and ensuring a seamless process. There are many aspects that require coordination that can be confusing to the patients – things such as scheduling a date and time, running insurance verifications, obtaining/sending electronic medical records from/to other clinics/hospitals, etc. – and the Referral Coordination Partner will be the central organizer in all activities related to referrals for our patients.
What are some of the day-to-day duties?
· Schedules and pre-registers patients for exams and procedures with specialists and providers outside of Gather Health and confirms those scheduled appointments with specialists and providers
· Notifies patients of appointment information, including, date, time, location, etc.
· Communicates with patients with regards to their transportation needs; contacts insurance carriers to verify transportation benefit eligibility, and coordinate accordingly
· Ensures patients’ external missed appointments are rescheduled and communicated to the clinical care team
· Uses Web resource portals such as Availity and OneSource to generate authorizations
· Work through the denials/appeals process with Gather Health providers
· Coordinates authorizations and acquisition of Durable Medical Equipment
· Participates in daily and weekly clinical care team meetings
· Communicates with the clinical care team to ensure patients referral needs are met
· Addresses referral-based phone calls and messages in a timely fashion
· Retrieves consultation notes, test results, and medical records - submits appropriate clinical documents to specialist offices and uploads documents into electronic medical record platform (Athena)
· Provides backup support for front desk duties as necessary
· Performs other related duties as assigned
What are the requirements for this position?
- Minimum of one year experience coordinating referrals in a medical clinic
- High school diploma or G.E.D.
- Minimum of 6 months of experience with Athena or similar EMR
- Solid understanding of medical terminology
- 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, Excel, Slack/Teams, etc.
- Strong verbal, written, and reading comprehension skills in English
- Proven track record of detail orientation and the ability to multi-task in a busy clinic
- Ability to work from 8am to 5pm Monday through Friday
- Ability to work for any employer in the United States
What are the preferred, “nice to have” requirements?
· Experience with CPT and/or ICD coding, or HCPCS
· Experience with seniors, under-served populations, individuals with disabilities or other complex social needs
· Experience working in a primary care clinic setting
· Experience working with Athena
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
Gather Health is committed to equal employment opportunity. At Gather, we embrace diversity and are dedicated to creating an inclusive workplace for all candidates and team members. Employment decisions are made without consideration of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, marital status, age, disability, political beliefs, military experience, genetic information, or any other characteristic protected under federal, state, or local legislation.
Gather Health uses E-Verify to confirm the work authorization of newly hired employees.