Referral Coordinator

Title: Referral Coordination Partner

Who is Gather Health?

We are a new and growing healthcare organization with a unique and innovative approach to healthcare.  Our mission is to improve lives and communities through socially supported primary care for older adults. Our innovative business model allows our clinicians to treat the whole patient - not just their clinical needs. We do this by having a dedicated care team that supports our clinicians by addressing our patients’ social determinants of health and providing the highest quality of service possible.  Our ultimate vision is creating generational health and equity for communities across the country, one patient at a time.

What are some of the day-to-day duties?

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. 

This is a hybrid role – meaning some work-from-home days combined with in-clinic days:  Responsibilities include the following, but not limited to:  

·        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 one year experience working with an Electronic Health Record software 

·        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 from home for part of the time, with appropriate setup conducive to performing work including phone calls

·        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

·        Bilingual in Haitian Creole, Spanish, Mandarin, Cantonese, or Vietnamese

·        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 is the location & hours for this position?

Monday – Friday from 8am to 5pm. Openings in Dorchester, Brockton, and Lynn (requires 2-3 days in the office with the rest being hybrid/WFH)

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   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 plan with 100% employer match up to 4% of income

o   Employee Assistance Program at no cost to you

o   Free onsite parking

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. 

GatherHealthisanEqualOpportunityEmployer.Allemploymentdecisionsaremadewithoutregardtoage,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.

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.