Medical Front Desk Rep - Boston, MA
About The Position
Gather Health delivers Social Primary Care to older adults, including older, dual-eligible adults with complex clinical and social needs. The organization provides care through its centers and patients’ homes, combining primary care teams, social care plans, community partners, and technology-enabled home services. The Medical Front Desk Rep role is described as a Practice Operations Partner. This clinic-based position is the first point of contact for patients arriving for appointments or social events. The role handles front-desk and administrative duties, including calls, insurance claims, mail and faxes, transportation coordination, and appointment scheduling. The Practice Operations Partner works collaboratively with primary care providers, patient liaisons, EMTs, clinic administrators, and the Practice Operations Manager to support patients and the care team.
Requirements
- High school diploma or GED.
- At least two years of experience in a front-desk function; primary-care or healthcare experience is preferred.
- Strong interpersonal skills and experience communicating frequently by phone and in person.
- Experience with basic office tools, such as email and Outlook Calendar.
- Strong verbal, written, and reading-comprehension skills in English.
- Ability to work regular office hours Monday through Friday.
Nice To Haves
- 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 people with other complex social needs.
- Bilingual proficiency in Haitian Creole, Spanish, Mandarin, Cantonese, or Vietnamese.
Responsibilities
- Welcome patients arriving at the clinic and notify relevant care-team members of their arrival.
- Handle incoming calls and messages, addressing or triaging requests such as appointment scheduling, form completion, and medication refills.
- Make outbound administrative requests by phone and in writing, including medical-record requests and specialty appointment booking.
- Sort and triage incoming mail and faxes, including scanning and electronically filing documents.
- Provide information and facilitate office tours for prospective patients.
- Assist the Practice Operations Manager with administrative tasks, including ordering supplies and scheduling.
- Verify patient insurance by phone or online and collect applicable copays.
- Assist with scheduling follow-up and referral appointments.
- Arrange transportation for patients.
- Prepare and submit accurate insurance claims within required timeframes.
- Resolve claims issues with third-party insurance carriers and provide requested information promptly.
- Work with patients and their family members or caretakers to resolve claim issues and other insurance hurdles.
- Research and prepare appeals and provide additional documentation needed for timely claims processing.
- Support colleagues in a team-based environment to help ensure patients receive high-quality service and care.
- Perform additional duties as assigned.
Benefits
- Comprehensive medical, dental, and vision coverage with day-one eligibility.
- Company-paid life, short-term disability, and long-term disability insurance.
- 401(k) with company match and immediate vesting.
- Generous paid time off that increases with tenure.
- 11 paid company holidays.
- Employee Assistance Program and supplemental benefit options.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
