Internal Title: Patient Benefits Partner
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 handson 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 a Patient Benefits Partner
A Patient Benefits Partner (PBP) serves as the benefits expert at Gather Health and assists our patients with insurance needs Medicaid applications and provides solutions to their questions regarding their benefits options (i.e. Medicare Advantage plans). This person will be responsible for educating existing and prospective patients about various types of benefits including Medicare Medicare Advantage Medicaid and helping them navigate through the application process. Reporting to the Field Sales Manager the PBP works as part of our Growth Team. In addition to assisting our patients with their insurance options and needs the PBP will partner strategically with external partners such as brokers and payors in an effort to provide the best experiences possible to our patients.
What are some of the daytoday duties
Conducting a benefits orientation during our new patients visits to the clinic
Assisting patients in the process of contacting their insurance carriers regarding their PCP switches
Educating patients about Medicare Advantage plans and potential benefits as well as the application process
Developing and maintaining strong relationships with Field Marketing Organizations and brokers
Connecting existing and prospective patients with brokers to maintain compliance with regulations
Helping our existing patients with insurance related questions and paperwork
Providing support to patients in their application process with MassHealth and other public assistance resources
Assisting patients in resolving issues related to their medical bills inside and outside of Gather Health
Supporting the clinical operations team on an asneeded basis with tasks such as scheduling and billing
Working closely with our sales team in conducting clinic tours for prospective and new patients
Developing trustbased relationships with existing patients with the goal of high patient retention
Monitoring assessing and providing recurring reports to show patient engagement and retention trends
How is the pay structured
This is an Exempt role with a competitive bases alary full benefits plus bonus eligibility.
What are the requirements for this position
Minimum of one years experience in a similar role working with various insurance plans including Medicare Medicare Advantage and Medicaid
Experience with basic office tools such as Word Excel Outlook SharePoint etc.
Ability to read and understand written materials such as policy manuals etc.
Ability to collaborate with multiple departments including Providers clinical and operations staff
Strong organizational and time management skills
Excellent verbal and written communication skills
Ability to physically commute into an office full time Monday through Friday from 8am to 5pm
Ability to visit patients homes for the first several months prior to clinic launch date
What are the preferred skills or experience
Experience with Salesforce or another CRM(Customer Relationship Management)system
Bachelors Degree
Sales or account management background
Degree in Business Health Administration Public Health or similar field
What are the traits and characteristics of the ideal candidate most likely to succeed
Persistentdoes not give up easily when things get tough
Resilient displays toughness and not easily discouraged
Motivated things like metrics and quotas do not intimidate them
Friendlypeople enjoy their company because of their pleasant personality
Outgoinglikes attending events and meeting new people
Relatablenaturally makes human connections with their warmth humor and demeanor
Positivesees glass as half full vs. empty
Organized manages their time effectively and operates efficiently
Reliabletakes responsibilities seriously and expects the same from others
What are the hours for this position
MondayFriday 8am to 5pm.
Why should you join Gather Health
We are a missionbased organization that is passionate about changing the way seniors experience primary care
Our business model is unique and on the cuttingedge of the primary care industry
Ourleadershipteamiscomprisedofexperiencedindividualswhoarecommittedtocreatingnotonlythebestpatient experience but also an amazing employee experience for our colleagues
Weareintentionallybuildingastrongcompanycultureandprovidingacompassionateandjoyfulwork environment
Theorganizationwasconceptualizedfoundedandlaunchedbyexperiencedcofounderswithatrackrecordofsuccessinthe healthcare space
We offer competitive pay and benefits for our FullTime colleagues including:
o Base pay plus bonus
o Paid Time Off
o Paid Holidays
o Medical insurance coverage (health dental vision) with no waiting period for enrollment
o Short and LongTerm disability insurance at no cost to you
o Basic life insurance coverage at no cost to you
o 401K plan
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.
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.