OverviewAbout us:Fallon Health is a company that cares. We prioritize our membersalways-making sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, we deliver equitable, high-quality coordinated care and are continually rated among the nation’s top health plans for member experience, service, and clinical quality.Fallon Health’s Summit ElderCare® is a Program of All-Inclusive Care for the Elderly–PACE for short. PACE, an alternative to nursing home care, is a program that helps people 55 and older continue living safely at home. At Fallon Health, we believe our individual differences, life experiences, knowledge, self-expression and unique capabilities allow us to better serve our members. We embrace and encourage differences in age, race, ethnicity, gender identity and expression, physical and mental ability, sexual orientation, socio-economic status and other characteristics that make people unique.Today, guided by our mission of improving health and inspiring hope, we strive to be the leading provider of government-sponsored health insurance programs—including Medicare, Medicaid, and PACE— in the region.Responsibilities
Manages all supervisory functions for site based support staff including hiring, training and disciplinary actions.
Completes annual employee evaluations and competencies. Conducts monthly staff meetings.
Oversees intake and enrollment process for prospective enrollees.
Assures that all demographic and other non-clinical information is entered into the EHR and documents are scanned according to established procedures.
Functions as Transportation Coordinator, or oversees a designee, to assure safe and timely transport of all participants to/from the site, home and appointments.
Collects and enters all data related to HPMS reporting.
Manages the preparation of all claims and invoices. Maintains referrals.
Manages memorial donations and communicates to appropriate Fallon Health staff.
Maintains attendance logs and meeting minutes and certification logs as requested by Site Director.
Assures that front-desk/reception area is always staffed while site is open.
Manages and maintains appointment scheduling functions including assisting participants with scheduling outside appointments.
Responsible for attending and taking minutes for various meetings.
Other duties and special projects as assigned.
Qualifications3 years supervisory experience.Experience in a health care or insurance setting preferred but not required.Excellent computer skills including familiarity with information retrieval, data collection and word processingExcellent verbal and written communication skillsAssociates degree preferred or applicable work experienceFallon Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.Fallon Health Vaccination Requirements:To protect the health and safety of our workforce, members and communities we serve, Fallon Health now requires all employees to disclose COVID-19 vaccination status. As of 2/1/2022 all roles not designated as “Remote” require full COVID-19 vaccination and Fallon Health will obtain the necessary information from candidates prior to employment to ensure compliance. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.Location US-MA-DartmouthPosted Date 5 hours ago (4/12/2024 3:30 PM)Job ID 7552# Positions 1Category Administrative/Clerical