
Job Information
Fallon Health Practice Manager, PACE Center Support - Worester in Worcester, Massachusetts
Overview
About Fallon Health
Founded in 1977, Fallon Health is a leading health care services organization that supports the diverse and changing needs of those we serve. In addition to offering innovative health insurance solutions and a variety of Medicaid and Medicare products, we excel in creating unique health care programs and services that provide coordinated, integrated care for seniors and individuals with complex health needs. Fallon has consistently ranked among the nation’s top health plans, and is accredited by the National Committee for Quality Assurance for its HMO, Medicare Advantage and Medicaid products. For more information, visit fallonhealth.org.
About Summit ElderCare :
Fallon Health operates the largest Program of All-Inclusive Care for the Elderly (PACE) in New England and the fifth largest in the country. Called Summit ElderCare, Fallon’s PACE helps provide older adults and their caregivers with a welcome alternative to nursing home care. Participants in Summit ElderCare have access to comprehensive medical services and social support at a Summit ElderCare site while they keep the independence of living in their own homes and communities.
Brief summary of purpose:
The Manager, PACE Center Support will be responsible for the overall business operations of the PACE site, at the direction of the SE Site Director. In this role, he/she will act as an information resource and ambassador to participants and caregivers, visitors, clinical staff and others. Partners with SE Site Director to oversee daily PACE site non-clinical operations including appointment scheduling, billing procedures, cleaning, security, facilities and occupational health and safety
Responsibilities
Primary Job Responsibilities
Ensure PACE site is opened and closed on a daily basis, as per established schedule
Interview, hire and train front office staff in accordance with HR guidelines and FH policies and procedures
Provides direction to and manages front office staff
Participates in interview process for Supervisors, Support staff for all SE sites
Manage daily front office staffing to ensure optimal operation of the PACE site
Act as subject matter expert as it relates to all front office and facilities functions of the PACE site
Acts as point person and liaison for all facilities external vendors and visitors to the PACE site
Ensure all facilities and equipment maintenance is conducted in accordance with established guidelines
Ensures authorizations for all orders are entered into the QNXT system for participants in a timely manner as per Provider orders
Ensures all participant appointments are scheduled in a timely manner according to Provider orders
Receives and processes all accounts payable for the PACE site in accordance with FH finance guidelines
Responsible to ensure the transportation needs of all PACE site participants is coordinated as directed by the IDT
Acts as EMR subject matter expert to all staff at the PACE site
Responsible for the implementation of workplace HR and administrative practices
Acts as resource to SE Supervisors, Support Services at all other PACE sites and facilitates monthly meeting
Qualifications
Education:
- Bachelor’s Degree in Healthcare Management or Business Administration preferred.Combination of equivalent experience and education may be considered
Experience:
3+ years’ experience in medical office management
Working knowledge of medical terminology
Medical office billing experience a plus
Proficiency with EMR systems and software applications including Microsoft Office Suite
Excellent written and oral communication skills
Problem Solving skills & Sound Judgement
Strong Organizational & Leadership Skills
Ability to work as part of a team and lead others
Fallon 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.
Location US-MA-Worcester
Posted Date 3 weeks ago (3/23/2021 11:50 AM)
Job ID 6285
# Positions 1
Category Medical Management