Fallon Health Support Staff Supervisor - Growing Elder Service Program in Worcester, Massachusetts
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.
Summary of Purpose:
Manages administrative functions related to running a PACE center. Responsible for hiring, training, supervision and retention of support/administrative staff. Conducts or oversees processing of claims, data collection and reports including those related to the Electronic Medical Record (EHR). Assures that all functions are completed in an accurate and timely manner. Maintains a positive, professional, collaborative relationship with staff and vendors.
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 staffed at all times 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.
3 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 processing
Excellent verbal and written communication skills
Associates degree preferred or applicable work experience
Job ID 5565
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