What are the responsibilities and job description for the Practice Specialist position at OHP MANAGEMENT LLC?
Who You Are
Connecting with and supporting patients is the heart of what motivates you. You thrive when building relationships and are energized by working with primary care providers dedicated to serving their communities. Whether it's calling a patient to help schedule their yearly eye exam, collaborating with clinical staff to coordinate care, or reaching out to pharmacies to ensure medications are filled - you enjoy supporting patients. You want to help practices drive Value Based Care performance and improve patient outcomes. If you are “all in” to help advance local healthcare, we want to hear from you!
Who We Are
Oasis Health Partners (Oasis) is building healthier communities by advancing primary care. We partner with patients, providers and plans to provide personalized, local care for seniors in towns across America. We believe that patient needs come first, and that primary care is the foundation of patient-centric healthcare. With Oasis, patients receive better access and care. Providers receive the data, resources, and expertise to be successful in value-based care arrangements. Payors get the benefit of a solution that improves performance, drives growth, and reduces the total cost of care in hard-to-engage markets.
Together, we will boldly advance primary care for those that need it most. We are excited for you to join us on this journey. We invite you to be a part of Oasis, where you’ll discover we listen first, do the right thing, build things together and go all in - while having fun!
Your Role:
As a Practice Specialist, you serve as an extension of the care team supporting patient outreach, care coordination, appointment scheduling, education and helping ensure patients have a positive experience. In this role, you will support Oasis practices and the patients they serve.
Additional Responsibilities:
- Patient outreach: Conduct calls, send text messages and handle outreach to patients to facilitate appointment scheduling, close gaps in care, support medication adherence and/or provide education.
- Value based care administrative support: Complete clinic chart reviews and Electronic Health Record (EHR) “sweeps” to identify outstanding patient care gaps and documentation. Gather and accurately compile key patient health information, test results, and specialist records from various sources into health plan record and billing systems. Upload medical chart documentation, risk adjustment data and billing codes into payor data systems.
- Care Coordination: Serve as the patient’s advocate by ensuring strong communication and connectivity between family members, care team and others across their journey
- Practice based support: May spend time providing in-person support, helping providers and working collaboratively with care team members.
- Value Partner Support: Support the Value Partner in developing insights and reports to be presented to the practices.
Investment In Our Team
We invest in the personal and professional success of our team. We take care of our people and offer robust benefits including medical, dental, vision and generous time off plans. We are committed to supporting your growth with a development program that starts with onboarding and continues throughout your career. As an inclusive, passionate, and diverse team, you will partner with professionals who understand the importance of high-value, high-impact patient care.
Requirements:- You have a high school diploma/GED and 2 years’ healthcare experience working with patients as a Medical Assistant, Records Specialist, Health Advocate, Engagement Specialist or similar.
- You are a clear communicator, detail oriented and highly accountable.
- You enjoy customer service and care about others. Helping patients understand healthcare processes and solving daily operational issues is where you shine.
- Learning new systems and software is no problem. You have experience working with multiple clinical systems (EHR, population health, billing).
- Coding classes and a CPS, CRC, and/or medical claims billing experience strongly preferred.
- You are adept at multitasking and ambiguity; you can coordinate multiple projects with firm deadlines.
- Accuracy is imperative to you. You have a high level of precision tracking detailed information and identifying potential errors.
- You understand Medicare Advantage, including quality metrics, how they're calculated, and why they matter; healthcare regulations; and value-based care principles.
- You are comfortable working independently in a hybrid role that includes both remote and in-office time.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, protected veteran status, or disability status.