Redpoint

Job Description:

About the Role:

The CTOA drives administrative support functions across the market, such as scheduling and care coordination. The CTOA serves as a Cityblock representative to our members, external healthcare organizations, payer partners, and other partners to ensure that our members have the care and assistance they need to thrive.

Engagement

• Schedule and manage appointments per protocol or at the direction of the care team

• Outreach to priority lists of members to schedule clinical appointments

• Track scheduling tasks and ensure execution by due date

• Meet minimum required appointments scheduled daily

• Follow all proper scheduling policies and procedures

• Reschedule members who cancel, no show, or request to reschedule appointments

• Send appointment reminders and confirmation

• Manage related correspondence (e.g., document calls and texts)

Case Review and Care Coordination

• Assist members with coordination of transportation, home health, vendors (e.g., durable medical equipment), and other services as needed

• Support the release of medical records per protocol

• Basic knowledge of members with complex health needs - social, behavioral and physical

Operations and Follow-Up

• Partner with the care team to complete visit-related tasks

  • Obtain completed member forms (e.g., medical power of attorney and medical orders for life-sustaining treatment)

  • Request and obtain medical records from health plans and external providers and organizations per protocol

• Conduct eligibility checks

  • Use member benefits platforms to organize insurance services

  • Partner with care team members to perform eligibility checks when tasked

  • Ensure appropriate eligibility status for all scheduled appointments

  • Follow disenrollment procedures for members who are ineligible for services as needed and outlined by market specific procedures

• Communication tasks

  • Manage faxing tasks, including assignment of received faxes

  • Coordinate outgoing member communications, including standard mailings, news and member resources

  • Other printing/mailing/faxing as needed

• Utilize our care facilitation and scheduling platforms to collect data, document member interactions, organize information, track tasks, and communicate with your team, members, and community resources

• Generate and communicate standard reporting as needed

  • Analyze reports and help care team plan and learn from data

  • Support operations leadership with developing and maintaining tracking sheets for various workflows

• Complete tasks such as daily checks, answering phones, room cleaning, restocking, and supply inventory as needed

• Fulfill other duties to support member care and operations as assigned

Requirements for the Role:

• HS Diploma or equivalent

• 1-2 years of administrative experience in an office setting

• Comfortable using technology to support members without in-person contact (telephone and text etiquette, virtual visit platforms, etc.)

• Understanding of how to use scheduling platforms to ensure accurate appointment scheduling and management

• Understanding of how to use care facilitation platforms to ensure accurate documentation

• Proficient in collecting member clinical and demographic data and documenting appropriately in a timely manner

• Able to provide creative solutions to challenges within the healthcare system that are impeding optimization of members’ care and health

• Growth and learning mentality, ability to think outside the box, go outside the bounds of “traditional” responsibilities

• Standard clinic administrative functions, such as scheduling and appointment management, eligibility checks,, scheduling transportation, grievance tracking, release of medical records and forms

• Adaptable to change and prepared for frequent, fast-paced changes and shifting priorities

• Self-starter who completes tasks in a timely manner and prioritizes effectively

Cityblock values diversity as a core tenet of the work we do and the populations we serve. We are an equal opportunity employer, indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.

Covid 19 Update - Please Read:

Cityblock requires those hired into this position to provide proof that they have received the COVID-19 vaccine. Any individuals subject to this requirement may submit for consideration a request to be exempted from the requirement (based on a valid religious or medical reason) on forms to be provided by Cityblock. Such requests will be subject to review and approval by the Company, and exemptions will be granted only if the Company can provide a reasonable accommodation in relation to the requested exemption. Note that approvals for reasonable accommodations are reviewed and approved on a case-by-case basis and availability of a reasonable accommodation is not guaranteed. This vaccination requirement is based, in part, on recently established government requirements. The requirement is also based on the safety and effectiveness of the vaccine in protecting against COVID-19, and our shared responsibility for the health and safety of members, colleagues, and community.

The COVID-19 pandemic has severely impacted the health and lives of people around the world, including the vulnerable populations Cityblock serves. As a healthcare provider, Cityblock holds ourselves to the highest standards when promoting the health and safety of those who we serve. Given that the COVID-19 vaccines are one of the most powerful tools to fight this disease and save lives, Cityblock is implementing a COVID-19 booster mandate for Washington, D.C. employees under the guidance of local/state mandates.

Medical Clearance (for Member-Facing Roles):

You must complete Cityblock’s medical clearance requirements, which include, but may not be limited to, evidence of immunity to MMR, Hepatitis B, Varicella, and a TB screen, or have an approved medical or religious accommodation that precludes you from being vaccinated against these diseases.

We do not accept unsolicited resumes from outside recruiters/placement agencies. Cityblock will not pay fees associated with resumes presented through unsolicited means.