Maintains appropriate computer downtime procedures for clinical documentation. Medical Records Perform medical records tasks timely and accurately including: chart retrieval, storage, filing, and scanning in correct location of EMR. May coordinate translation arrangements for day and time of patient services. Support co-workers in operational functions of the office including: front desk coverage, answering phones, running errands, and transporting patients. Relay messages to appropriate staff in order to facilitate communication and assure quality of care. Coordination of patient information and services Coordinate multiple phone lines and or InBasket communications, take messages, screen calls, receive information and transfer calls to appropriate extension.
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May collect patient co-pays, co-insurance, and/or deductible and follow up with insurance companies for payment, enter patient charges, and maintain monthly/quarterly record statistics, and code services/procedures for charge reconciliation purposes.
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Insurance Pre-Certification & Collection Accurately completes or assures completion of registration process and facilitates revenue enhancement through insurance verification, pre-authorization, verification of medical necessity and follow up of denials. Responsible for cancelling and rescheduling patients when necessary to ensure appropriate medical treatment and/or testing. Communicate schedule updates, i.e., cancellations, changes, and delays to appropriate staff/patients/family members/visitors. Support patient scheduling systems in conjunction with clinical and medical staff and patient information. Scheduling Schedule surgical/non-surgical procedures, tests, therapy, referrals, appointments, and services ensuring accuracy of data entered into scheduling system in a timely manner. Initiate further follow-up with appropriate staff member(s). Handles conflict with customers constructively and appropriately. Customer Service & Problem Resolution Resolve routine patient problems and complaints on a timely basis. Ensures compliance with federal, state, and local laws and regulations pertaining to patient privacy and confidentiality, i.e., HIPPA laws. Specifically, answering phones, assisting patients with questions and problems, and accepting/relaying messages. May collect co-pay/co-insurance/deductible based on insurance plan(s). Monitor and follow-up on additional pre-authorizations for on-going patient services needed. Obtain pre-certification and/consent for services and billing. Assist patients with forms obtaining all necessary insurance information and signatures as needed. Responsible for the patient registration process (check in and check out) for a unit or department.
Registration & Pre-Certification Provide courteous, respectful, and helpful service to patients, visitors, staff, and physicians seeking information and/or treatment: office, phone, email communications. * Provides instruction to patients under the direction of the provider. * Collects and provides to the provider the completed Laboratory/test findings Intake Form, and physician referral information, Diagnostic Imaging, or Cardiopulmonary test results as they are available. * Documents all clinical findings and patient response to interventions, i.e., history, medications, vital signs, weight, and testing results. * Provides patient care and clinical support to provider during exam, including acupuncture needle removal, application of stimulator, needle count, venipuncture, injections, and EKGs. Medical Assistant: * Prepares patient for exam and acquires vital signs, weight, general history, and current medication list when required. Responsible for routine problem resolution, assistance with patient flow coordination, and initiation of follow-up with appropriate staff as needed.ĭemonstrate respect, dignity, kindness and empathy in each encounter with all patients, families, visitors and other employees regardless of cultural background. In addition, provide customer-focused service and provide support to patient flow in a unit or department to include: 1) patient registration, 2) patient scheduling, 3) patient billing, 4) pre-certification (collect insurance information receipt of co-pays or bill payments), 5) medical records retrieval, release, or collection, and 6) data entry. The Medical Assistant is a highly visible position that is always responsible for creating a positive impression with patients, family members, and other visitors to the office. The Medical Assistant is also responsible for compliance with all OSHA/CLIA and HIPAA Regulations, and ensures completion of all duties vital to business operations. The Medical Assistant provides instructions to patients as directed by the providers.
The Certified Medical Assistant provides clinical support to the physician and mid-level providers.
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