Medical Assistant/Medical Receptionist

DESCRIPTION:

Medical Assistant/Medical Receptionist is responsible for the following responsibilities:

Precertification Responsibilities

• Review chart documentation to ensure patients meets medical policy guidelines.
• Prioritize incoming authorization requests according to urgency.
• Obtain authorization via payer website or by phone and follow up regularly on pending cases.
• Maintain individual payer files to include up to date requirements needed to successfully obtain authorizations.
• Works closely with billing staff to ensure the efficient processing of all patient demographic information to allow timely coding and billing.
• Initiate appeals for denied authorizations.
• Respond to clinic questions regarding payer medical policy guidelines.
• Confirm accuracy of CPT and ICD-10 diagnoses
• Contact patients to discuss authorization status.
• Other duties as assigned.

Medical Assistant Responsibilities:

• Verifies patient information by triaging patient; recording medical history; confirming chief complaint.
• Prepares patients for examination by performing initial triage: blood pressure, weight, and temperature and reporting patient history summary.
• Maximize physician time by assisting with office procedures.
• Oversees fitting, tracking and distribution of DME supplies in compliance with office policies and federal regulations. Obtains a signed ABN as required.

• Cleaning of rooms after each patient encounter
• Responsible for stocking of patient rooms at the end of day
• Follows office policy and guidelines for collection of UDS.
• Check PDMP and notify provider of any inconsistencies.
• Other duties as assigned.

Medical Receptionist Responsibilities:

• Greets patients and visitors in a polite and professional manner.
• Collection and verification of patient demographic information.
• Insurance verification
• Check in/ Check out of patients.
• Oversees scheduling to maintain efficient patient flow.
• Monitors physician block time and makes recommendations for effective utilization.
• Serves as a positive liaison with physician and office personnel.
• Contributes to the revenue cycle by recording and obtaining financial information, recording, and collecting patient payments.
• After patient completion of paperwork, notifies appropriate nursing staff that the patient is present.
• Responsible for ensuring that Pharmaceutical/Equipment Representatives have appropriate badges and do not interfere with patient care or confidentiality.
• Responsible for patient reception area, i.e., orderly, organized and cleanliness, etc.
• Responsible for patient call triage. Reviews messages and communicates with providers via EMR and relays details to patient both during the day, time permitting, and after completed clinic.

Philosophy

• Supports the practices ideology, mission, goals, and objectives.
• Performs in accordance with the office policies and procedures.
• Follows the companies’ standards for ethical business conduct.
• Conducts self as a positive role model and team member.
• Recognizes patients’ rights and responsibilities and supports them in performance of job duties.
• Serves and protects practice by adhering to professional standards, policies and procedures, federal, state, and local requirements.

Communication

• Communicates effectively and professionally with patients, visitors, physicians, and coworkers.
• Interacts with others in a positive, respectful, and considerate manner.

Knowledge, Skills, and Abilities

• Knowledge of procedure authorization and its direct impact on the practice’s revenue cycle
• Understanding of payer medical policy guidelines while utilizing these guidelines to manage authorizations effectively.
• Basic understanding of human anatomy, specifically musculoskeletal
• Proficient use of CPT and ICD-10 codes
• Excellent computer skills including Excel, Word, and Internet use.
• Detail oriented with above average organizational skills.
• Plans and prioritizes to meet deadlines.
• Excellent customer service skills; communicates clearly and effectively.
• Ability to multitask and work with little supervision while managing a high-volume, time-sensitive workload.

EDUCATION/EXPERIENCE REQUIRED

• High School Diploma
• 2 years medical office experience required.

Job Type: Full-time

Pay: $15.00 - $20.00 per hour

Expected hours: 35 – 45 per week

Benefits:

• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Medical specialties:

• Neurology

Schedule:

• Monday to Friday

Work setting:

• Clinic
• In-person
• Office
• Private practice

Education:

• High school or equivalent (Required)

Work Location: In person