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Job description
Medical Assistant - Referral ClerkSalary Range $24.00 - $29.00 Hourly Job Shift Day Travel Percentage Up to 25% Category Health CareJob DescriptionPosition Summary The Medical Assistant - Referral Clerk has dual role in supporting back office clinical and administrative operations to ensure smooth and efficient processing of patient healthcare. Administrative duties include verifying eligibility, checking benefits, documenting physician direct referrals and pre-authorizations of certain services (via phone, fax or e-mail), scheduling appointments with specialist and other community resources as instructed by primary care provider. Clinical duties include back office processing and patient care-related services under the direction of the professional staff.Schedule: Flexible, may require some evening and weekendsDuties and ResponsibilitiesProcess HMO, CPE, CPSP, and other specialty referralsCompletion of authorization request formFax or email referral request to respective IPA/Health Plan, County and etc. along with the required pertinent information to support the request.Notify patients (if necessary) regarding authorization decision; approved or deniedSchedule appointments with Specialists and notify patientsFollow up status on referrals for completion No show / reschedule Follow-up visit(s) either with Specialist or PCP ConsultationReports Responsible for filing completed referral forms in the patient medical recordMaintain referral logs per financial class, i.e., HMO, etc.Weekly report to QM on specialty utilizationComply with the IPA, Health Plan and/or Programs UM ProtocolsEnsures HIPAA Compliance at all timesWork closely with Clinic Medical Practitioners and maintain communication on referral statusReview and maintain referral logAct as liaison between clinic and managed care departmentInterviews and exits patients, completing appropriate medical agency and consent forms, ensuring patient understanding and obtaining signatures.Document patient intake in the Electronic Health Record (EHR), which includes chief complaint, medical history, social history, vitals, and appropriate tests/labs performed and immunizations administered.Perform phlebotomy, injections, vitals if deemed by the Medical Practitioner, including but not limited to visual acuity, audiometric screening, venipuncture, injections, and specimen handlingPerform Point-of-Care testing, such as Blood Glucose, Urinalysis, EKG, HbA1c, INR, Blood Chemistry, Pregnancy Test, Bilirubin, and other standard primary care back office procedures.Assist Medical Practitioners (i.e. physicians, PA-C, NP) with patient examinations and procedures as directedCoordinate interdisciplinary and integration of primary care medical services with in-house Dentistry, Optometry, Endocrinology, Mental Health servicesReview patient medical record to ensure completeness and accuracyRoute appropriate medical orders, results, documentation and instructions to the appropriate personnelMaintain and stock clinical inventory supply and dispensaryMaintain equipment for clean and operational use, as well as maintain calibration, sterilization, and repair/maintenance logsClean, stock and maintain exam rooms. Follow OSHA and universal precaution protocolsStrict adherence to the policy and procedure manualProvide or direct patients/individuals seeking information regarding programs and services offered by NECCOther duties as assigned by Clinic ManagerQualificationsMinimum Requirements • Microsoft Office/Word/Excel/Outlook • Excellent Communication Skills • Excellent Customer Service Skills • Bi-lingual Spanish/English preferred • Ability to work as a team player and work independently • Reliable transportation • Must be able to travel from facility to facility • This position requires 10 % travel outside the local area. Required Education/Experience and/or Licensure/Certification • Medical Assistant Certificate or Certified Medical Assistant (Preferred) • Billing Certificate or Understanding of Medical concept • High school diploma or GED equivalent • Minimum 0.5 years of positional experience • Commitment to goals and philosophy of Northeast Community Clinic • Current CPR and/or BLS Certification • Valid State Identification Physical Requirements and Working Conditions • OSHA Category 2 – Involves no regular exposure to blood, body fluids, or tissues, but may require unplanned tasks that involve exposure to blood, body fluids, or tissues. • The work is majority of the time sedentary in nature. • The employee is regularly required to communicate, frequently required to use repetitive motions, move, remain stationary, regularly push, pull and lift up to 20 pounds and occasionally push, pull and lift up to 40 pounds. • Must possess mobility to work in a standard office/clinic setting (in some cases both settings) and to use standard office/clinic equipment, including a computer, stamina to maintain attention to detail despite interruptions, read printed materials and use a computer, and communicate in person and over the telephone.
Worksite address
los angeles, CA, 90001, US
Who can apply
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