The Medical Assistant coordinates clinical care, including direct and indirect patient care, and assists the clinical supervisor and physicians in infection control, inventory, and equipment maintenance.
Responsibilities
Prepares daily exam rooms in the clinical area for patient care, including stocking all necessary supplies.
Escorts patients to exam rooms, taking the required vital signs and obtaining urine specimens; performs dip and automated urinalysis and microscopic preparation and review when indicated.
Triage patient calls for pharmacy requests, test results, medical questions, and concerns as directed by the physician; document outcomes in EHR.
Assists in the maintenance of all logs and records for OSHA/MOSHA.
Adheres to and follows sterilization and disinfection practices throughout the facility.
Requirements
High School Diploma or GED
Graduated from an accredited Medical Assistant program
Manage an assigned book of business, including billing, collections, appeals, denials, and claim follow-up.
Process Workers’ Compensation and Personal Injury prescription claims.
Review aging reports and conduct timely follow-up on unpaid, underpaid, and outstanding claims.
Investigate claim denials, payment adjustments, notices of disallowance, and other reimbursement issues, and take appropriate action to obtain reimbursement.
Prepare and submit appeals, reconsiderations, and disputes with the required supporting documentation.
The Managed Care Appeals Analyst will research closed $0 balance accounts for underpayment amounts due from payors per established contracts, ensuring accurate payments and creating appeals when accounts are not reimbursed according to contracts.
Compensation
Pay Range: $23.00 - $28.88 per hour
Responsibilities
Perform daily systematic reviews of $0 balance accounts for appropriate contractual reimbursement
Post adjustments and patient responsibility at time of account review
Use payor contract, remit, and audit note to troubleshoot and identify reimbursement efficiencies
Create high level, detailed appeals identifying unpaid services and supporting information
Contact payor sources to confirm eligibility, coordination of benefits, patient responsibility, DRG, APR-DRG, and other denial or claims issues
Responsible for processing referrals and getting patients on service, including commercial, private and government insurances for patients receiving chronic therapies like IVIg or SCIg.
Responsibilities
Initiates intake process gathers relevant data from referral sources and completes intake paperwork
Verify insurance and eligibility along with obtaining authorizations when necessary
Completes start of care paperwork
Contact patients to confirm information and notify them of their financial obligation
Work collaboratively with other departments to ensure exceptional level of patient care
Provides customer service and manages patient accounts, insurance verification, claims submission, and billing issue resolution for a hospital setting.
Responsibilities
Verify and update patient demographic, insurance, referral, and authorization information
Confirm insurance eligibility using payer websites and technology
Prepare and submit accurate insurance claims within required timeframes
Review claims for accuracy, resolve billing errors, and address claim processing issues with payers
Work payer scrubber and denial reports to identify and resolve outstanding insurance claims
Patient Reception Representative responsible for handling patient calls, scheduling appointments, registration, insurance verification, and administrative duties in a healthcare setting.
Compensation
$17.00 - $20.85
Responsibilities
Answers telephones promptly and courteously, routing patient calls efficiently
Schedules and cancels appointments using established office guidelines
Prepares for day, reviews eligibility and phone reports, and carries out tasks accordingly
Greets all patients and visitors in a professional and welcoming manner
Informs patients of privacy policies and procedures
Requirements
High School diploma or equivalent
Nice to have: medical assistant or medical office technician certification
The Back Office Medical Assistant performs a variety of clinical and clerical responsibilities to assist care providers in examination and treatment of patients.
Maintains a safe, clean working environment, including unit based safety and infection control requirements.
Obtains, identifies and records vital signs, prevention data, medications, chief complaints and other pertinent information.
Observes, records and reports pertinent patient symptoms, reactions, condition changes, and information.
Immediately identifies and reports to RN or practitioner all adverse observations, reactions, conditions or emergency situations.
Transcribes patient specific data into electronic system using practitioner generated ICD-10 and CPT codes for purposes of billing, coding, and clinical data reporting and analysis.
Requirements
Graduate of Medical Assisting program
Graduate of Certified Nurse Assistant program
Military Medical Specialist training
High School diploma or GED
Nice to have: Relevant clinical Medical Assistant experience
Lead, Mail Order PharmacyNewAdvanced Rx Management · Sunrise, US
Managed Care Appeals AnalystNewElevate Patient Financial Solutions · Remote
Team Lead, Accounts Receivable ServicesNewMed-Metrix · Red Bank, US
Intake Representative (Acute)NewKabaFusion · Kentwood, US
Claims HMO - Lead Recalculation ExaminerCommunityCare · Tulsa, US