Heritage Sierra Medical Group View Company Profile
Requirements: High school graduate or equivalent. Must be available to work urgent care shifts: evenings, weekends and holidays. Current Certified Medical Assistant certification required. Have a current BLS certification. Knowledge of basic medical terminology. Knowledge of insurance plans, both HMO and Fee for Service (FFS). Knowledge of the referral system process. Must be computer literate. Excellent written, verbal and interpersonal communication skills. Bilingual preferred. Ability to handle and prioritize tasks in order to meet all given deadlines and productivity goals. Ability to responsibly handle matters of a confidential nature. Ability to work in a multi-task, high-productive and fast-paced environment. General Responsibilities: Responsible for functioning as a Patient Services Associate (PSA), Certified Medical Assistant (CMA), and Referral Coordinator; PSA responsible for assisting with general clerical duties such a registration, insurance verification, and updating demographics; CMA responsible for duties such as taking vital signs, assisting with procedures, and processing referrals. Maintain a professional, positive and caring attitude at all times. Follow policies outlined in the Employee Handbook and all Policies and Procedures Manuals. Communicate verbally and in writing through proper channels. Adhere to all Compliance Regulations including, HIPAA, Fraud, Waste, and Abuse, Harassment, Code of Conduct, Model of Care, Cultural and Linguistics, and Injury and Illness. Adhere to the Nursing Standards of Excellence. Participate in required meetings. Adhere to dress code. Use time keeping system appropriately; and notify supervisor in HRIS when requesting paid time off. Be courteous, flexible, and adaptable. Promote departmental and organizational goals. Know and follow applicable safety standards. Patient Services Associate Duties: Smile and make eye contact when greeting members and other members. Demonstrate care, concern and courtesy when interacting with all internal and external members/employees. Display a warm and pleasant personality at all times; emphasizing tact, empathy and patience. Address telephone calls utilizing proper phone etiquette. Answer incoming calls with your first name and suite location. Take accurate messages and relay to appropriate person as quickly as possible. Register all presenting members, verifying and updating all information to complete demographic and billing statistics and ensure member is entered into the EMR system. Ensure verification of insurance is documented in appropriate template as per direction of supervisor. Scan insurance cards into Next Gen. Collect/post applicable copays on the members account. Address and document outstanding debt alerts. Print and balance batch reports at the end of each shift. Cancel and reschedule members as necessary and document cancellations in EPM. Schedule same-day or follow-up appointments when applicable by following appropriate guidelines. Maintain neat, clean and professional-looking work areas. Interact professionally and respectfully with members, co-workers and supervisors. CMA Duties: Assist members to exam rooms and obtain complete and accurate vital signs. Administer medications per scope of practice by adhering to five rights of medication administration. Obtain and document all pertinent information in each memberxe2x80x99s chart/EMR record. Anticipate, assist and perform procedures ordered by the provider. Maintain timely member flow and room availability. Reinforce member education and participate in member teaching. Stock and maintain exam rooms, nursing stations and individual workstations. Participate in unit duties such as, cleaning and sterilizing instruments and ordering supplies. Maintain a current and accurate surgical log, procedure log, lab log, and member tickler files, as appropriate. Maintain and monitor all equipment used for member care and testing. Report any discrepancy to supervisor. Assist with training and of new personnel. Actively participate in nursing QI by identifying problems, providing solutions and evaluating outcomes. Ensure appropriate handling and accurate documentation of all medications ordered by the provider. Ensure accurate and timely follow-through with all referrals generated. Utilize computers as they pertain to the job at hand. Exercise universal precautions in all member care. Exhibit competency in all aspects of member care provided in Urgent Care department. Adhere to HSMGxe2x80x99s standards of attendance policy, as it is pertinent to be available to assist nursing staff and to deliver optimal efficient care to our members by providing excellent customer service. Referral Coordinator Duties: Present referrals for approval to Utilization Review Committee. Notify Urgent Care provider of any changes or denials. Notify patients regarding denial and modifications of services. Notify patients of approved referrals and scheduling information. Code referrals according to ICD-10 CM/CPT codes. Input referral data and print authorization for all approved referrals. Assist patients in resolving questions/problems. Organize workload and workflow process in the department to ensure referrals are processed timely. Assist insurance companies regarding patient referrals. Assist primary care physician office on status of referrals. Be available to coworkers as a resource in the department. Follow and adhere to HSMGxe2x80x99s standards of attendance policy, as it is pertinent to be available to process referrals and notify patients regarding modifications, denials, or scheduling of referrals. Perform other duties as assigned. Physical Demands: Sitting – typing, filing, phone work, etc. – frequency – 40% or more. Standing – frequency -60 0%. Walking – to and from within the building, examination rooms, laboratory, etc. – frequency- less than 40% Lifting – 0 to 60 lbs.: office supplies, members, medical equipment and medical supplies etc. – frequency – approximately 20%. Bending, stooping and squatting xe2x80x93 delivering member care, etc. frequency – Reaching above head to 75 degrees – frequency – approximately 10%. Hand/grip dexterity xe2x80x93 administrating medications/injections, holding medical instruments, writing, typing, filing, phone work, etc. – frequency – approximately 35%. Pushing, Pulling, Transporting – members by wheelchair/gurney xe2x80x93 up to 20%. Benefits: 401(k) 401(k) matching Dental insurance Disability insurance Employee assistance program Flexible spending account Health insurance Life insurance Paid time off Vision insurance Medical specialties: Urgent Care/Primary Care Schedule: 8 hour shifts/Evenings/Weekends/Holidays Job Type: Full-time Pay: $20.00 – $21.00 per hour Benefits: 401(k) 401(k) matching Dental insurance Disability insurance Employee assistance program Flexible spending account Health insurance Life insurance Paid time off Retirement plan Vision insurance Medical Specialty: Urgent Care Schedule: Afternoon shift Evening shift Every weekend Holidays Ability to Relocate: Palmdale, CA 93551: Relocate before starting work (Preferred) Work Location: In person