What are the responsibilities and job description for the CLERICAL MEDICAL ASSISTANT - COVENANT SURGICAL SPECIALISTS position at Covenant HealthCare?
Encourages a collaborative, cooperative relationship between team members and staff as a foundational environment for quality patient care. Exhibits reliability and flexibility.
Carries out provider orders according to established protocols.
Demonstrates the commitment to quality goals and standards.
Timely documents completely and accurately, according to protocol, within the Electronic Health Record (EHR)
Ordering practice supplies utilizing Lawson Requisition software.
Operation and maintenance of Autoclave including following sterile processes to ensure sterility of instruments for patient safety.
Knowledge of and compliance with billing rules and regulations. These include but are not limited to COBRA, HIPAA, Red Flag Rules, Advanced Beneficiary Notice (ABN), Medicare Secondary Payer, No Fault Laws and Worker’s Compensation rules. Stays up to date with changes and regulations.
Responsible for obtaining/verifying and documenting in the EHR relevant information prior to patient encounter, including but not limited to Michigan Childhood Immunization Record (MICR), PMP AWARxE, lab reports, imaging reports, hospital discharge reports, specialists reports etc.
Responsible for obtaining/verifying that the Consent for Treatment/Release of Information, Medicare Letter, other necessary documents, are signed according to legal guidelines and Administrative Policies.
Responsible for obtaining authorization to treat an unaccompanied minor/distinguish if patient is an emancipated minor.
Independent with equipment technology which includes computers, fax machines, printers, label printers, copiers, credit card processers, scanners, etc. Has the ability to troubleshoot equipment failure, change toner, labels, ribbons, and remove incorrectly scanned documents, etc.
Reviews superbill/charge slip for accuracy of diagnostic/procedure coding and/or determines the proper diagnostic and procedure codes necessary to properly reflect services provided. Enters diagnostic and procedure codes, including billing modifiers, into system for billing purposes in a manner that properly reflects third-party carrier billing requirements.
Triages patients and patient phone calls per Covenant HealthCare policy and procedure.
Schedules office appointments, referrals/ authorizations and outpatient diagnostic testing for patients. Assures proper filing of test results, hospital information and other pertinent information in patient chart.
Obtains/verifies/updates patient demographic information and obtains/verifies insurance eligibility and benefits, entering necessary updates to system for billing purposes. Processes/tracks medical “release of information requests” consistent with HIPAA and other requirements. Distributes charts to providers in a manner that minimizes patient wait times.
Process, enter and collect for patient out-of-pocket costs, including prior outstanding balances, at time of visit. Balances daily cash and prepares/delivers bank deposit.
Responsible for prescription refills and responding as appropriate.
Maintains medical records in compliance with regulatory agencies and Covenant HealthCare policies/procedures.
Provides patient information regarding drug interactions. Follows regulations regarding narcotic storage and maintains medical inventory log. Assures medications have not expired.
Addresses patient questions and concerns following clinical protocols. Demonstrates awareness and sensitivity to patient rights.
Actively contributes to cost containment by monitoring supply utilization, time management, and productivity.
Under the guidance of the Practice Manager, assists in maintaining all CLIA, OSHA, HFAP and Corporate Compliance regulations. Functions with an awareness of safety issues. Demonstrates awareness of confidentiality and legal issues in all aspects of patient care. Meets or exceeds all competency requirement expectations.
Removal of sutures/staples.
Dressing wounds.
Communicating results and answering patient questions under the direction of the Physician.
Any other duties as assigned by the Practice Manager.
Qualifications:EDUCATION/EXPERIENCE
High School diploma and/or equivalent required. A successful completion of a competency-based Medical Assistant (MA) training program required. In lieu of a MA program, a minimum of two (2) years direct patient care and/or medical office support experience will be accepted. BLS certification required (within 6 months of hire).
KNOWLEDGE/SKILLS/ABILITIES
Demonstrated knowledge of and ability to practically apply medical terminology, CPT-4 and ICD-10-CM coding.
Knowledge of coordination of benefits and how to properly determine primary status, as well as the ability to verify/interpret insurance benefits.
Knowledge of proper “release of information” standards.
Knowledge of proper cash receipts handling procedures.
Working knowledge of Microsoft Office.
Demonstrated knowledge of and ability to practically apply medical terminology.
Excellent oral communication and interpersonal skills.
Computer-based office practice management experience preferred.
Ability to remain calm and courteous in stressful/difficult situations.
Ability to maintain confidential information.
Ability to problem solve and prioritize independently, efficiently, and effectively.
Ability to work accurately and calmly in multiple fast pace work environments.
WORKING CONDITIONS/PHYSICAL DEMANDS
Ability to maintain regular, punctual attendance consistent with the ADA, FMLA and other federal, state and local standards.
