Certified Medical Assistant for a Medical Clinic in the US (Home Based

· Answer phone calls

· Describe pain management services to potential patients

· Assist and help the potential self-pay patients with getting medical records

· Schedule and register new patients

· Ensure prior authorization is present before scheduling

· Cancel reschedule appointments

· Take messages to the in-house team and communicate with the team either verbally, via chat, or by email depending on the message or urgency of the situation

· Create patient case: clinical and or nonclinical

· Call patients and/or medical offices

· Review and send emails

· Manage, review faxes, and upload to electronic health records

· Manage referrals and schedule new appointments

· Forward fax to the appropriate person via email

· Create and maintain a new patient waiting list for each location

· Manage records requested from the health facility

· Subpoena and create invoice

· Manage records requested by the health facility

· Compile and maintain a list of new patients seen and referring providers

· Manage authorization requests and monitor for authorization prior to patient visit

· Request authorization when needed for HMO

· Help with virtual check-in

· Attend weekly team meetings via zoom

· Create flyers, documents, and spreadsheet

• Answering inbound calls in a courteous and professional manner

• Scheduling patients’ appointments, adjusting, cancelling appointments on the Electronic Medical Record software (Best Practice)

• Providing patients and customers with information over the phone, with limitations of confidentiality sensitive information

• Updating patients’ files with provided data

• Contacting patients (phone, SMS) to: provide healthcare updates, obtain additional information or recall and schedule appointments with health providers.

• Allocating incoming electronic letters, billings, invoices, and other documents correctly in patients’ files, computer system/hard drive.

• Re-directing calls to on-site staff or other parties if required

• Calling other parties

• Communicating with on-site staff (via messaging system, phone/video calls, email)

• Processing payments for appointments.

• Participating via Zoom in Practice Meetings.

• Maintain current list of physicians in computer system including validating their current information, state licensures, NPI, etc.

• Track and follow-up on home health paperwork relative to admitted patients including:

a. Fax referral information to physician on all new patients.

b. Track all verbal orders and Plans of Care/485s in accordance with Medicare and PA Department of Health guidelines.

c. Prepare any forms needed relative to face-to-face documentation.

d. Forward discharge summary to attending physician upon patient discharge.

• Responsible for maintenance of all clinical records which includes but is not limited to:

a. Initiation and maintenance of patient face sheet ensuring accurate data to begin process of compiling patient data in clinical record.

b. Maintenance and filing of clinical records which includes creation of patient labels and assembly of contents that must be maintained on paper.

c. Audits clinical records on a weekly basis to verify that all verbal orders and plans of care have been received and signed by the physician, and that paperwork is filed correctly in the patient’s medical record, or if applicable, scanned into their electronic record d. Audits clinical records at time of patient discharge for completeness, verifying that all record components are in place, obtaining all missing documentation before record closure. e. Performs regular, detailed audits, monthly and upon discharge, ensuring completeness of charts.

• Give verbal orders to the appropriate nurse for follow-up.

• Coordinates and organizes paperwork to be used by interdisciplinary team (IDT) on a weekly basis and tracks and maintains all records in accordance with Medicare Conditions of Participation.

• Compile all admission packets for patients.

• Fulfill external requests for medical records upon approval of Administrator.

• Assist clinicians with maintenance of laptop computers, including but not limited to: trouble shooting problems and syncing data.

• Assist with phone answering and general office operation when needed.

• On an as-needed basis, performs the following office duties:

a. Typing, copying, scanning, etc. for management and staff members.

b. Assists with data entry for Medicare billing and forwards to responsible Billing Officer for processing.

• Actively participates in the agency’s ongoing, data-driven quality assessment and performance improvement program

• Maintain the confidentiality of patient and home health information at all times.

• Ensure compliance with local, state and federal laws, and established home health policies and procedures.

• Assist the Human Resources Coordinator and Billing Officer on some daily routines

• Help the company business development and take responsibility for other duties that may be assigned by the CEO or Administrator