Job Details:
High School Diploma/GED Certified Medical Assistant (CMA) Registered Medical Assistant (RMA) 1 - 3 years of experience required
**_POSITION DESCRIPTION:
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Provides administrative, operational and patient support activities for primary care divisional panel assignments; Responsible for the follow up and communication with patients to ensure patients receive appropriate tests and preventive services as ordered by the primary care physician.
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**_ESSENTIAL JOB FUNCTIONS:
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Systematically reviews health plan eligibility lists/new patient registry and invites patients into IHA for services through initiation of a welcome package per protocol. Has the ability to schedule as needed; Monitors scheduling of new patients and works with MM to identify and report patients who do not establish care.
Provides systematic monitoring of disease management and prevention registry. Using the registry report functions identifies patients in need of appointments, tests or labs. Schedules appointments for services as needed per protocol.
Communicates with the patient on services that are needed prior to an office visit; ensures coordination of these services with the office care team.
Provides patient outreach for specific preventive or disease management interventions for targeted populations i.e., outbound telephone reminders for patients in need of mammogram, etc., per established protocols.
Coordinates with physicians, care manager and clinic staff to develop customized patient outreach correspondence and schedule needed tests and appointments
Uses software applications to produce custom reports from administrative databases; extracts data, performs appropriate verification, prepares and distributes reports to customers.
Reviews health plan performance reports on a monthly basis in coordination with IHA Medical Management team; ensures that services delivered have been captured appropriately in EMR.
Updates appropriate sections of EMR as determined. Updates Health Maintenance and CD protocols, non-interfaced lab module as needed.
Obtains high risk patient lists/ER visit and Inpatient lists per health plan and packages and communicates to the Care Manager team.
Refers to Care Managers for patients needing support as determined by ability to actualize treatment plans.
Directly enters medication, laboratory, and radiology orders into the electronic medical record per state, local and professional guidelines.
Fills in as MA when needed.
Supports other offices, attends required meetings and training, and participates in committees as requested.
Participates in disease management programs under supervision of Care Manager and/or Nurse Manager.
Actively works to improve practice performance on Quality incentives including but not limited to Provider Dashboard, PCMH, and Health Plan incentives such as MARCQI, BCN Physician Recognition Program, BCBSM Clinical Quality and Priority Health Physician Improvement Plan.
Serves as liaison between patient and healthcare provider when necessary. Ensures timely and courteous follow-up regarding patient questions.
Assists with training and orientation of new staff as directed.
Performs other duties as assigned and works within the scope of MA certification.
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**_ORGANIZATIONAL EXPECTATIONS:
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Creates a positive, professional, service-oriented work environment for staff, patients and family members by supporting the IHA CARES mission and core values statement
Must be able to work effectively as a member of the clinical care team.
Successfully completes IHA's "The Customer" training and adheres to IHA's standard of promptly providing a high level of service and respect to internal or external customers.
Maintains knowledge of and complies with IHA standards, policies and procedures, including IHA's Employee Handbook.
Maintains complete knowledge of office services and in the use of all relevant office equipment, computer, and manual systems.
Maintains strict patient and employee confidentiality in compliance with IHA and HIPAA guidelines.
Serves as a role model, by demonstrating exceptional ability and willingness to take on new and additional responsibilities. Embraces new ideas and respects cultural differences._
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- Uses resources efficiently._
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- If applicable, responsible for ongoing professional development - maintains appropriate licensure and continuing education credentials, participates in available learning opportunities.
**_MEASURED BY:
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Performance that meets or exceeds IHA CARES Values expectation as outlined in IHA Performance Review document, relative to position.
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**_ESSENTIAL QUALIFICATIONS:
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EDUCATION: High School Diploma or GED. Associate's degree in health-related field or relevant experience is strongly preferred.
CREDENTIALS/LICENSURE: Certification as a Medical Assistant through approved credentialing entity. Valid CPR certification.
MINIMUM EXPERIENCE: 2 years' of previous clinical experience or equivalent combination of education and experience. Customer service experience strongly preferred. Experience or familiarity with community support services preferred.
**_POSITION REQUIREMENTS (ABILITIES & SKILLS):
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Demonstrated competency in obtaining accurate patient vital statistics (height, weight, blood pressure, temperature, etc.) and patient health history.
Proficient/knowledgeable in medical terminology.
Proficiency in operating a standard desktop and Windows-based computer system, including but not limited to, electronic medical records/templates, NextGen, Microsoft Office (Excel, Access, Outlook, Word, PowerPoint), email, e-learning, intranet and computer navigation. Ability to use other software as required while performing the essential functions of the job.
Excellent communication skills in both written and verbal forms, including proper phone etiquette.
Good quantitative and analytic skills.
Ability to work collaboratively in a team-oriented environment; courteous and friendly demeanor.
Ability to work effectively with various levels of organizational members and diverse populations including IHA staff, providers, patients, vendors, family members, outside customers and community groups.
Ability to cross-train in other areas of practice in order to achieve smooth flow of all operations.
Good organizational and time management skills to effectively juggle multiple priorities, time constraints and ever-changing medical situations.
Ability to exercise sound judgment and problem-solving skills.
Ability to perform mathematical calculations needed during the course of performing basic job duties, i.e.: calculating proper dosages for immunizations.
Knowledge of the compliance aspects of clinical care and patient privacy and best practices in medical office operations.
Ability to handle patient and organizational information in a confidential manner.
Ability to monitor, organize, stock, prepare and keep exam rooms clean; maintain medical supply inventory in clinical areas.
Ability to travel to other office/practice sites and meeting and traini
