The Certified Medical Assistant provides and coordinates the delivery of clinical and non-clinical services under the direction of the Registered Nurse (RN) or Provider. This position also performs a variety of clerical duties to assist the WCCs staff.
All Healogics employees should perform their job responsibilities according to Healogics clinical policies and procedures and employee policies, and Hospital policies, as well as to accrediting organizations, federal and state regulation, and to the Centers for Medicare and Medicaid Services (CMS) guidelines, as applicable.
Performs pre-certification duties such as receiving referral on new patients, verifying patient coverage and communicating with primary care provider and insurance company as needed to obtain authorization for initial visit.
Assists the RN or LPN/LVN during the patients intake/discharge process:
Collecting, recording and reporting data that includes vitals, Temperature, Pulse and Respiration (TPR), Blood Pressure (BP) and blood sugar readings
Taking wound photography and measurement
Tracking the observed responses to treatment
Recording care given as observed responses to treatment, including participation in wound care/Hyperbaric plan
Reporting unusual observations or changes in patient condition/behaviour
Collecting specimens as requested
Tracks patient visit information to include entering documentation in database systems or on the paper forms; copying documentation to hospital billing department
Performs recertification/extension of additional services. This includes:
Sending clinical information and photographs to appropriate insurance company with request for an extension of visit numbers or time
Documenting authorization information on log upon receipt of extension; and copying the update to patient finance and attending wound center Medical Doctor (MD)
Handling insurance recertifications
Performs Hyperbaric Oxygen therapy related duties as needed, upon the completion of the required Healogics training.
Completes unit tasks such as cleaning exams areas, hyperbaric gurneys and chambers, as well as processing sterile instrument, and performing other unit task as required.
Assists the centers staff with clerical services handled by Front Office Coordinators as needed such as:
Answering the phone, greeting patients and visitors, routing calls to appropriate staff, scheduling patient appointments
Coding and insurance processing; obtaining insurance information from patients, and obtaining insurance verification for services
Coordinating Patient Ancillary Testing with other hospital departments,
Entering, verifying, and reconciling patient charges
Assembling new charts, maintaining and filing existing charges, spot checking charts for data completeness and signatures
Entering data into proprietary database and into hospital data systems (patient registration) as directed, and auditing data entry and generating reports as directed
Maintaining office equipment and supplies, as well as ordering as needed
Communicates on a regular basis with payors and updates/documents the outcome(s).
Relates customer concerns and needs to medical personnel and tracks them in appropriate databases to ensure satisfactory outcome.
Performs other duties as required.
Clinical Duties varying by State:
Information gathering for intake and discharge
Explaining treatment procedures to patients
Preparing patients for examination
Assisting the Provider or the RN during the exam
Collecting and preparing laboratory specimens
Performing basic laboratory tests
Removing and changing dressings
Required Education, Experience and Credentials:
High School Diploma or General Education Development (GED)
Graduate from a Medical Assistant program approved by the Commission on Accreditation of Allied Health Program (CAAHEP) or by the Accrediting Bureau of Health Education Schools (ABHES)
Current Certified Medical Assistant (CMA) certification to maintain throughout the duration of employment in the position
Six or more months of related experience in an acute hospital, rehabilitation hospital, or skilled nursing unit preferred
Required Knowledge, Skills and Abilities:
Demonstrated competency in BLS (Basic Life Support)
Demonstrated organization, prioritization and time-management skills
Strong interpersonal, listening, as well as oral communication skills
Customer service skills and follow-up skills
Ability to multi-task and to work in a fast-paced environment
Ability to work with others and in a team environment
Problem solving skills
Proficient in Microsoft Office (Excel, Word, Outlook)