Purchased | Referred Care Medical Assistant

Locations: Albuquerque, NM

Type:Tribal

Salary Range:$18 to $25 / Per Hour

Open Period:3/11/2024 until filled

Summary:Summary of Benefits Health Care Plan for Individual & Family Dental Plan Vision Plan Flex Spending Account 401K Plan Term Life Insurance Long Term & Short Term Disability Supplemental Healthcare Plans Workman's Compensation Employee Assistance Program Domestic Partner Benefits

More info about area:

Job Announcement Flyer:

Duties:Receive, process, and track all incoming referrals from providers within the clinic. • Communicate with patients to explain the referral process, provide necessary instructions, and address any questions or concerns. • Coordinate with external healthcare providers and specialists to schedule patient appointments for referrals. • Ensure that all referral documentation is complete, accurate, and compliant with PRC requirements. Monitor the status of referrals, track patient progress, and follow up to ensure that patients are attend their scheduled appointments. • Schedule patient appointments, including follow-up visits and consultations, using the electronic health record (EHR) system. • Coordinate appointment times with provider availability and patient preferences. • Send appointment reminders to patients via phone or mail to minimize no-shows. • Coordinate appointments with IHC clinics or Public Health to optimize provider schedules and patient access to care. • Verify patient insurance information by contacting insurance providers, both private and government-funded including IHS for PRC. • Ensure that patients' insurance coverage is accurately reflected in their medical records. • Address insurance-related inquiries from patients and assist them in understanding their coverage. • Maintain a deep understanding of the requirements and regulations related to PRC funding form IHS. • Ensure all referrals and patient appointments comply with PRC guidelines and that necessary documentation is completed and submitted for reimbursement. • Collaborate effetely with healthcare providers, nurses, and administrative staff to streamline the referral and appointment process. • Maintain clear and timely communication with patients to address any changes to their appointments or referrals. • Accurately documents all interactions, appointments, and referral details in the EHR system. • Maintain organized and up-to-date referral and scheduling records. • Receives and matches incoming health care claims to an approved referral requisition; ensures receipt of the explanations of benefits (EOB) and validates the ICD, CTP, HCPCS, and CDT coding • Reconciles vendor statements • Participates in resolving patient billing statements; requests for claims and explanation of benefits (EOB) from the vendor, and/or providing vendor with primary payer information. • Researches and resolves patient billing statements • Performs other duties as assigned.

Qualifications:High School Diploma/GED. ? Medical Assistant training. ? One year work experience as a medical assistant preferred. ? CPR Certification. ? CMA or CAN preferred. ? Must be able to pass a TB screening. ? Must provide written copy of immunization record prior to employment. ? Must pass background check for position. ? Must be able to comply with the Pueblo of Isleta Drug Free Workplace policies.

Work Type:Permanent, Full

Announcement #:036 - 24