Certified Medical Assistant (CMA) Access & Authorizations - Cancer Center (Days) (PRN)

Tanner Health•Carrollton, GA

40d•Onsite

About The Position

Responsible for rendering clinical care within the medical practice in support of and as directed by the physician and or Radiation Oncology Nurse. Will also have general responsibilities to assist in the day to day operation of this office to ensure quality patient care. Responsible for some day-to-day operations and scheduling of a medical practice. Includes but is not limited to the scheduling of appointments, preparing reports, managing third party payer information and other administrative utilization information, ensuring excellent customer service for every patient. Assists with answering telephone, registering new patients, scheduling appointments, and completing prior authorizations for treatment. Able to multi-task while maintaining a high level of customer service and accuracy.

Requirements

Technical or Vocational school plus up to 2 years specialty training
Two years of related experience.
Requires working knowledge of specialized practices, equipment, and procedures.
Must be certified as a Medical Assistant by the AAMA or a Registered Medical Assistant by the AMT. We will accept certification from NCCT and NHA.
MA or nursing school may be used as part of the experience required.
Must possess the sense of discipline to work in accordance with accepted clinical standards.
Must possess the cognitive ability to understand patient's medical records, physician's orders and medical orders to be communicated to patient, hospital, and or other physician.
Must be capable of dealing tactfully and effectively with patients, family members, other employees, and physicians.
Must be able to schedule x-rays, scans, new referrals and follow-up appointments.
Working knowledge of RO ICD-9 and CPT coding required.
Requires experience in physician practice coding.
Two years of previous prior authorization experience.
Exhibits exceptional communication skills.
Detail oriented.
Ability to work closely with others and function as a team member.
Ability to analyze data and form recommendations.
Proficient in various software within Microsoft Office including Outlook, Word, Excel, etc.

Nice To Haves

Data entry experience preferred.
Must utilize multiple practice software systems.

Responsibilities

Demonstrate competency in patient care. Maintain patient's safe passage in and out of the clinic, and ancillary services.
Request and gather records for new patients prior to their first visit.
Review present medications, allergy history, chief complaint, and brief interrogation of complaint.
Update medication list and current problem list.
Obtain past medical and surgical history, family history, social history, and vital signs.
Perform physical assessments on patients independently.
Prepare and assist patients for examination, treatment, or procedure by medical staff.
Monitoring of patient during examination or procedure.
Act as a liaison between provider and patient.
Explain medications, side effects, treatments, diets, diseases, and disease processes.
Communicate with patients and or family members over the telephone to provide test results when directed by the Radiation Oncologist.
Confirm and schedule appointments, answer questions and respond to messages in a timely manner and provide clear documentation of this communication in the patient's record.
Call in or e-prescribe prescriptions to pharmacy when directed by the Radiation Oncologist.
Maintain patient confidentiality.
Complete FMLA and Cancer Policy forms for Cancer Patients and their families.
Up to date on Meaningful Use documentation in the EMR.
Works well with others and functions as a team player.
Offers ideas and solutions for issues that affect the team and work area.
Stocks and orders supplies as needed.
Provide back up for the Radiation Oncology Nurse when she is busy or is off.
Provide back up for the front desk as needed.
Assist in other areas of the office as necessary.
Answer phone.
Maintains working knowledge of medical equipment and removes faulty equipment from use as necessary.
Participates in safety programs.
Maintain and update level of skill for pertinent medical assistant duties.
Participate in continuing education.
Participate in the development of new programs (ex: Process Improvement, Quality Initiatives).
Participates in patient satisfaction initiatives.
Demonstrates excellent customer service skills.
Communicates effectively with patients and management regarding service recovery opportunities.
Works together with other team members to achieve Office and System customer service goals.
Verifies insurance coverage and obtains prior authorization for all patients in radiation oncology.
Notes authorization number in journal and Carepath in Aria.
Creates estimates within Epic and Communicates financial responsibility for treatment to the patient.
Creates billing referral within Epic to attach the prior authorization number to the patient's claim for proper billing.
Transcribes orders to complete precertification process.
Responsible for denied pre-certifications.
Handles appeals and scheduling of peer to peers for authorization denials.
Serves as back-up receptionist.
Responsible for accurately updating patient demographics and insurance(s) at time of check-in, answers phones, patient check-in, scheduling consults, creating new health account records (HAR) in Epic, verifying insurance in Epic matches insurance that was authorized in Aria, creating new patient charts, appointment confirmations, scanning, and a multitude of other miscellaneous task.
Maintains a working knowledge of department and facility policies and procedures.
Displays independent reasoning skills for problem resolution as required with the scope of job assignments.
Maintains strict confidentiality.
May be required to assist with any other duties within the clinic appropriate to training and based on clinic needs.
Employee performs within the prescribed limits of Tanner Health System's Ethics and Compliance program.
Is responsible to detect, observe, and report compliance variances to their immediate supervisor, the Compliance Officer, or the Hotline.