Medical Assistant

Serene Health•San Diego, CA

21d•$23 - $27•Hybrid

About The Position

Empowering Wellness, Transforming Lives Optima Medical Management Group is dedicated to enhancing the quality of life by promoting wellness. At Optima MMG and all of its divisions: Serene Health, Community Support, and American TrueCare, our mission is to provide comprehensive support and care that not only addresses immediate concerns but also fosters long-term well-being. As pioneers in the field, we aspire to lead in member care outcomes and set new standards for excellence and innovation. We are committed to empowering our members to achieve self-sufficiency in health, creating a ripple effect that strengthens families and communities. Our work culture at Optima MMG is built on pride, passion, and a collective commitment to making a positive difference in people's lives. Our team members are dedicated problem-solvers who bring their unique skills and perspectives to the table. We believe that by fostering a collaborative and supportive environment, we can unlock the full potential of our team and, in turn, provide the best possible care to our members. A career at Optima MMG is an opportunity to be part of a dynamic and forward-thinking organization. We encourage continuous learning and professional growth, providing our employees with access to industry experts, cutting-edge technologies, and a supportive community that values each individual's contributions. Join us on this journey to not only advance your career but to be a driving force in transforming lives and communities through passionate and fulfilling work!

Requirements

High school diploma or equivalent required.
Medical Assistant training/certification preferred (CMA, RMA, CCMA or equivalent).
1–2+ years in ambulatory care, care coordination, or payer/provider support role (Medicaid/Medicare populations a plus).
Valid California driver's license and valid vehicle insurance required.
Proficient with EHR/CRM systems and basic payer portals; strong typing and documentation skills.
Excellent communication (phone, text, email) and customer-service mindset; bilingual Spanish/English a plus.
Demonstrates strong attention to detail and consistent documentation accuracy.
Manages time effectively and follows through on assigned tasks.
Communicate with members professionally and compassionately.
Collaborates effectively with the clinical team and other departments.
Applies problem-solving skills and resourcefulness to address SDOH-related tasks.
Maintains integrity, confidentiality, and strict compliance with policies and standards.

Nice To Haves

Medical Assistant training/certification preferred (CMA, RMA, CCMA or equivalent).
Medicaid/Medicare populations a plus.
bilingual Spanish/English a plus.

Responsibilities

Conduct outreach to members to gather member-reported medication profiles, allergies, and pharmacy information; document changes and route to RN for reconciliation.
Schedule and confirm RN joint calls and follow-up appointments; manage reminders and re-attempts per outreach cadence.
Assist with Transitions of Care (TOC) tasks: post-discharge calls, records requests, follow-up scheduling, documenting status and meet deadlines.
Prepare charts for RN assessments (summaries of recent encounters, meds, referral status).
Send provider notifications (PCP/BH/specialists/pharmacy) with concise plan highlights (e.g., new goals, med updates, risk flags).
Track referrals/authorizations and update task statuses (ordered, pending, approved, completed).
Request, track, and upload medical records (hospitals, ED, specialists); verify completeness and correct patient identifiers.
Conduct hospital visits to high-risk and frequent-utilizer members on an as-needed basis to gather key information and support transition-of-care services.
Maintain accurate documentation in the EHR/CRM (e.g., Alliance) and payer portals: contact notes linked to goals/interventions, statuses, next actions.
Process and maintain Release of Information (ROI) forms and log disclosures per policy.
Coordinate non-clinical services (transportation, food, utilities, housing resources) per RN or care plan guidance; document outcomes.
Confirm member eligibility/benefits for services (e.g., NEMT) and assist with scheduling.
Follow HIPAA, privacy, and security procedures at all times.
Adhere to scope: no clinical assessment, diagnosis, or medication changes.
Escalate promptly to RN for clinical concerns (worsening symptoms, safety risks, new diagnoses, medication issues).
Handle administrative responsibilities and support with payer compliance and operational processes.
Performs other duties as assigned.

Benefits

Medical, Dental, & Vision Benefits
Short & Long-Term Disability Benefits
Voluntary Accident, Voluntary Critical Illness, and Voluntary Hospital Indemnity Plans
Flexible Spending Accounts
Employee Assistance Program (EAP)
401(K)
Paid Vacation and Sick Leave
Paid Holidays
Employee Referral Program
Company Discount Program