Medical Assistant

Fresenius Medical Care•Laredo, TX

About The Position

PURPOSE AND SCOPE: The Medical Assistant I performs duties and responsibilities related to patient care in the ambulatory clinic environment. The incumbent displays responsible behaviors, communicates effectively to others and functions as a member of the healthcare team. The Medical Assistant I functions under the direct supervision and authority of the physician or other licensed provider when performing clinical tasks during patient care. The incumbent maintains an inventory of examination/procedure room supplies, assists in the organization of efficient patient flow, and organizes the clinic environment to assure patient safety. The Medical Assistant I demonstrates problem-solving skills as they relate to patient care activities, provides outstanding customer service skills including empathy, compassion, respect, efficiency and professionalism when interacting with internal and external customers. Provides guidance for and acts as a role model for other medical assistants in the clinical area. Prioritizes (triages) patient needs identified through phone, electronic, and walk-in communication, and returns patient messages timely.

Requirements

Must be bilingual/Spanish
High School Diploma or an equivalent combination of education and experience.
Certification or licensure as required by state.
1 – 2 years’ related experience preferred but not required.
Good verbal and written communication skills.
Interpersonal and communication skills with patients, families, physicians and other health care team members in order to foster optimal quality of outpatient care.
Intermediate computer skills and experience with electronic medical office systems such as electronic medical records, scheduling programs, credit card machines, manage phone systems standard office equipment and any new technology that arises.
100 % Bilingual/Spanish

Nice To Haves

Medical office experience preferred.

Responsibilities

Front Office Greet and check in/out patients
Answer phones and schedule appointments
Verify insurance and collect copays
Manage patient records and update demographic information
Coordinate with clinical staff and providers
Maintain front office organized and patient flow
Transitional Care Management (TCM) Initiate post-discharge outreach within 48 business hours
Coordinate follow-up visits within required 7-14 day timeframes
Obtain and review hospital discharge summaries, dialysis unit notes, and specialist consultations
Document all TMC activities in EMR in compliance with CMS guidelines
Prior Authorization and Insurance Coordination Submit and track prior authorization for imagining (renal, ultrasound, CT, MRI), infusion therapy, medications
Communicate with payers, pharmacies, and specialty pharmacies
Prepare clinical documentation to support medical necessity
Assist with appeals and peer-to-peer coordination as needed
Notify patients of approval/denial status and coordinate medication access
Medical Records and Care Coordination Manage incoming/outgoing medical records in compliance with HIPAA
Retrieve hospital, dialysis and transplant records promptly
Maintain organized and complete EMR documentation
Assist with quality reporting and value-based metrics