MEDICAL SECRETARY

CENTRAL VIRGINIA HEALTH SERVICES INC

68d•Onsite

About The Position

This is a full-time position requiring 20-25 hours per week for Aledade Care Gap List management, including outreach and planning. It also involves printing huddle sheets, pre-visit planning based on site needs, and making care gap reminder calls using various data sources. The role assists with HEDIS audits, insurance risk reviews, and managing care gap lists for different insurance providers and uninsured patients. Additionally, it handles patient attribution lists. The position requires 15-20 hours per week for answering phones, directing calls, obtaining medical records, assisting providers with orders and prior authorizations, and scanning documents. Responsibilities also include entering medication refill requests with specific key information. When providing PSR or Front Desk Coverage, duties include answering and routing calls, scheduling appointments, patient registration, updating demographic and insurance information, scanning/saving/printing documents, processing co-pays and account balances, and handling daily batch, deposit, and log forms.

Requirements

HS graduate with medical office experience.

Nice To Haves

Demonstrates competence in performing essential job functions.
Creative and effective problem-solving skills; ability to negotiate solutions and resolve conflicts.
Demonstrated ability to work with diverse populations and staff; ability to interact with a wide range of people from policy makers to practitioners, to consumers.
Knowledge of computer software (database, spreadsheet, word processing, email).
Sensitivity to patient privacy and confidentiality.

Responsibilities

Work Aledade Care Gap List: including outreach and Todo list planning.
Print huddle sheets
Diagnosis Dismissal Pre-Visit planning based on site’s need
Care gap reminder calls, using HEDIS dashboard, UDS data, insurance portal data, and other information available; includes reminding patients to return FIT test cards.
Assist with HEDIS audits and insurance risk reviews
Assist with UHC Medicaid and Optum care gap list and use of Practice Assist.
Other insurance care gap list may include but are not limited to Aetna Medicaid and Molina.
Assist with Care Gap List for uninsured patients including outreach.
Work attribution list for patients assigned but not registered to CVHS
Answer phones at or near nurses’ station and direct calls via instant messaging or telephone encounter to appropriate nurse/provider or help to resolve issue if able (training will be provided)
Obtain patient medical records from outside providers
Assist provider by calling outside providers and agencies when requested
Assist with DME, Home Health orders, and/or prior authorizations for services (training will be provided)
Scan outside medical records and/or forms into the medical record
Enter medication refill requests in eRx- key information included in TE: Last time seen as medical patient, any upcoming appt, medical attached correctly, date of last time prescription was sent : Last time seen as medical patient, any upcoming appt, medical attached correctly, date of last time prescription was sent (training will be provided)
Answer phones, routing calls appropriately, document messages and sending to the appropriate person/group.
Assist with scheduling, cancelling, re-scheduling appointments.
Assist with all duties of the patient registration process.
Entering/updating patient demographic and insurance information.
Scanning, saving, and printing patient’s documents.
Assist in processing co-pays and patient account balances.
Processing daily batch, deposit, and log form.