Job Description

Helps patients by providing clinical and business office assistance in the offices and clinics of health care providers. Serves patients by greeting and helping them; scheduling appointments; maintaining records and accounts. Assists physician by assuring all documentation is inputted into the electronic health record promptly, assures billing codes are properly documented and all records signed by physician and patient as required by service rendered

Position Expectation

In keeping with the mission and core values of Tri-County Human Services, all persons served, stakeholders, and fellow employees will be treated with dignity, respect, and shown sensitivity to their cultural diversity. Referenced by policy numbers 100.000, 100.000A, and 100.004.

Primary Duties and Responsibilities

1. Welcomes patients by greeting them, in person or on the telephone; answering or referring inquiries.
2. Optimizes patients' satisfaction, provider time, and treatment room utilization by scheduling appointments in person or by telephone.
3. Comforts patients by anticipating patients' anxieties; answering patients' questions; maintaining the reception area.
4. Ensures availability of treatment information by filing and retrieving patient records.
5. Obtains revenue by recording and updating financial information; recording and collecting patient charges; controlling credit extended to patients; filing, collecting, and expediting third-party claims.
6. Prepares patients for the health care visit by directing and/or accompanying them to the examining room.
7. Maintains business office inventory and equipment by checking stock to determine inventory level and anticipating needed supplies.
8. Verifies patient information by interviewing patient; reviewing and/or recording medical history; taking vital signs; confirming purpose of visit or treatment.
9. Supports patient care delivery by helping health care providers during examinations; disposing of contaminated supplies; administering medications on the premises; telephoning prescriptions to pharmacies.
10. Completes records by recording patient examination, treatment, and test results.
11. Generates revenue by recording billing information of services rendered; completing insurance forms; responding to insurance and other third-party inquiries.
12. Keeps supplies ready by inventorying stock; placing orders; verifying receipt.
13. Keeps equipment operating by following operating instructions; troubleshooting breakdowns; maintaining supplies; performing preventive maintenance; calling for repairs.
14. Maintains safe, secure, and healthy work environment by following, and enforcing standards and procedures; complying with legal regulations.
15. Maintains patient confidence and protects operations by keeping patient care information confidential.
16. Serves and protects the physician or health care provider practice by adhering to professional standards, policies and procedures, federal, state, and local requirements, and Joint Commission on Accreditation of Healthcare Organizations (JCAHO) standards.
17. Updates job knowledge by participating in educational opportunities; reading professional publications; maintaining personal networks; participating in professional organizations.
18. Enhances health care practice reputation by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments.
19. By utilizing the Electronic Health Record options or through other electronic or manual options, completes insurance verifications and required authorizations on site for all incoming persons served presenting with insurance.
20. Protects patients' rights by maintaining confidentiality of personal and financial information.
21. Maintains operations by following policies and procedures; reporting needed changes.
22. Contributes to team effort by accomplishing related results as needed.
23. Performs other reasonable and related duties as assigned.

Mininum Training and Experience

Medical Assistants must be CMA (AAMA) certified or equivalent.

This position requires a high school diploma or equivalent. Incumbent must possess a current Medical Assistant certification. Knowledge of Medicaid/private insurance documentation and billing procedures, knowledge of medical billing and coding, knowledge of coordination of benefits and billing procedures for said benefits. Demonstrates capability to monitor the quality documentation and service utilization trends. Successfully completed studies beyond the high school level may be substituted for the required experience at the rate of 720 classroom hours or 30 college credit hours per year. This position requires detailed and functional knowledge of the following computer software programs or equivalent: Microsoft Office Suite and knowledge of electronic health record software functions. Incumbent must possess a valid ID.

This job description is not a written or implied contract and may be revised by Tri-County at their discretion.