Why This Role is Important to Us:The Administrative Medical Assistant position includes a variety of support functions for the clinical group. These functions are related to overall workflow for clinical staff visiting members enrolled in either the Senior Care Options (SCO) and/or One Care as well as managing a variety of communications requests as directed by the clinical team.This position will provide administrative support for the clinical group, across the state, as needed. The Administrative Medical Assistant, reports to the Medical Assistant Clinical Manager.Supervision Exercised: NoneWhat You'll Be Doing:
Performs defined functions of the authorization process as indicated by CCA policies and procedures.
Faxing orders to community providers.
Maintains reports of due dates for MDS and schedules visits for RN/NPs across the state
Ensures adherence to medical appointments, therapeutics, and treatment regimens.
At request of clinician, schedule patient appointments for referrals to specialists.
Maintain inventory of medical supplies and order as needed.
Track temperature reading for refrigerator in medical supply room.
Reminder calls for home visits.
Maintains appropriate written and oral communication on a timely basis, completing documentation of scheduling attempts the same day the attempt is made.
Facilitates and/or delivers preventative care to members according the guidelines deemed appropriate by CCA Clinical Leadership. Guidelines may vary based on the individual makeup of the member and is based on age, co morbidities, etc.
Documents all activities and results using an Electronic Medical Record, in an effective manner while strictly adhering to CCA policies and maintains current log of prioritized ACAs across the state and schedules APCs to complete the visit, documenting scheduling attempts in the care management system and the scheduled visits in the electronic health record.
Attends all mandatory meetings and completes all mandatory trainings, including but not limited to LMS and in-person trainings.
Provide clinical care to members via telehealth technologies (video, chat, etc.) for a clinically appropriate clinical care and care management services.
Have a commitment to observing, reporting, and enhancing patient and employee safety as part of an overall emphasis on continuous improvement, learning, and member experience in the organization.
Secondary Duties & Responsibilities:
Upon request will participate in the daily huddle or Case Review.
Conducts educational and training activities that promote appropriate, safe, effective patient care.
Actively participates in the evaluation of own performance and progress.
Participates in activities and education to maintain and advance competency.
Participates in CCA quality improvement efforts.
Maintains confidentiality of patient and employee information.
Complies with organization's policy and procedures.
Advocates for members in a culturally competent manner.
Seeks maximum member and family participation to promote independence.
Compression stocking measurements.
Participates in shadow visits with potential employees and new employees to improve their onboarding experience.
Working Conditions:
Office based environment from 8:30am- 5:00pm
May be asked to travel to meetings across the state.What We're Looking For:Education Required:
High School Diploma, GED or equivalent experience
Experience Required:
High School Diploma, GED or equivalent experience, BA preferred
2+ years office/administration.
Experience working in a health plan, medical group, health-related facility or medical/DME supplier a plus.
Education, training or experience as an insurance coordinator or medical coder/biller a plus.
Graduate of a medical assisting program accredited by the Commission on Accreditation of Allied Health
Education Programs (CAAHEP) or by the Accrediting Bureau of Health Education Schools (ABHES) Preferred)
Certified or Registered Medical Assistant (preferred)
Certified phlebotomy technician (preferred)
Knowledge, Skills & Abilities Required:
Ability to utilize an Electronic Medical Record
Ability to use on-line training platforms
Demonstrated understanding of the Model of Care
Demonstrated understanding of the benefits of each program
Ability to review welcome packets and obtain consent forms, including the Release of Information and attach them to EMR
Demonstrated understanding of when an updated MDS is needed
Demonstrated understanding of Referral to Specialists
Willing to learn and utilize telehealth technologies (video, chat, etc.), when appropriate, for a variety of clinical care and care management services.
Language(s) Required
Fluency in English
Language(s) Preferred:
Fluency in one or more of the following languages strongly preferred: Spanish,Portuguese, Russian, Nepalese, and Vietnamese.
Other Required:Equipment Utilized:
Standard office equipment
Experience with electronic medical record strongly preferred (eCW a plus)
Laptop
Cell Phone
Physical Requirements:The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job;
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions
While performing the duties of this job, the employee is regularly required to stand; use hands to handle, or feel; reach with hands and arms; and talk or hear
The employee is occasionally required to walk; sit; and stoop, kneel, crouch, or crawl
The employee must frequently lift and/or move up to 10 pounds and occasionally lift and/or move more than 100 pounds
Specific vision abilities required by this job include close vision, distance vision, and ability to adjust focus
EEO is The LawEqual Opportunity Employer Minorities/Women/Protected Veterans/DisabledPlease note employment with CCA is contingent upon acceptable professional references, a background check (including Mass CORI, employment, education, criminal check, and driving record, (if applicable)), an OIG Report and verification of a valid MA/RN license (if applicable). Commonwealth Care Alliance is an equal opportunity employer. Applicants are considered for positions without regard to veteran status, uniformed service member status, race, color, religion, sex, national origin, age, physical or mental disability, genetic information or any other category protected by applicable federal, state or local laws.
