Job Details
Job Title: Healthcare - Medical Assistant V
Remote
Duration: 6 months
Job Description:
What is the typical schedule/shift going to be (i.e., 8am 5pm)? The training schedule will be M-F 8AM - 4PM EST
After training schedule will be M-F 9 AM - 5 PM local time, there is flexibility in schedules that can be discussed further.
No specific work location 100% however must be available to train in EASTERN STANDARD TIME.
Possible OT at the end of the quarters.
Potential to convert to an FTE with a positive work record.
Summary:
This position works under the supervision of the Medical Claims Review Nurse and is cross-trained to work in a variety of areas and functions, including appeals, claims analytics, DRG Validation claims repricing, and outpatient payment integrity audit concepts.
Knowledge of all back office functions of a medical assistant in accordance with the MA scope of practice and protocol.
These functions include but are not limited to: intake and recording of health and immunization history, patient preparation for exam or procedure, administration of screening (hearing/vision) tests, preparation, administration of immunizations/medication, processing vital signs, venipuncture/blood draw/phlebotomy, and administration of injections.
Able to provide guidance to the staff and feedback to management on the performance of audit concepts performance.
Proficient in State and Federal Regulatory programs and their required documentation processes required for claim payment
Assures completion of patient visit documentation including logs, patient charting, inventory, etc
by provider & staff on date of patient visit.
Skills/Abilities:
Proficient in medical terminology.
Good interpersonal and problem solving skills.
Must have the ability to satisfactorily speak, read, write and understand English for effective communication.
Must be computer proficient in typing and system/ database support.
Knowledge of Electronic Medical Record (EMR) and Practice Management (PM) systems are a plus.
Ability follow direction and abide by client's established Policies and Procedures.
Maintained regular attendance based on agreed-upon schedule.
Maintained confidentiality and comply with all Health Insurance Portability and Accountability Act (HIPAA) and Protected Health Information (PHI) Regulations.
Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customers.
Daily Responsibilities:
Completing non-clinical appeals reviews for overpaid claims.
Complete repricing of identified claims to identify overpayment variances for DRG Validation claims.
Required Education: High School Diploma or GED equivalent.
Required Experience: 5+ years Medical Assistant Experience Required
Licensure/Certification: Medical Assistant program graduate from a federally accredited, State licensed vocational/technical school.