Medical Director, Clinical Services

19904 Rising Sun, Maryland Highmark Health

Posted 1 day ago

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Job Description

**Company :**
Highmark Inc.
**Job Description :**
**JOB SUMMARY**
This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and appropriateness of the requested treatment of service. Depending on the nature of the case, telephonic peer to peer discussions may be required. The incumbent ensures compliance to NCQA, URAC, CMS, DOH, and DOL regulations at all times. In addition to utilization review, the incumbent participates as the physician member of the multidisciplinary team for case and disease management. They will advise the multidisciplinary team on cases, particularly high-risk cases, through the team structure. Additionally, the incumbent may be assigned special projects to help support and improve the care of our members
**ESSENTIAL RESPONSIBILITIES**
+ Conduct electronic review of escalated cases against medical policy criteria, which may include telephonic peer to peer discussions, to determine medical necessity and appropriateness. Complete initial determination of cases, review of appeals and grievances, and other reviews as assigned. Compose clear and concise rationales for member and provider determination notifications all while adhering to required compliance standards (NCQA, URAC, CMS, DOH, and DOL regulations, etc.). Ensure that all aspects of the medical management process are consistent with community standards of care.
+ Participate as a member of the CMDM multidisciplinary team. Attend huddles and grand rounds. Advise multidisciplinary team on cases that require physician expertise.
+ Participate in protocol and guidelines development to ensure consistency in the review process.
+ Actively manage projects and/or participate on project teams that require a physician subject matter expert.
+ Other duties as assigned.
**EDUCATION**
**Required**
+ Medical Doctor (MD) or Doctor of Osteopathic Medicine (DO)
**Substitutions**
+ None
**Preferred**
+ Master's Degree in Business Administration/Management or Public Health
**EXPERIENCE**
**Required**
+ 5 years in Clinical, Direct Patient care (hospital, outpatient, or private practice)
**Preferred**
+ 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed care industry
**LICENSES AND CERTIFICATION**
**Required**
+ Medical Doctor or Doctor of Osteopathic Medicine (DO)
+ Awarded Board Certification at least once in specialty recognized by the American Board of Medical Specialties or the American Osteopathic Association Specialty Certifying Boards
+ Active medical state licensure required. Additional specific state licensure(s) may be required based on business need.
**Preferred**
+ None
**SKILLS**
+ Critical Thinking
+ Case Management
+ Customer Service
+ Oral & Written Communication Skills
+ Collaboration
+ Listening
+ Telephone Skills
+ General Computer Skills
+ Clinical Software
+ Managed Care
**Language (Other than English)**
None
**Travel Required**
0% - 25%
**PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS**
Position Type
Office-Based
Teaches / trains others regularly
Occasionally
Travel regularly from the office to various work sites or from site-to-site
Rarely
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
No
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Rarely
Lifting: 25 to 50 pounds
Rarely
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
**Pay Range Minimum:**
$170,000.00
**Pay Range Maximum:**
$352,500.00
_Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J
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Clinical Services Coordinator

19388 West Chester, Pennsylvania Penn Medicine

Posted 2 days ago

Job Viewed

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Job Description

Description

Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines.

Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?

Entity: Penn Primary Care and Penn Specialty Practices

Department: West Chester Family Medicine

Location: Penn Family Medicine West Chester- 1055 Andrew Drive

Hours: Full Time, Monday - Friday (normally 8am-5pm), including 1 set evening per week, which would be until 8pm.

Summary:

  • The Clinical Services Coordinator (CSC) assists the manager and/or physicians in maintaining a patient/customer focus, supports the delivery of high-quality care, shares a passion for patient and customer centered care, and assists in meeting or exceeding patient satisfaction and financial/operational targets. In addition to performing duties as a Medical Assistant (rooming patients, taking/recording vitals, performing tests/procedures), the CSC will be expected to oversee the daily schedule and operations of an assigned area/group. The CSC may also be required to perform PSA (Patient Services Associate) responsibilities. The CSC serves as the EMR expert and the liaison between staff and Managers/Physicians to ensure daily performance expectations are communicated and met. In the absence of the manager, the CSC may take on additional responsibilities.

Responsibilities:

  • Coordinator Accountabilities

  • Ensure self and assigned area(s) are compliant with all applicable federal, state, and local regulatory standards (ex OSHA, TJC, DOH, FDA, HIPAA, etc.)

  • Oversees the POCT process to ensure accuracy and compliance.

  • Report and act upon identified equipment/instrument malfunctions.

  • Manage the day-to-day planning, operations and problem solving for assigned areas - ensure daily schedule, staffing, and performance metrics are met and changes communicated appropriately.

  • Monitor and coach real-time performance against pre-established expectations/metrics. May be responsible for gathering information for performance reviews.

  • Act as the communication link between the group he/she is leading, and management. Disseminates information to the group and forwards information back up to management.

  • Effectively works with manager and providers to establish, implement, and maintain practice policies, procedures and efficient systems that support daily operations.

  • Assists staff in resolving difficult patient situations or complaints.

  • Participates in the interviewing process and oversees the training of new hires.

  • Medical Assistant Accountabilities

  • Promptly rooms patients, using EMR to alert provider that patient is ready: reviews past medical, surgical, family, smoking history, allergies, medications; notes corrections in EMR, notes medication refills needed for the physician to review, initiates self-management goal setting where appropriate, obtains patient's vital signs and documents in EMR, prepares chart for patient visit, understands insurance restrictions for lab work, referral needs, precertification requirements, etc.

  • Observes patient condition and communicates any abnormal data or changes to provider.

  • Assists patients as needed with walking, transfers, dressing, undressing, preparing for the exam, remains in exam room when necessary/requested.

  • Specimen management: obtain specimens for testing if applicable, performs laboratory and screening tests, records results in EMR and reconciles with logs where appropriate, documents and reports findings to providers, performs all quality controls as per Point of Care Testing guidelines, prepares specimens for transport as necessary.

  • Performs EKGs and other outpatient screening tests as per MD order and after properly preparing the patient; accurately documents results in EMR.

  • Assists with minor surgical procedures by handing instruments, maintaining sterile field, positioning of patient and other duties within scope of responsibility. Functions as a witness for procedural consents if required.

  • Responds appropriately to emergency/code situations.

  • Demonstrates competence in the observation, treatment, and care of the specific patients served in that practice, whose ages may range from neonate to geriatric.

  • Responsive and proactive telephonic patient care - including care coordination with specialists, ancillary services, hospitals, labs, home care agencies, and all other involved health services.

  • Obtain and scan documents as appropriate and required for visit: test results, faxes, reports, notes, referrals, etc.

  • Completes medical forms and other clinical requests for information as appropriate and required. Prepares and sends patient correspondence as required.

  • Ensures that the patient care areas are kept neat, orderly, well stocked and properly prepared.

  • Cleans, disinfects, and sterilizes instruments and equipment according to protocols and checks that the instruments and equipment are in proper working order. Sets up equipment and instruments as per practice protocol.

  • Maintain temperature log for refrigerator or room temperature as needed.

  • Clinical Care Associates (CCA) MAs, if applicable as per regulatory guidelines: administers prescribed medications, gives injections and vaccines; reads PPD results, under the direction of the provider/orders and documents in EMR. Promptly performs call-backs as directed by provider, giving patients information within their scope of practice. Provides patients with follow up care instructions. Maintains medication storage closet inventory and security; checks expiration dates; removes outdated items. Performs daily code/crash cart checks as assigned.

  • Performs duties in accordance with Penn Medicine and entity values, policies, and procedures

  • Other duties as assigned to support the unit, department, entity, and health system organization

Credentials:

  • BLS/CPR, as a healthcare provider as per the American Heart Association (Required)

  • MA Certification (required within 90 days of hire) (Required)

  • Must successfully complete/pass EMR training/tests (Required)

Education or Equivalent Experience:

  • H.S. Diploma/GED And 3+ years medical office experience required. Advanced degree (Associate's, Bachelor's, Master's) may be considered in lieu of experience. (Required)

  • Completion of an accredited Medical Assistant program (or higher level equivalent) Or 2+ years Experience working as an MA may be considered in lieu of MA program completion. Or 1+ year working as a Clinical Support Representative at Penn Medicine may be considered in lieu of MA program completion. (Required)

  • Associate's Degree Or Bachelor's Degree (Preferred)

We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.

Live Your Life's Work

We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.

REQNUMBER:

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Clinical Services Coordinator

19388 West Chester, Pennsylvania Pennsylvania Medicine

Posted 2 days ago

Job Viewed

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Job Description

Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines.

Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?

Entity: Penn Primary Care and Penn Specialty Practices

Department: West Chester Family Medicine

Location: Penn Family Medicine West Chester- 1055 Andrew Drive

Hours: Full Time, Monday - Friday (normally 8am-5pm), including 1 set evening per week, which would be until 8pm.

Summary:

  • The Clinical Services Coordinator (CSC) assists the manager and/or physicians in maintaining a patient/customer focus, supports the delivery of high-quality care, shares a passion for patient and customer centered care, and assists in meeting or exceeding patient satisfaction and financial/operational targets. In addition to performing duties as a Medical Assistant (rooming patients, taking/recording vitals, performing tests/procedures), the CSC will be expected to oversee the daily schedule and operations of an assigned area/group. The CSC may also be required to perform PSA (Patient Services Associate) responsibilities. The CSC serves as the EMR expert and the liaison between staff and Managers/Physicians to ensure daily performance expectations are communicated and met. In the absence of the manager, the CSC may take on additional responsibilities.
Responsibilities:
  • Coordinator Accountabilities
  • Ensure self and assigned area(s) are compliant with all applicable federal, state, and local regulatory standards (ex OSHA, TJC, DOH, FDA, HIPAA, etc.)
  • Oversees the POCT process to ensure accuracy and compliance.
  • Report and act upon identified equipment/instrument malfunctions.
  • Manage the day-to-day planning, operations and problem solving for assigned areas - ensure daily schedule, staffing, and performance metrics are met and changes communicated appropriately.
  • Monitor and coach real-time performance against pre-established expectations/metrics. May be responsible for gathering information for performance reviews.
  • Act as the communication link between the group he/she is leading, and management. Disseminates information to the group and forwards information back up to management.
  • Effectively works with manager and providers to establish, implement, and maintain practice policies, procedures and efficient systems that support daily operations.
  • Assists staff in resolving difficult patient situations or complaints.
  • Participates in the interviewing process and oversees the training of new hires.
  • Medical Assistant Accountabilities
  • Promptly rooms patients, using EMR to alert provider that patient is ready: reviews past medical, surgical, family, smoking history, allergies, medications; notes corrections in EMR, notes medication refills needed for the physician to review, initiates self-management goal setting where appropriate, obtains patient's vital signs and documents in EMR, prepares chart for patient visit, understands insurance restrictions for lab work, referral needs, precertification requirements, etc.
  • Observes patient condition and communicates any abnormal data or changes to provider.
  • Assists patients as needed with walking, transfers, dressing, undressing, preparing for the exam, remains in exam room when necessary/requested.
  • Specimen management: obtain specimens for testing if applicable, performs laboratory and screening tests, records results in EMR and reconciles with logs where appropriate, documents and reports findings to providers, performs all quality controls as per Point of Care Testing guidelines, prepares specimens for transport as necessary.
  • Performs EKGs and other outpatient screening tests as per MD order and after properly preparing the patient; accurately documents results in EMR.
  • Assists with minor surgical procedures by handing instruments, maintaining sterile field, positioning of patient and other duties within scope of responsibility. Functions as a witness for procedural consents if required.
  • Responds appropriately to emergency/code situations.
  • Demonstrates competence in the observation, treatment, and care of the specific patients served in that practice, whose ages may range from neonate to geriatric.
  • Responsive and proactive telephonic patient care - including care coordination with specialists, ancillary services, hospitals, labs, home care agencies, and all other involved health services.
  • Obtain and scan documents as appropriate and required for visit: test results, faxes, reports, notes, referrals, etc.
  • Completes medical forms and other clinical requests for information as appropriate and required. Prepares and sends patient correspondence as required.
  • Ensures that the patient care areas are kept neat, orderly, well stocked and properly prepared.
  • Cleans, disinfects, and sterilizes instruments and equipment according to protocols and checks that the instruments and equipment are in proper working order. Sets up equipment and instruments as per practice protocol.
  • Maintain temperature log for refrigerator or room temperature as needed.
  • Clinical Care Associates (CCA) MAs, if applicable as per regulatory guidelines: administers prescribed medications, gives injections and vaccines; reads PPD results, under the direction of the provider/orders and documents in EMR. Promptly performs call-backs as directed by provider, giving patients information within their scope of practice. Provides patients with follow up care instructions. Maintains medication storage closet inventory and security; checks expiration dates; removes outdated items. Performs daily code/crash cart checks as assigned.
  • Performs duties in accordance with Penn Medicine and entity values, policies, and procedures
  • Other duties as assigned to support the unit, department, entity, and health system organization
Credentials:
  • BLS/CPR, as a healthcare provider as per the American Heart Association (Required)
  • MA Certification (required within 90 days of hire) (Required)
  • Must successfully complete/pass EMR training/tests (Required)
Education or Equivalent Experience:
  • H.S. Diploma/GED And 3+ years medical office experience required. Advanced degree (Associate's, Bachelor's, Master's) may be considered in lieu of experience. (Required)
  • Completion of an accredited Medical Assistant program (or higher level equivalent) Or 2+ years Experience working as an MA may be considered in lieu of MA program completion. Or 1+ year working as a Clinical Support Representative at Penn Medicine may be considered in lieu of MA program completion. (Required)
  • Associate's Degree Or Bachelor's Degree (Preferred)
We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.

Live Your Life's Work

We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.
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Clinical Services Coordinator

19381 West Chester, Pennsylvania Penn Medicine

Posted 16 days ago

Job Viewed

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Job Description

**Description**
Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines.
Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?
**Entity:** Penn Primary Care and Penn Specialty Practices
**Department:** West Chester Family Medicine
**Location:** Penn Family Medicine West Chester- 1055 Andrew Drive
**Hours:** Full Time, Monday - Friday (normally 8am-5pm), including 1 set evening per week, which would be until 8pm.
Summary:
+ The Clinical Services Coordinator (CSC) assists the manager and/or physicians in maintaining a patient/customer focus, supports the delivery of high-quality care, shares a passion for patient and customer centered care, and assists in meeting or exceeding patient satisfaction and financial/operational targets. In addition to performing duties as a Medical Assistant (rooming patients, taking/recording vitals, performing tests/procedures), the CSC will be expected to oversee the daily schedule and operations of an assigned area/group. The CSC may also be required to perform PSA (Patient Services Associate) responsibilities. The CSC serves as the EMR expert and the liaison between staff and Managers/Physicians to ensure daily performance expectations are communicated and met. In the absence of the manager, the CSC may take on additional responsibilities.
Responsibilities:
+ **Coordinator Accountabilities**
+ Ensure self and assigned area(s) are compliant with all applicable federal, state, and local regulatory standards (ex OSHA, TJC, DOH, FDA, HIPAA, etc.)
+ Oversees the POCT process to ensure accuracy and compliance.
+ Report and act upon identified equipment/instrument malfunctions.
+ Manage the day-to-day planning, operations and problem solving for assigned areas - ensure daily schedule, staffing, and performance metrics are met and changes communicated appropriately.
+ Monitor and coach real-time performance against pre-established expectations/metrics. May be responsible for gathering information for performance reviews.
+ Act as the communication link between the group he/she is leading, and management. Disseminates information to the group and forwards information back up to management.
+ Effectively works with manager and providers to establish, implement, and maintain practice policies, procedures and efficient systems that support daily operations.
+ Assists staff in resolving difficult patient situations or complaints.
+ Participates in the interviewing process and oversees the training of new hires.
+ **Medical Assistant Accountabilities**
+ Promptly rooms patients, using EMR to alert provider that patient is ready: reviews past medical, surgical, family, smoking history, allergies, medications; notes corrections in EMR, notes medication refills needed for the physician to review, initiates self-management goal setting where appropriate, obtains patient's vital signs and documents in EMR, prepares chart for patient visit, understands insurance restrictions for lab work, referral needs, precertification requirements, etc.
+ Observes patient condition and communicates any abnormal data or changes to provider.
+ Assists patients as needed with walking, transfers, dressing, undressing, preparing for the exam, remains in exam room when necessary/requested.
+ Specimen management: obtain specimens for testing if applicable, performs laboratory and screening tests, records results in EMR and reconciles with logs where appropriate, documents and reports findings to providers, performs all quality controls as per Point of Care Testing guidelines, prepares specimens for transport as necessary.
+ Performs EKGs and other outpatient screening tests as per MD order and after properly preparing the patient; accurately documents results in EMR.
+ Assists with minor surgical procedures by handing instruments, maintaining sterile field, positioning of patient and other duties within scope of responsibility. Functions as a witness for procedural consents if required.
+ Responds appropriately to emergency/code situations.
+ Demonstrates competence in the observation, treatment, and care of the specific patients served in that practice, whose ages may range from neonate to geriatric.
+ Responsive and proactive telephonic patient care - including care coordination with specialists, ancillary services, hospitals, labs, home care agencies, and all other involved health services.
+ Obtain and scan documents as appropriate and required for visit: test results, faxes, reports, notes, referrals, etc.
+ Completes medical forms and other clinical requests for information as appropriate and required. Prepares and sends patient correspondence as required.
+ Ensures that the patient care areas are kept neat, orderly, well stocked and properly prepared.
+ Cleans, disinfects, and sterilizes instruments and equipment according to protocols and checks that the instruments and equipment are in proper working order. Sets up equipment and instruments as per practice protocol.
+ Maintain temperature log for refrigerator or room temperature as needed.
+ Clinical Care Associates (CCA) MAs, if applicable as per regulatory guidelines: administers prescribed medications, gives injections and vaccines; reads PPD results, under the direction of the provider/orders and documents in EMR. Promptly performs call-backs as directed by provider, giving patients information within their scope of practice. Provides patients with follow up care instructions. Maintains medication storage closet inventory and security; checks expiration dates; removes outdated items. Performs daily code/crash cart checks as assigned.
+ Performs duties in accordance with Penn Medicine and entity values, policies, and procedures
+ Other duties as assigned to support the unit, department, entity, and health system organization
Credentials:
+ BLS/CPR, as a healthcare provider as per the American Heart Association (Required)
+ MA Certification (required within 90 days of hire) (Required)
+ Must successfully complete/pass EMR training/tests (Required)
Education or Equivalent Experience:
+ H.S. Diploma/GED And 3+ years medical office experience required. Advanced degree (Associate's, Bachelor's, Master's) may be considered in lieu of experience. (Required)
+ Completion of an accredited Medical Assistant program (or higher level equivalent) Or 2+ years Experience working as an MA may be considered in lieu of MA program completion. Or 1+ year working as a Clinical Support Representative at Penn Medicine may be considered in lieu of MA program completion. (Required)
+ Associate's Degree Or Bachelor's Degree (Preferred)
We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.
Live Your Life's Work
We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.
REQNUMBER:
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Clinical Services Associate

19065 Media, Pennsylvania Penn Medicine

Posted 16 days ago

Job Viewed

Tap Again To Close

Job Description

**Description**
Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines.
Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?
**Entity: Clinical Care Associates**
**Department: Int Med Assoc of Delaware County**
**Location: Penn Medicine Media Internal Medicine- 605 W. State St**
**Hours: Full-Time**
**Job Summary:**
The Clinical Services Associates (CSA) assists the practice manager and physicians in maintaining a patient/customer focus, supports the delivery of high quality care, shares a passion for patient and customer centered care, and assists in meeting or exceeding patient satisfaction and financial/operational targets. The CSA supports the practice by performing clinical and administrative duties as a Medical Assistant and as a Patient Services Associate. The practice will determine, based on operational need, how much time will be spent in each capacity (MA and PSA).
**Accountabilities:**
+ Patient Care Accountabilities:
Promptly rooms patients, using EMR to alert provider that patient is ready: reviews past medical, surgical, family, smoking history, allergies, medications; notes corrections in EMR, notes medication refills needed for the physician to review, initiates self-management goal setting where appropriate, obtains patient's vital signs and documents in EMR, prepares chart for patient visit, understands insurance restrictions for lab work, referral needs, precertification requirements, etc.
Observes patient condition and communicates any abnormal data or changes to provider.
Assists patients as needed with walking, transfers, dressing, undressing, preparing for the exam, remains in exam room when necessary/requested.
Specimen management: obtain specimens for testing if applicable (including performing phlebotomy and anterior nares nasal swab collections), performs laboratory and screening tests, records results in EMR and reconciles with logs where appropriate, documents and reports findings to providers, performs all quality controls as per Point of Care Testing guidelines, prepares specimens for transport as necessary.
Performs EKGs and other outpatient screening tests as per MD order and after properly preparing the patient; accurately documents results in EMR.
Assists with minor surgical procedures by handing instruments, maintaining sterile field, positioning of patient and other duties within scope of responsibility. Functions as a witness for procedural consents if required.
Responds appropriately to emergency/code situations.
Demonstrates competence in the observation, treatment, and care of the specific patients served in that practice, whose ages may range from neonate to geriatric.
Clinical Care Associates (CCA) CSAs, if applicable as per regulatory guidelines: administers prescribed medications, gives injections and vaccines; reads PPD results, under the direction of the provider/orders and documents in EMR.
+ Clerical / Other Accountabilities:
Responsive and proactive telephonic patient care - including care coordination with specialists, ancillary services, hospitals, labs, home care agencies, and all other involved health services.
Obtain and scan documents as appropriate and required for visit: test results, faxes, reports, notes, referrals, etc.
Completes medical forms and other clinical requests for information as appropriate and required. Prepares and sends patient correspondence as required. Assists nursing staff with the maintenance of patient education materials, as needed.
Clinical Care Associates (CCA) CSAs: Promptly performs call-backs as directed by provider, giving patients information within their scope of practice. Provides patients with follow up care instructions.
+ Environmental / Safety Accountabilities
Adheres to universal body fluids precautions and infection control policies. Disposes of infectious waste properly. Promotes infection control by using appropriate hand washing techniques.
Ensures that the patient care areas are kept neat, orderly, well stocked and properly prepared.
Cleans, disinfects, and sterilizes instruments and equipment according to protocols and checks that the instruments and equipment are in proper working order. Notifies Supervisor of malfunctions. Sets up equipment and instruments as per practice protocol.
Cleans and restocks equipment as needed. Authorized to access secured area to obtain items such as intravenous solutions and medication preparation supplies for the purpose of stocking and maintaining pars in the medication carts. Retrieves supplies and medications/blood products from tube system. Secures stock items in appropriate location. Delivers patient specific medications/blood products to the assigned nurse or provider.
Maintain temperature log for refrigerator or room temperature as needed.
Maintains a safe environment and protects the patient from injury by observing the patient who may be at risk for falls, confusion, disorientation, or wandering behaviors.
Clinical Care Associates (CCA) CSAs, if applicable as per regulatory guidelines: Maintains medication storage closet inventory and security; checks expiration dates; removes outdated items. Performs daily code/crash cart checks as assigned.
+ Patient Service
Strives to understand and anticipate patient needs, manages service recovery efforts when needed, enlisting management assistance as appropriate, identifies opportunities to improve the patient experience.
As per practice/department protocols and/or measurements: answer phones in a timely manner, manage/handle patient requests and route appropriately, retrieve voicemails in a timely manner, take accurate and thorough messages and route appropriately through EMR.
Schedule patient appointments (on phone or in person) by determining reason for visit, following established schedules and protocols, using appropriate billing area/appointment location, communicating changes and confirming appointments, and, as needed, offering alternative and canceling/rescheduling appointments.
Responsible for arriving/departing activities of patient at practice and performs point of service activities: collects copays and records accurately, obtains necessary signatures/forms, obtains insurance cards and referrals/authorizations, updates appointment status in EMR, and finalizes all check-out procedures.
Communicates with patients regarding patient flow and wait times - keeps manager aware of potential issues as they arise.
Issues referrals and obtains pre-authorizations for patients as required and as per protocol.
+ Financial
Maintains up to date knowledge of insurance requirements pertinent to patient service and billing procedures: including basic knowledge of all managed care plans and which insurers require a copayment or referral.
Validates patient demographic/insurance information and/or registers new patients into EMR using established protocols
Records receipts accurately to ensure end of day reconciliation; participates in cash reconciliation delineations.
Resolves work queues and/or issues from front-end reports; proactively prioritizes recovery of missing charges.
Orders supplies for the office and generates front-end process reports as requested.
+ Other / Regulatory
Ensures compliance with all applicable federal, state, and local regulatory standards (ex TJC, DOH, FDA, HIPAA, HCFA, DPW, LCGME, SCGME, etc)
Flexible and readily adopts new processes and engages in practice operation changes.
+ Performs duties in accordance with Penn Medicine and entity values, policies, and procedures
+ Other duties as assigned to support the unit, department, entity, and health system organization
**Qualifications:**
+ High School Diploma/GED (Required)
+ 2+ years Medical office experience, or relevant customer service experience. (Required) Advanced degree (Associate's, Bachelor's, Master's) may be considered in lieu of experience
+ Completion of an accredited Medical Assistant program (or higher level equivalent). (Required) 2+ years of experience working as an MA may be considered in lieu of MA program completion. Or 1+ year working as a Clinical Support Representative at Penn Medicine may be considered in lieu of MA program completion.
+ Associates Degree (Preferred)
**Licenses, Registrations, and Certifications:**
+ MA Certification (required within 90 days of hire)
+ BLS/CPR, as a healthcare provider as per the American Heart Association
+ Must successfully complete/pass EPIC schedgistration training/tests
We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.
Live Your Life's Work
We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.
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Clinical Services Associate

19341 Whitford, Pennsylvania Penn Medicine

Posted 16 days ago

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Job Description

**Description**
Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines.
Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?
Job Title: Clinical Service Associate (Medical Assistant)
Department: Penn OB/GYN Chester County
Location: West Chester, PA (MA's will be required to work in all 3 locations. Exton, West Chester and West Grove)
Hours/Shift: _Full-Time, Days,_
MA's will be required to work in all 3 locations. Exton, West Chester and West Grove.
Summary:
+ The Clinical Services Associates (CSA) assists the practice manager and physicians in maintaining a patient/customer focus, supports the delivery of high quality care, shares a passion for patient and customer centered care, and assists in meeting or exceeding patient satisfaction and financial/operational targets. The CSA supports the practice by performing clinical and administrative duties as a Medical Assistant and as a Patient Services Associate. The practice will determine, based on operational need, how much time will be spent in each capacity (MA and PSA).
Responsibilities:
+ Patient Care Accountabilities: Promptly rooms patients, using EMR to alert provider that patient is ready: reviews past medical, surgical, family, smoking history, allergies, medications
+ notes corrections in EMR, notes medication refills needed for the physician to review, initiates self-management goal setting where appropriate, obtains patient's vital signs and documents in EMR, prepares chart for patient visit, understands insurance restrictions for lab work, referral needs, precertification requirements, etc. Observes patient condition and communicates any abnormal data or changes to provider. Assists patients as needed with walking, transfers, dressing, undressing, preparing for the exam, remains in exam room when necessary/requested. Specimen management: obtain specimens for testing if applicable (including performing phlebotomy and anterior nares nasal swab collections), performs laboratory and screening tests, records results in EMR and reconciles with logs where appropriate, documents and reports findings to providers, performs all quality controls as per Point of Care Testing guidelines, prepares specimens for transport as necessary. Performs EKGs and other outpatient screening tests as per MD order and after properly preparing the patient
+ accurately documents results in EMR. Assists with minor surgical procedures by handing instruments, maintaining sterile field, positioning of patient and other duties within scope of responsibility. Functions as a witness for procedural consents if required. Responds appropriately to emergency/code situations. CCA CSAs, if applicable as per regulatory guidelines: administers prescribed medications, gives injections and vaccines
+ reads PPD results, under the direction of the provider/orders and documents in EMR.
+ Demonstrates competence in the observation, treatment, and care of the specific patients served in that practice, whose ages may range from neonate to geriatric.
+ Clerical / Other Accountabilities: Responsive and proactive telephonic patient care - including care coordination with specialists, ancillary services, hospitals, labs, home care agencies, and all other involved health services. Obtain and scan documents as appropriate and required for visit: test results, faxes, reports, notes, referrals, etc. Completes medical forms and other clinical requests for information as appropriate and required. Prepares and sends patient correspondence as required. Assists nursing staff with the maintenance of patient education materials, as needed. CCA CSAs: Promptly performs call-backs as directed by provider, giving patients information within their scope of practice. Provides patients with follow up care instructions.
+ Environmental / Safety Accountabilities: Adheres to universal body fluids precautions and infection control policies. Disposes of infectious waste properly. Promotes infection control by using appropriate hand washing techniques. Ensures that the patient care areas are kept neat, orderly, well stocked and properly prepared. Cleans, disinfects, and sterilizes instruments and equipment according to protocols and checks that the instruments and equipment are in proper working order. Notifies Supervisor of malfunctions. Sets up equipment and instruments as per practice protocol. Cleans and restocks equipment as needed. Authorized to access secured area to obtain items such as intravenous solutions and medication preparation supplies for the purpose of stocking and maintaining pars in the medication carts. Retrieves supplies and medications/blood products from tube system. Secures stock items in appropriate location. Delivers patient specific medications/blood products to the assigned nurse or provider. Maintain temperature log for refrigerator or room temperature as needed. Maintains a safe environment and protects the patient from injury by observing the patient who may be at risk for falls, confusion, disorientation, or wandering behaviors. CCA CSAs if applicable as per regulatory guidelines: Maintains medication storage closet inventory and security
+ checks expiration dates
+ removes outdated items. Performs daily code/crash cart checks as assigned.
+ Patient Service: Strives to understand and anticipate patient needs, manages service recovery efforts when needed, enlisting management assistance as appropriate, identifies opportunities to improve the patient experience. As per practice/department protocols and/or measurements: answer phones in a timely manner, manage/handle patient requests and route appropriately, retrieve voicemails in a timely manner, take accurate and thorough messages and route appropriately through EMR. Schedule patient appointments (on phone or in person) by determining reason for visit, following established schedules and protocols, using appropriate billing area/appointment location, communicating changes and confirming appointments, and, as needed, offering alternative and canceling/rescheduling appointments. Responsible for arriving/departing activities of patient at practice and performs point of service activities: collects copays and records accurately, obtains necessary signatures/forms, obtains insurance cards and referrals/authorizations, updates appointment status in EMR, and finalizes all check-out procedures. Communicates with patients regarding patient flow and wait times - keeps manager aware of potential issues as they arise. Issues referrals and obtains pre-authorizations for patients as required and as per protocol.
+ Financial: Maintains up to date knowledge of insurance requirements pertinent to patient service and billing procedures: including basic knowledge of all managed care plans and which insurers require a copayment or referral. Validates patient demographic/insurance information and/or registers new patients into EMR using established protocols Records receipts accurately to ensure end of day reconciliation
+ participates in cash reconciliation delineations. Resolves work queues and/or issues from front-end reports
+ proactively prioritizes recovery of missing charges. Orders supplies for the office and generates front-end process reports as requested.
+ Other / Regulatory: Ensures compliance with all applicable federal, state, and local regulatory standards (ex TJC, DOH, FDA, HIPAA, HCFA, DPW, LCGME, SCGME, etc) Flexible and readily adopts new processes and engages in practice operation changes.
+ Credentials:Required:
+ MA Certification (required within 90 days of hire)
+ BLS/CPR, as a healthcare provider as per the American Heart AssociationEducation or Equivalent Experience:Required:
+ H.S. Diploma/GED
+ Completion of an accredited Medical Assistant program (or higher level equivalent) OR 2 years' experience working as an MA may be considered in lieu of MA program completion
+ Or 1+ year working as a Clinical Support Representative at Penn Medicine may be considered in lieu of MA program completion.
+ 2+ years Medical office experience, or relevant customer service experience.
+ Advanced degree (Associate's, Bachelor's, Master's) may be considered in lieu of experiencePreferred:
+ Associate of Arts or Science
We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.
Live Your Life's Work
We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.
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Ortho Clinical Services Specialist

19803 New Castle, Delaware Nemours

Posted 14 days ago

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Job Description

Permanent
Nemours is looking for an Orthopedics Clinical Services Specialist! The Orthopedic Clinical Services Specialist (CSS) provides collaborative care as a member of the Orthopedic team for pediatric patients and serves as a liaison between the patient, the provider, and other allied healthcare professionals. In clinic, they are responsible for coordinating patient flow, data collection for patient intake, preparing the patient for provider visit, providing real-time charting for practitioners, assisting provider during basic procedures and exams, pending orders for the provider to sign, and providing follow-up information to patients/parents and other allied health professionals under the direction of the provider. The associate in the position will demonstrate clinical competency in direct patient care. The associate will also assume primary responsibility to prepare and maintain patient care areas within the safety and infection control guidelines.

The CSS also performs administrative tasks including, but not limit to, chart preparation of provider schedule to ensure external notes, imaging, and any other pertinent information is available prior to the visit, phone triage, letters, and communicating with families via phone and through Nemours portal messages under the direction of the provider. The role may also be required to perform appointment check-ins, check-out, and scheduling, in addition to various clinical and administrative tasks which will be assigned to them by their manager of the provider to which they are assigned.

The CSS routinely supports multiple Orthopedic physicians and provides coverage as needed in any sub-specialty Orthopedic clinic. May coach, preceptor, and mentor new Clinical Services Specialists. As part of your role, you will be required to support clinics at various Nemours locations in the Delaware Valley.

Direct Patient Care Responsibilities

  • Demonstrates proficiency in the care of all pediatric Orthopedic patients.
  • Assists physicians, physician assistants, and nurse practitioners with clinical (such as transfers, exams, procedures, etc.) and administrative (scribing, responding to patient messages, monitoring templates, etc.) duties, and where physical support is needed.
  • Performs and documents patient communication and intake information (may include medical history, chief complaint, complaint history, etc.) accurately and appropriately.
  • Enters orders as appropriate and pends for provider signature.
  • Triage and respond to phone calls from referring providers, patients and their families, allied health professionals, insurance companies, etc. regarding patient care under the direction of the provider.
  • Provide general education and information on an ongoing basis to all personnel who are members of or work with the Department of Orthopedics.
  • Maintains patient confidentiality related to conversation, medical records, treatment plans, etc.
  • Follows basic medical precautions for each patient (for eating, drinking, mobility) and refers appropriately to the health care team.
  • May be asked to prepare exam rooms, clinic equipment, and computer for patient visits; maintains inventory of supplies and equipment.
  • May be asked to perform appointment check-in, check-out, and scheduling as needed, as well as other administrative and clinical tasks assigned by supervisor/manager or provider within legal and ethical boundaries.
  • May be asked to perform DME/cast application/removal and suture removal.
  • Work with families to facilitate use of the Nemours App by providing QR codes and/or instructions for downloading and assisting in the sign-up process.
  • Maintain computer and electronic system competency including but not limited to processes for: scheduling, appointment cancellations, order entry for clinical system, electronic insurance verifications, and assistance with phone calls.
  • Throughout shift, regularly communicate with clinical staffing the assigned work area regarding the status of waiting patients, particularly those who have been waiting more than ten minutes. Communicate with waiting patients/families to ensure they have status updated on their appointment.
  • May support new associates through mentoring which includes frequent interaction with the mentee.

Indirect Patient Care Responsibilities

  • May participate in program, discipline, specialty, and hospital wide CQI projects.
  • Participates in activities to increase program use, awareness, and marketability.
  • Attends program meetings when requested.
  • May participate in single discipline, multi-disciplinary, and specialty teams.
  • Completes mandatory in-service training yearly.
  • Must work well with others.
  • Regular attendance is required.
  • Strong verbal and written communication skills and the ability to convey complex or technical information in an easy-to-understand manner are required.

Qualifications:

  • High School Diploma required
  • One or more of the following certifications is required and five years experience in that discipline: Certified Medical Assistant (CMA), Registered Medical Assistant (RMA), National Certified Medical Assistant (NCMA), Patient Care Tech (PCT), Clinical Medical Assistant (CCMA), Orthopedic Tech, Cast Tech, Clinical Nursing Assistant (CNA), EMT, Healthcare Language Interpreter
  • Minimum one year of orthopedic experience is required
  • Basic orthopedic knowledge and terminology is required
  • About Us

    Nemours Children's Health is an internationally recognized children's health system. With more than 1.7 million patient encounters annually, we provide medical care in five states through two freestanding state-of-the-art children's hospitals - Nemours Children's Hospital, Delaware and Nemours Children's Hospital, Florida. Our pediatric network includes 80 primary-urgent-and specialty care practices and more than 40 hospitalists serving 19 affiliated hospitals. We generate annual revenues of more than $1.7 billion derived from patient services, contributions from the Alfred I. DuPont Trust, as well as other income.

    As one of the nation's premier pediatric health systems, we're on a journey to discover better ways of approaching children's health. Putting as much focus on prevention as cures and working hand in hand with the community to make every child's world a place to thrive. It's a journey that extends beyond our nationally recognized clinical treatment to an entire integrated spectrum of research, advocacy, education, and prevention, leading to the healthiest generations of children ever.

    Inclusion and belonging guide our growth and strategy. We are looking for individuals who are passionate about, and committed to, leading efforts to provide culturally relevant care, reducing health disparities, and helping build an inclusive and supportive environment. All of our associates are expected to ensure that these philosophies are embedded in their day-to-day work with colleagues, patients and families.

    To learn more about Nemours Children's and how we go well beyond medicine, visit us at .

    Apply Now
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    Clinical Services Associate (Medical Assistant)

    19341 Whitford, Pennsylvania Pennsylvania Medicine

    Posted 3 days ago

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    Job Description

    Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines.

    Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?

    Clinical Services Associate (Medical Assistant)

    Entity: (Clinical Care Associates) /Penn Primary Care (PPC) and Penn Specialty Practices (PSP)

    Department: Penn Primary Care Exton

    Location: EXTON 495 Thomas Jones Way

    Hours : Per Departmental Needs - Full Time

    **Please upload your Medical Assistant Diploma, Medical Assistant Certificate and BLS certification card with application.**

    Summary:

    The Clinical Services Associates (CSA) (MEDICAL ASSISTANT) assists the practice manager and physicians in maintaining a patient/customer focus, supports the delivery of high quality care, shares a passion for patient and customer centered care, and assists in meeting or exceeding patient satisfaction and financial/operational targets. The CSA supports the practice by performing clinical and administrative duties as a Medical Assistant and as a Patient Services Associate. The practice will determine, based on operational need, how much time will be spent in each capacity (MA and PSA).

    Are you looking for an organization that actively supports your career growth? If so, a Clinical Services Associate opportunity at Penn Medicine can help get you there! Clinical Services Associates have an opportunity to join our organization and make a difference in the lives of our patients. Clinical Services Associates with Penn Medicine are in a unique position to gain valuable knowledge which can be leveraged to move not only into more advanced clinical roles but also operational roles. Through our generous tuition benefit as well as our commitment to promoting from within Penn Medicine sees more than 30% of our employees secure advancement opportunities into roles such as a Clinical Services Coordinator, Nurses, and Practice Managers just to name a few!

    Penn Medicine employees enjoy a comprehensive benefit package to include generous paid time off and paid holidays. And health insurance premiums which have remained flat for 5 years!

    Want to hear more? Submit your application today for this Clinical Services Associate opportunity and learn more about what a career path at Penn Medicine could look like for you!

    Responsibilities:

    Patient Care Accountabilities:

    • Promptly rooms patients, using EMR to alert provider that patient is ready: reviews past medical, surgical, family, smoking history, allergies, medications; notes corrections in EMR, notes medication refills needed for the physician to review, initiates self-management goal setting where appropriate, obtains patient's vital signs and documents in EMR, prepares chart for patient visit, understands insurance restrictions for lab work, referral needs, precertification requirements, etc.
    • Observes patient condition and communicates any abnormal data or changes to provider.
    • Assists patients as needed with walking, transfers, dressing, undressing, preparing for the exam, remains in exam room when necessary/requested.
    • Specimen management: obtain specimens for testing if applicable (including performing phlebotomy and anterior nares nasal swab collections), performs laboratory and screening tests, records results in EMR and reconciles with logs where appropriate, documents and reports findings to providers, performs all quality controls as per Point of Care Testing guidelines, prepares specimens for transport as necessary.
    • Performs EKGs and other outpatient screening tests as per MD order and after properly preparing the patient; accurately documents results in EMR.
    • Assists with minor surgical procedures by handing instruments, maintaining sterile field, positioning of patient and other duties within scope of responsibility. Functions as a witness for procedural consents if required.
    • Responds appropriately to emergency/code situations.
    • CCA CSAs, if applicable as per regulatory guidelines: administers prescribed medications, gives injections and vaccines; reads PPD results, under the direction of the provider/orders and documents in EMR.
    • Demonstrates competence in the observation, treatment, and care of the specific patients served in that practice, whose ages may range from neonate to geriatric.
    Clerical / Other Accountabilities:
    • Responsive and proactive telephonic patient care - including care coordination with specialists, ancillary services, hospitals, labs, home care agencies, and all other involved health services.
    • Obtain and scan documents as appropriate and required for visit: test results, faxes, reports, notes, referrals, etc.
    • Completes medical forms and other clinical requests for information as appropriate and required. Prepares and sends patient correspondence as required. Assists nursing staff with the maintenance of patient education materials, as needed.
    • CCA CSAs: Promptly performs call-backs as directed by provider, giving patients information within their scope of practice. Provides patients with follow up care instructions.
    Environmental / Safety Accountabilities:
    • Adheres to universal body fluids precautions and infection control policies. Disposes of infectious waste properly. Promotes infection control by using appropriate hand washing techniques.
    • Ensures that the patient care areas are kept neat, orderly, well stocked and properly prepared.
    • Cleans, disinfects, and sterilizes instruments and equipment according to protocols and checks that the instruments and equipment are in proper working order. Notifies Supervisor of malfunctions. Sets up equipment and instruments as per practice protocol.
    • Cleans and restocks equipment as needed. Authorized to access secured area to obtain items such as intravenous solutions and medication preparation supplies for the purpose of stocking and maintaining pars in the medication carts. Retrieves supplies and medications/blood products from tube system. Secures stock items in appropriate location. Delivers patient specific medications/blood products to the assigned nurse or provider.
    • Maintain temperature log for refrigerator or room temperature as needed.
    • Maintains a safe environment and protects the patient from injury by observing the patient who may be at risk for falls, confusion, disorientation, or wandering behaviors.
    • CCA CSAs if applicable as per regulatory guidelines: Maintains medication storage closet inventory and security; checks expiration dates; removes outdated items. Performs daily code/crash cart checks as assigned.
    Patient Service:
    • Strives to understand and anticipate patient needs, manages service recovery efforts when needed, enlisting management assistance as appropriate, identifies opportunities to improve the patient experience.
    • As per practice/department protocols and/or measurements: answer phones in a timely manner, manage/handle patient requests and route appropriately, retrieve voicemails in a timely manner, take accurate and thorough messages and route appropriately through EMR.
    • Schedule patient appointments (on phone or in person) by determining reason for visit, following established schedules and protocols, using appropriate billing area/appointment location, communicating changes and confirming appointments, and, as needed, offering alternative and canceling/rescheduling appointments.
    • Responsible for arriving/departing activities of patient at practice and performs point of service activities: collects copays and records accurately, obtains necessary signatures/forms, obtains insurance cards and referrals/authorizations, updates appointment status in EMR, and finalizes all check-out procedures.
    • Communicates with patients regarding patient flow and wait times - keeps manager aware of potential issues as they arise.
    • Issues referrals and obtains pre-authorizations for patients as required and as per protocol.
    Financial:
    • Maintains up to date knowledge of insurance requirements pertinent to patient service and billing procedures: including basic knowledge of all managed care plans and which insurers require a copayment or referral.
    • Validates patient demographic/insurance information and/or registers new patients into EMR using established protocols
    • Records receipts accurately to ensure end of day reconciliation; participates in cash reconciliation delineations.
    • Resolves work queues and/or issues from front-end reports; proactively prioritizes recovery of missing charges.
    • Orders supplies for the office and generates front-end process reports as requested.
    Other / Regulatory:
    • Ensures compliance with all applicable federal, state, and local regulatory standards (ex TJC, DOH, FDA, HIPAA, HCFA, DPW, LCGME, SCGME, etc)
    • Flexible and readily adopts new processes and engages in practice operation changes.
    Credentials:
    • BLS/CPR, as a healthcare provider per the American Heart Association Required
    • MA Certification (Required within 90 days of hire ONLY if position is in PA. Must have at time of offer in NJ.)
    Education or Equivalent Experience:
    • H.S. Diploma/GED Required
    • Completion of an accredited Medical Assistant program (or higher-level equivalent) Required
      • OR 2 years' experience working as an MA may be considered in lieu of MA program completion.
      • OR 1+ year working as a Clinical Support Representative at Penn Medicine may be considered in lieu of MA program completion.
    • 2+ years' Medical Office or Customer Service experience.
    • Associate's degree preferred.

    We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.

    Live Your Life's Work

    We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.
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