Medical Assistant - Wilmington Pediatrics

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Location: Wilimington, MA
Job ID: 157310-1A
Date Posted: Oct 22, 2019
Category: Clinical Technician

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Job Description

Welcome To

Winchester Hospital is a leading community hospital north of Boston. The hospital offers a full range of medical services including maternity care and a Level IIB Special Care Nursery.  Since 1912, Winchester Hospital has been a trusted pillar of the community and is recognized for outstanding quality and high satisfaction scores. In 2003, we became the first community hospital in Massachusetts to achieve Magnet status -  the industry’s gold standard for nursing excellence.  We were re-accredited for the 4th time in 2018. Our mission To Care. To Heal. To Excel. In Service to Our Community is achieved through streamlined, coordinated and comprehensive high-quality, compassionate care close to home.

 

About the Job

Wilmington Pediatrics is a six physician practice located in Wilmington, MA that is committed to providing high quality healthcare in an atmosphere promoting both the health and comfort of their patients and families.

 

Education/Experience:

Required: High school diploma or equivalent required

     If hired after 1/1/15:  also must have either:

·       

·        Graduate of an accredited Medical Assistant program

or

·        At least five (5) years of experience as a Medical Assistant

 

Preferred:  

 

·        Graduate of an accredited program and 1 year of experience as a Medical Assistant 

·        EMR experience

 

Other Skills/Knowledge:

 

Required:

·        Basic computer skills and good typing skills with accuracy and attention to detail

·        For safety and quality reasons, must be able to read, write and communicate effectively in English with patients, visitors and fellow members of the team.

 

LICENSES, REGISTRATIONS, CERTIFICATIONS: R

Required:

If hired prior to 1/1/15, must obtain the National Registered Medical Assistant certification within the approved transition plan time frame.

 

Exceptions:

·        The Medical Assistant may be allowed time to achieve 5 years of experience as a Medical Assistant plus 6 months to obtain certification.

 

Preferred:   National Registration of Medical Assistant Certification upon hire          

                                    

LIFE SUPPORT CERTIFICATION REQUIRED:  Basic Life Support

 

POPULATION SPECIFIC REQUIREMENTS:  Depends on practices’ clinical specialty

 

OTHER JOB REQUIREMENTS:

 

Professional Commitment Requirements:  Keep abreast of developments in the field and/or licensure through continuing education, participation in professional organizations or a combination of both.

 

On-call Requirement:   N/A

 

Schedule Requirements:  Schedule may vary based on practice and/or physicians’ needs.

 

Travel Requirements:  

 Float Pool Department: Remain available and accept assignments at any WPA practices as                         needed

 

REPORTING RELATIONSHIPS:

·        Reporting structure depends on the size and organizational structure of the practice

·        Does not supervise others.

·        Liaisons with patients and patient family members to assist them in navigating the scheduling of their patient care plan, as developed by the provider:

·        Registers and web enables patients for portal access and coaches patients and family members on how to utilize the tool to optimize their care.

·        Provides timely, courteous, informative and confidential insurance assistance for patients and their family members and assists patients in understanding their insurance. 

·        Educates patients about the practice’s referral policy and preauthorization requirements.  Communicates with patients regarding the need for referral authorizations and coordinates with other practitioner offices when necessary.

·        Schedules follow up appointments and/or provides information about recommended specialists.   

·        Schedules diagnostic and specialty appointments as directed by the provider or assists patients in navigating to specialists and/or testing appointments.  Completes referrals and pre-authorizations per healthcare payer and practice protocols.

·        Maintains provider appointment schedules and advises providers of changes throughout the day.  May print patient schedules for upcoming day/days.

·        Reviews, prepares and updates patient records with the dual purpose of preparing the provider for appointments/procedures and reviewing to ensure patient care plans/protocols are being followed

·        Monitors outstanding or incomplete documentation by maintaining or generating patient lists/registries using the available tools and data and takes necessary steps to ensure completeness of all required documentation. 

·        Reviews, prepares and updates patient records

·        Utilizes lists and data to implement systematic approaches to patient care follow up such as follow up reminders and information/educational mailings.  

·        Reviews patient records against quality measures and best practice indicators and advises providers of potential documentation and care gaps.

·        Facilitates referral to other physicians and departments by completing the necessary forms and pre authorization/certification. 

·        Prepares medical records for scheduled appointments/procedure:

·        Reviews for completeness before appointment and update as medical record as appropriate and record is in the approved order.

·        Inserts the required forms per procedure and department protocol.  

·        Follows up with patients or specialists to ensure patient care plans since last appointment were followed and the results are available for the physician's review.

·        Intervenes with administrative support to ensure the patient care plan is followed

·        Follows up with provider and/or patient to ensure appointments/tests were completed as per the patient care plan.

·        Confirms that lab and other ancillary tests are performed and results are documented in a manner that conforms with clinical reporting guidelines by utilizing the available tools and data.  Conducts follow-up where information is found to be missing or incomplete.

·        At pre-established intervals as determined by the best practice guidelines, confirms that lab and other ancillary tests are performed and results are documented in a manner that conforms with clinical reporting guidelines by utilizing the available tools and data.  Conducts follow-up where information is found to be missing or incomplete.

Assists with the maintenance of medical records

·        Provides back up or periodic administrative assistance to the practice as needed, including but not limited to:

o   Answers providers’ phone calls and routes to appropriate person.  Takes clear

Messages, handles requests for information, including researching issue. 

o   Providing front desk coverage

·        Greets patients and others timely and in a manner that is respectful and empathetic. 

·        Registers patients, verifies health insurance coverage and demographic information.  Collects co-payments, issues receipts, and obtains signatures for necessary forms.  

      • Schedules patient appointments and collects pre-registration information at the time of scheduling.  Reviews and verifies eligibility of insurance.  Obtains referrals for specialty care.

·        Provides check out desk coverage.

·        Schedules follow up appointments and/or provides information about recommended specialists.

·        Schedules diagnostic and specialty appointments as directed by the provider or assists patients in navigating to specialists and/or testing appointments.  Completes

referrals and preauthorizations per healthcare payer and practice protocols.

  • Enters charges and reviews patient records for billing accuracy performing quality checks on ICD9 and CPT codes and other related information to help streamline the billing process per practice protocols.

  • ·        Functions as an effective team member, striving for optimum practice operations:

  • ·        Maximizes patient throughput to minimize wait time and improve patient satisfaction.  Monitors waiting rooms and advises patients of delays or escalates concerns.

  • ·        Appropriately follows the chain of command and adheres to practice policies and procedures.

  • ·        Communicates effectively with the team utilizing established handoff procedures.  Gives and accepts respectful feedback to enhance teamwork.

  • ·        Minimizes preventable harm events and consistently executes the infection control protocols.  Incorporates the Culture of Safety tools in daily practice, adhering to quality and safety guidelines and communicating near-miss or potential risks.

  • ·        Maintains a clean and safe work environment to enhance patient satisfaction and a culture of safety.

  • ·        Functions effectively in patient crisis situations and utilizes emergency resources.  Assists in preparation of patient for transport to alternative level of care.

Shift

30 hours, part-time.

About Us

The Lahey Model of Care—right care, right time, right place—is exactly what patients, providers and payers need and deserve. Identifying and delivering on this convergence of interests has positioned Lahey Health for further growth. Our model ensures care is highly coordinated and locally delivered, with lower costs and exceptional quality.

Lahey Health is a robust, regional system including a teaching hospital, community hospitals, primary care providers, specialists, behavioral and home health services, skilled nursing and rehabilitation facilities, and senior care resources throughout northeastern Massachusetts and southern New Hampshire. The system has a global presence with programs in Canada, Jordan and Bermuda.

Equal Opportunity Employer/Minorities/Females/Disabled/Veterans.