Clinical Support Specialist / Medical Assistant

Job Description

Job Description

Salary:

Hunter Health provides all-encompassing care for the Wichita community, including medical, dental, behavioral, vision, laboratory, radiology and pharmacy services, all in one place. We pride ourselves in providing the support patients need to take control of their health and their whole wellbeing. Our Hunter Health team is at the heart of our operations. From the initial interaction with a new patient to empowering individuals with the knowledge to manage their health - it begins with each member of our staff. Regardless of role or responsibility, every team member is a valuable part of living our mission and upholding our positive work environment with our Standards of Culture.

We exist to improve the health and wellbeing of everyone in our community.

Schedule: 36 - 40 hours per week.

Full Time Benefits:

20 days of PTO per year, plus 10 paid holidays.

Employer-paid Benefits include:

• Basic life insurance
• Short-term disability
• Long term disability
• Employee Assistance Program with 12 free sessions per year
  

Optional Benefits include:

• Medical
• Dental
• Vision
• Supplemental life insurance
• Accident and critical illness insurance
• Identity Theft Insurance
• 401k with Safe Harbor Plan match

Summary: The Clinical Support Specialist/Medical Assistant (CSS/MA) provides support and quality care in collaboration with medical providers, behavioral and mental health staff, and nursing staff. The CSS/MA supports the Director of Clinical Services and Nurse Manager to provide quality medical care to all Hunter Health Clinic (HHC) patients while maintaining compliance with all federal grants, HRSA, CMS, HIPAA, and HHC policies and procedures.

Essential Functions:

• Coordinates prior authorizations for medications, imaging, procedures, durable medical equipment (DME), specialty services, and other payer-required services, ensuring requests are complete, accurate, and submitted within required timeframes.
• Monitors authorization requests, follows up with insurance carriers, communicates approval or denial outcomes to providers, staff, and patients, and coordinates appeals when appropriate.
• Assists with coordination of referrals to specialists, diagnostic testing, therapy services, and community resources, obtaining required authorizations, transmitting documentation, tracking referral completion, and ensuring records are incorporated into the electronic health record (EHR).
• Manages assigned telephone encounters, electronic messages, and provider inbox workflows by resolving appropriate administrative requests, routing clinical concerns to licensed staff, documenting patient communications, and maintaining established service standards.
• Assists with processing prescription refill requests in accordance with organizational procedures by reviewing requests for completeness, coordinating with pharmacies, and communicating refill status and follow-up instructions to patients.
• Verifies patient insurance eligibility, benefits, coverage, and authorization requirements while educating patients on insurance processes and collaborating with Revenue Cycle staff to resolve coverage or reimbursement issues.
• Coordinates and receives external medical record requests to further assist with scheduling diagnostic testing and specialty appointments
• Supports continuous improvement in quality, care coordination, and workflow initiatives through patient interactions, documentation management, and identification of opportunities to improve efficiency, provider support, and patient access.
• Maintain accurate and timely documentation of authorizations, referrals, patient communications, and clinical support activities.
• Develops and maintains collaborative working relationships with providers, nurses, Medical Assistants, Pharmacists, Integrated Care Consultants, Revenue Cycle staff, insurance carriers, and community partners, while providing exceptional patient care.
• Participates in departmental meetings, organizational initiatives, required education, and compliance training.
• Travels when necessary to meet organizational needs.
• Performs all other duties as assigned.

Qualifications:

• Experience with determining insurance eligibility, managing referrals and prior authorization is required.
• Knowledge of medical terminology and ambulatory clinical workflows is required.
• Proficiency in electronic health records and Microsoft Office applications is required.
• Basic knowledge in CPT and ICD-10 code preferred.
• Certified or Registered Medical Technician, Medical Assistant and/or Certified Nurse Assistant is preferred.
• Current Basic Life Support (BLS) is required, within 30 days of hire.
• 1-3 years of experience in healthcare is preferred, with experience in a community health center is also preferred.
• Bilingual abilities are preferred but not required.

Skills:

• Listens, identifies, and responds quickly and effectively to internal and external needs.
• Communicates effectively with all patients, family, and coworkers.
• Displays organizational skills, the ability to multi-task, and uses time and resources effectively.
• Displays good judgment and decision-making skills.
• Effectively collaborates and seeks clarification and confirms accuracy as needed.
• Utilizes teamwork to achieve desired results and contributes to projects while developing positive working relationships.
• Pursues goals with commitment and shows initiative.
• Demonstrates accuracy, thoroughness, and reliability; manages time and priorities; develops and follows work procedures.
• Evaluates own performance and accepts constructive feedback to continue learning.
• Ability to maintain appropriate clinical privileges.

Physical and Mental Demands of the Job:

All employees, including those who become disabled, must be able to perform the essential job function listed below, either unaided or with the assistance of a reasonable accommodation. The functions listed below are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related or a logical assignment to the position. This document does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.

• Talking: The ability to speak clearly and effectively.
• Average Hearing: The ability to hear average conversations and respond accordingly.
• Repetitive Motion: The ability to sit, stand, walk and use hands to handle, feel and reach.
• Finger Dexterity: The ability to use fingers to make small movements such as typing, picking up objects and pinching fingers together.
• Average Visual Abilities: The ability to focus on items clearly, including close vision, color vision and the ability to adjust focus.
• Working Conditions: The ability to work in a well-lit, climate-controlled environment, with a noise level that is occasionally high. There is potential exposure to infectious diseases.
• Physical Strength: The ability to occasionally lift and/or move up to 30 pounds.
• Mathematical Ability: The ability to add and subtract two-digit numbers and to multiply and divide with 10's and 100's.

The above statements are intended to describe the general nature and level of work being performed by people assigned to this job. This is not an exhaustive list of all duties and responsibilities associated with this job. Hunter Health Clinic Inc. reserves the right to amend and change responsibilities to meet business and organizational needs.

To learn more about Hunter Health, our services and our impact on the community, visit our website at

Hunter Health provides equal employment opportunities to persons without regard to race, religion, color, ancestry, genetic information, sex, pregnancy, marital status, national origin, age, disability or veteran status, and any other status protected by federal, state, or local laws. HHC is committed to taking affirmative action to employ, and advance in employment, disabled persons and veterans.

As an Urban Indian Health Program, Hunter Health Clinic, Inc. (HHC) adheres to the Indian Preference in Employment as stated in the Federal Acquisition Regulations System (48 C.F.R. 326.501505). Training and employment preferences and opportunities shall be provided to Native Americans regardless of age (subject to existing laws and regulations), sex, religion, or tribal affiliation. Applicants claiming Indian Preference may be asked to provide documentation of eligibility.

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