Medical Assistant, Care Connections - CA ONLY

Job Description

Provides medical assistant support for Care Connections team. Responsible for contacting members following appointments/services rendered to ensure member understanding and navigation of the health care system, and coordination support for follow-up care. Also provides assistance for other administrative clinical support tasks. Contributes to overarching strategy to provide quality and cost-effective member care.

Essential Job Duties

Coordinates care between members and providers after appointment/service delivery to support member navigation of the health care system, needs related to follow-up care and highest quality care/desired member health outcomes.

Communicates with Care Connections providers to clarify orders/requests and assists with escalation of issues to appropriate team(s) when unable to resolve independently.

Supports processing and follow-up for care management assignment and primary care provider referrals for high-risk members.

Escalates member issues related to prior authorizations for medications and durable medical equipment.

Communicates lab results and other exam findings with members and primary care providers.

Communicates with nurse practitioners on member health issues to ensure timely follow-up and response.

Supports care coordination and intervention by sending electronic messages/faxes to primary care providers.

Closes gaps in health care by preparing member lab result letters and coordinates follow-up on lab results.

Fulfills nurse practitioner supply orders and maintains adequate nursing supply inventory.

Performs administrative tasks such as telephone and email response, documentation follow-up and updates to member records.

Facilitates follow-up calls to members to ensure positive member experience/outcomes and ensure needs are met.

Assists with special projects under the direction of clinical leadership.

Required Qualifications

At least 1 year of health care experience preferably in a family practice, home health, primary care, palliative care or hospice setting, or equivalent combination of relevant education and experience.

Graduate of an accredited medical assistant (MA) program.

Demonstrated understanding of patient care, medical terminology, coding procedures, reference tools and appropriate clinical pharmacology for medical assistant practice scope.

Excellent customer service skills.

Ability to work independently or as part of a team.

Ability and desire to meet or exceed Care Connections clinical integration and departmental metrics and conjunctively provide excellent customer service.

Strong attention to detail, ability to multi-task, prioritize, meet deadlines and demonstrate follow-through.

Utilizes critical-thinking skills to identify issues, problem-solve and demonstrate initiative.

Empathy for senior, disabled, income challenged and vulnerable populations.

Ability to build positive working relationships with peers and effectively manage conflict.

Strong verbal and written communication skills.

Microsoft Office suite/applicable software program(s) proficiency, and ability to learn new programs.

Ability to lift up to 50 lbs.

Preferred Qualifications

Certified Medical Assistant (CMA).

Experience working with an electronic medical record system (EMR), preferably Epic.

Experience with underserved populations facing socioeconomic barriers to health care.

Bilingual in Spanish, Korean, Mandarin, Cantonese or Vietnamese.