Medical Administrative Assistant

Extremely busy ophthalmology practice is seeking a full-time Medical Administrative Assistant. This position is a unique opportunity to fully support our surgical and retinal injection team “behind the scenes”. Ideal candidate MUST be highly organized with superior attention to detail.

GENERAL SUMMARY OF DUTIES: Obtain authorizations for insurances and performs administrative duties as assigned.

Examples of Duties: (This list may not include all of the duties assigned.)

• Displays courtesy and consideration to patients, guests, physicians and staff.
• Contact insurance carriers to verify patient’s insurance eligibility, benefits, and requirements.
• Request, track and obtain insurance pre-authorizations for upcoming surgeries and injections procedures.
• Request, follow up and secure prior-authorizations prior to services being performed.
• Ensures current authorizations are still valid and update as needed.
• Contact patients to discuss authorization status.
• Update insurances annually for injection patients.
• Verifies insurance coverage, obtains referral, precertification and prior authorizations when needed.
• Screen patient charts for proper surgical documents, ensure all consent forms have been signed, and fees collected.
• Track surgical lens data in system.
• Prepare patient charts for surgery.
• Answers phones in a professional and courteous manner to screen calls, takes messages and provides information to callers. Work in phone que for surgery team. Check voicemail messages and relay necessary messages to team.
• Enters surgical charges into computer system the system per established guidelines.
• Maintains surgery stock and order surgery supplies and paperwork, drop bags including cataract drugs, all surgery brochures, instructions, folders, etc.
• Assist manager with credentialing of insurances companies/payers.
• Maintain compliance with all regulatory and accredited institutions.
• Monitor physician credentials and licenses, update and renew as needed.
• Complete credentialing/re-credentialing applications for insurance payers, Medicare, and Medicaid.
• Maintain accurate provider profiles on CAQH, PECOS, NPPES, and CMS databases.
• Run errands for Admin (i.e. gift card purchases, flower ordering, snacks, etc.)
• Other administrative duties as assigned.
• Maintains strictest confidentiality.

Performance requirements:

• Knowledge of medical office procedures including surgery procedures and practices.
• Knowledge of interrelationship of the clinic, hospitals and surgery center.
• Ability to act independently.
• Skill in gathering, analyzing and evaluating data.
• Skill in problem-solving and decision making; ability to exercise initiative.
• Ability to establish priorities and coordinate work activities.
• Skill in establishing and maintaining effective working relationships with patients, physicians, and other allied health care personnel.
• Ability to apply written guidelines and work guidelines and work practices to make decisions and solve problems.
• Accuracy – Ability to perform work accurately and thoroughly.
• Communication – Ability to communicate effectively verbally and in writing.
• Computer Skills – Proficient ability to use a computer.
• Customer Service Oriented – Friendly, cheerful and helpful to patients and others. Ability to meet patients and others needs while following office policies and procedures.
• Detailed Oriented – Ability to pay attention to the minute details of a project or task.
• Flexibility – Ability to adapt easily to changing conditions and work responsibilities.
• Mult-Task – Ability to handle more than one task at the same time

EDUCATION: High School Graduate or GED.

Experience:

• Minimum of one year work experience in a medical office setting with medical strong knowledge of insurances.
• Knowledge of medical terminology.
• Excellent computer skills (Word, Excel & Outlook)

CERTIFICATE/LICENSE: None.

Alternative to minimum qualifications:

Graduation from a Medical Assisting or other appropriate health care related program may be substituted for one year of experience.

Job Type: Full-time

Pay: $18.00 - $20.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Disability insurance
• Employee discount
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Day shift
• Monday to Friday

Education:

• High school or equivalent (Preferred)

Work Location: One location