Medical Assistant Pediatrics-Rio Rancho

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

Compassion is the essential trait that drives superior health care performance. But it's just a start. At OptumCare innovative thinking is just as important. Our unique team of health care providers are an emerging and important part of Optum and the UnitedHealth Group family of businesses. Our approach is designed to help physicians and other providers deliver the right care at the right time in the right setting. That takes smart ideas and incredible teamwork. And that's where you come in. In this role, you'll support a clinical team that's helping patients in new and better ways while giving them a generous helping of compassion and respect.

Position in this function performs clinical and administrative duties that assist in the delivery of effective patient care within assigned area. Greet patients; escort them to exam room and takes vitals and other MA related duties as assigned. Provide direct customer service and front desk assistance for assigned department to include but not limited to registering, telephones, scheduling and verifying insurance. Handles customer account transactions, provides customer assistance, and performs and/or oversees cashiering operations. Demonstrates knowledge of medical practice and patient care as it relates to the clinical setting and medical specialty. Adheres to policies, procedures and regulations to ensure compliance and patient safety. Participation in Compliance and other important training is a condition of employment.

Primary Responsibilities:

• Greets patients and escorts them to exam room. Performs hand washing, weighs patients, takes vital signs and patient history, and documents chief complaint. May administer limited injections requested by a physician and supervised by a physician, registered nurse, nurse practitioner or physician assistant in accordance to established regulations, in conjunction with attending and passing Injection class
• Responds effectively to incoming patient calls and communicates pertinent information to physician or designee to provide for continuity and optimal care
• Appropriately communicates lab results, physician orders, and medication instructions to patients
• Provides direct customer service and front desk assistance for assigned department to include but not limited to registering, scheduling and verifying insurance and arriving patients. Electronic eligibility verification, updating patient demographics, ensure required referrals and prior authorization are in place for patient visit. Manage no-show list. Schedule waits list, follow-up, x-ray, referral appointments
• Prepares exam room for next patient and assures that supplies are stocked and available in anticipation of the provider's needs. Manages medical supply inventory and cleans equipment
• Provides customer assistance. Obtaining "expert" level knowledge of the inter-workings of various insurance plans and staying abreast of insurance plans in the process of being added, deleted or changed. Collection of co-pays, co-insurance, self-pay, fee-for-service, and payment on account
• Maintains patients' record/files and participates in the revenue cycle process
• Assists patients in scheduling appointments and obtains referral when necessary
• May be required to analyze medical records and charge entry information for financial reimbursement within the guidelines and procedures. Work TES charge entry edits
• Completing basic Medical Assistant competencies in addition to departmental specific competencies
• Adheres to policies, procedures and regulations to ensure patient safety and regulations. May attend departmental meetings and provide constructive recommendations for areas improvement
• Coordinates Specialty referrals and appointments for all enrolled patients
• Completes prior authorizations (DME, HHC, stat testing, Specialty visits, etc.)
• Other duties as assigned

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• High school diploma or GED
• Completion of a Medical Assistant program or relevant experience (EMT, Medic, CNA ,etc.)
• BLS certification or must be able to complete certification within 30 days of hire
• Experience utilizing excellent customer service skills
• Knowledge and understanding of medical terminology
• Demonstrated proficiency in Windows navigation and a variety of MS Office software applications
• Demonstrated ability to type and enter data efficiently and accurately

Preferred Qualifications:

• National Certified Medical Assistant (NCMA) Certification through the National Center for Competency Testing (NCCT) or active Certified Clinical Medical Assistant (CCMA) Certification through National Health career Association (NHA)
• 1+ years of related experience
• Demonstrated ability to work independently and willingness to learn
• Demonstrated ability to communicate effectively
• Demonstrated ability to multi-task and work under pressure
• Demonstrated attention to detail