Under the direction of the SCM, the Medical Practice Assistant assists in complying with the activities of the Medical Practice areas and schedules in-house and external physician/specialist medical appointments for patients, coordinates necessary transportation, handle customer service issues, makes all arrangements for Aide Services/escorts and assist with Discharge planning and performs other office functions as needed.
Job Responsibilities:
- Coordinates transportation and handles transportation issues as needed including communication with transportation vendor, participant, and caregiver as appropriate.
- Processes requests for release of health information.
- Enforces and tracks the out-guide system for medical record requests.
- Schedules provider follow-up appointments.
- Provides assistance in education to participants in regard all PACE services.
- Respond to email messages from vendors, participants or providers seeking basic information and / or looking for a response from a CenterLight staff.
- Performs Medical Management activities to obtain Prior Authorizations for specialized services.
- Documents all calls in internal systems.
PACE Center
- Report any participant grievances reported by other DHC staff directly to Grievances and Appeals department, as well as other disciplines involved
Participant Care
- Schedule annual, semi-annual PCP and CBPCP appointments. Maintains logs to insure receipts of all signed MD orders.
- Informs primary care providers (PCP) of all deaths. Assures that the PCP notifies the designated representative and ensures completion of disenrollment documentation
- Investigates and assists in document and resolving customer issues and grievances in a timely, accurate, and courteous manner. This includes working with the other departments to resolve the source of the problem(s).
- Schedules all specialty consultations, including but not limited to psychiatry, podiatry, lab/home draws and acupuncture.
- Informs Participants via mail and or phone regarding all future appointment.
- Identifies and partners with other departments to resolve complex participant inquiries.
Administration
- Retrieves, prints, and processes MD notes from MDX Transcribe and any shared drives and schedules appointments as appropriate.
- Completes reports/documentation regarding appointments in organization's computer systems.
- Assist with the billing and coding process.
- Complete orders and 485s tracking logs and escalation process.
- Answer phone calls, cover the front desk and troubleshoot and provide assistance to participants.
- Ensure all participants’ documentation is filed in the medical record chart.
- Responsible for the participant’s profile updates in all CenterLight systems.
- Answer all inbound calls that are directed to the PACE site and work diligently to make sure the person is routed to the correct person. Keep a log of all inbound calls and route messages to the appropriate staff for followup. Follows up on each call to ensure calls are responded to within the same day.
- All other duties as assigned
Job Qualifications:
Education:
- Minimum of an Associate Degree in Business Administration, Health Administration or related field.
Experience:
- Customer Service experience required
- Minimum of one (1) year experience working with the elderly
- Demonstrate proficient typewriting skills. Typewriting test must be taken with a minimum of 40 – 45 words per minute preferably, and over 90% of accuracy.
- Minimum of three (3) years medical practice experience or comparable business experience in health care preferred.
Language:
Physical:
- Works inside at office locations and outside in varied weather conditions in all areas of the community, using private or public means of transportation. Must be able to walk to patients homes as well as upstairs (if no elevator) to their individual unit.
- Ability to sit/ stand for extended periods of time
- Ability to ascend/descend stairs
- Possess and maintain good physical stamina and mental health, including satisfactory health clearance as required by NYS regulations and Agency policy.
- Able to physically perform job duties, completed pre-employment and annual physical
Job Type: Full-time
Pay: $62,100.00 - $85,500.00 per year
Benefits:
- Dental insurance
- Flexible spending account
- Health insurance
- Paid time off
- Tuition reimbursement
- Vision insurance
Medical Specialty:
Schedule:
- 8 hour shift
- Monday to Friday
Application Question(s):
- Is Queens commutable for you?
- What is your desired salary?
Experience:
- Dietitian: 1 year (Preferred)
License/Certification:
- Registered Dietitian (Preferred)
Work Location: One location