Job Description

Job Description

Job Description

This position will work in Watkinsville, GA and float to our practice in Jefferson, GA on an as needed basis to work as a CMA when needed. 

The Clinical Outreach Coordinator is responsible for facilitating and coordinating care for patients deemed as having an unmanaged chronic illness or chronic utilization of hospital resources by CIN staff, payors and/or providers. The Clinical Outreach Coordinator acts as a liaison between the patient, family and healthcare team; working to assure continuity of care when patients have experienced or at risk of experiencing inpatient services. The Clinical Outreach Coordinator encourages patients to be accountable for their own healthcare; coaching them in activities that promote health and wellness. The Clinical Outreach Coordinator is also responsible for assisting in the management of larger patient populations; participating in performance improvement (PI) activities with the goal of improving quality and reducing costs for these populations. The Clinical Outreach Coordinator primarily works Monday-Friday standard business hours in office, but this may vary based on the needs of the organization.

TASKS AND RESPONSIBILITIES:

Care Management

· Works to help schedule any appropriate transitions of care appointments deemed by program specifications.

• Develops an active Care Management list; managing the frequency of each patient’s care management sessions and whether these be performed via telephonic outreach.
• Performs an initial patient assessment to determine patient’s current medical status, identify barriers and concerns attributed to chronic illnesses.
• Collaborates with patient, family and members of the healthcare team to develop a comprehensive plan of care that addresses the patient’s needs.
• Integrates evidence-based practice into care plans and patient education as appropriate.
• Effectively evaluates the plan of care to determine if the patient is on target for achieving goals. Adjusts plan accordingly as new information becomes available.
• Reports any patient concerns to the Clinical Programs Director for assistance in determining how best to address and resolve these issues.
• Documents all care management activities in the appropriate CIN documentation tool.
• Participates in monthly Complex Patient Care Presentation meetings.

We are seeking a Certified Medical Assistant in a Primary Care office located in Jefferson, GA on an as needed basis. You will perform routine administrative and clinical assignments to keep the medical facility running smoothly.

Responsibilities:

1. Welcomes patients and visitors by greeting patients and visitors, in person or on the telephone, answering or referring inquiries.

2. Maintains the reception area and waiting room. These areas should be tidy at all times.

3. Maintains patient accounts by obtaining, recording, and updating personal and financial information.

4. Maintain operations by following policies and procedures; reporting needed changes.

5. Contributes to team effort by accomplishing related results as needed.

6. Protect patients’ rights by maintaining the confidentiality of personal and financial information

7. Proficient data entry

8. Proper patient check-in process

9. Checks multiple electronic verification systems to verify current health insurance coverage.

10. Referrals coordination (in and out)

11. Co-pay and account balance collections. Maintain daily log of monies. Prepare end-of-day statements.

12. Managing a high-volume phone. Checking voicemails, emails and faxes

14. Scanning

15. Faxing

16. Handle all administrative duties in a timely manner

17. Perform routine clinical tasks to support Providers

18. Communicate with insurance companies for proper billing procedures

Additional position expectations:

1. Answers and screens inquiry calls, faxes, and emails from prospective clients and patients.

2. Communicates with other team members/departments constructively to reduce conflict and enhance the resolution of issues.

3. Displays the ability to communicate with others effectively, listen closely and convey points clearly.

4. Shows proficiency with computer programs which may include Microsoft Word, Excel, PowerPoint, Outlook and others

5. Demonstrates excellent customer service skills and the ability to calm patients or clients who may be distraught and make decisions based upon anticipated outcomes.

6. Possesses the ability to adjust to constantly changing workloads.

7. Attention to detail

8. Adheres to company policies, including the facility dress code and always appears professional

​ Qualifications:

· High School diploma (or equivalent)

· A minimum of 2 years experience in the healthcare field

· Knowledge of HIPAA guidelines

· Previous experience in healthcare administration or other related fields

· Familiarity with medical billing procedures

· Strong organizational skills

· Ability to thrive in a fast-paced environment

· Experience with eClinicalworks is preferred

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