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Certified Medical Assistant and Prior Auth Specialist

Certified Medical Assistant and Prior Auth Specialist

CoreLifePineville, NC, US
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Job Description

Job Description

Position Description

Position based in Pineville, NC.

The Certified Medical Assistant at CoreLife partnered with Novant Health aids with clinical and preventive counseling care to patients through an interdisciplinary and collaborative approach that takes into consideration all aspects of health with the specific scope of treating overweight and obesity as a disease. This is done under the specific direction and protocols of the supervising Physician and / or the medical provider on-site.

Major Areas of Responsibility :

  • Works as part of a multi-disciplinary team to coordinate all phases and aspects of patient care by CoreLife, as well as ensuring compliance with all laws, rules and regulations applicable to patient care
  • Assists the medical provider by obtaining vital signs, collecting information, updating medical records, performing tests, and communicating with the patient to ensure the CoreLife patient receives quality, thorough and compassionate care during and between visits.
  • Assists in the development and implementation of policies, procedures, and standards which affect the care of the CoreLife patient
  • Develops and maintains a collaborative working relationship with the physician, Nurse Practitioner, Dietitian, behavioral health therapist and the exercise specialists involved in the care of the CoreLife patient
  • Identifies and implements practices that are evidence-based to enhance the quality and cost outcomes of the CoreLife patient population

Specific Responsibilities :

  • Communicates clearly and effectively with patients in the clinic demonstrating “customer first” behaviors
  • Greets and places patients in a room after verifying name and date of birth as directed by the patient identification policy
  • Obtains, documents, and reports as indicated, and per clinic devices :
  • Temperature

  • Body composition report
  • Weight
  • Height
  • Blood Pressure
  • Pulse
  • Oxygen saturation per pulse oximetry
  • Waist circumference
  • Neck circumference
  • Chief complaint (reason for visit)
  • Loads appropriate visit template and patient information as requested by provider
  • Explains RMR machine to patients, performs the RMR assessment, and generates RMR report
  • Reviews and updates patient processing screens in electronic medical record (chief complaint, allergies, medication reconciliation, social history, family history, surgical history, last menstrual period, smoking status, etc.)
  • Assists patient with removal of clothing or positioning for assessment or encounter
  • Performs hand hygiene at each point of care, between patients and after “dirty” events (i.e. restroom, coughing, picking objects up from floor, etc.)
  • Proper cleaning of exam rooms and equipment per clinic protocols and manufacturer’s guidelines
  • Follows infection prevention policies / procedures
  • Performs point of care testing (POCT) and venipuncture to collect samples for labs
  • Follows clinic specific processes for POCT

  • Collects and processes specimens per office policy
  • Labels specimens per office policy
  • Documents results per office policy
  • Coordinates laboratory pick-up of specimens
  • Assists with stocking of exam and procedure rooms
  • Assists front desk administrator with front desk coverage as needed
  • Knows and is prepared to initiate emergency action plans for
  • Cardiopulmonary arrest / BLS

  • Fire
  • Severe weather conditions
  • Initiates, documents and completes telephone encounters under supervision / direction of the provider
  • Completes precertifications and prior authorizations (for prescription medication, imaging or other items requiring these approvals) and obtains provider signatures where appropriate
  • Scans documents into the patient medical record as indicated
  • Initiates and completes refill encounters in electronic medical record or gives verbal medication orders to pharmacies as directed by the medical provider
  • Communicates to patients test / lab results, messages, and other information supplied by the provider
  • Works with the team to maintain patient appointment schedules, patient flow, and appointment scheduling as needed
  • Requests patient medical records from other health professionals and facilities per provider request and according to policies and protocol
  • Requirements :

  • Valid CMA, CCMA, CNA or RMA Certification through AAMA, NHA or AMT
  • Adherence to CoreLife’s Values :

  • Meeting the needs of our patients & ensuring the highest level of patient experience, care, and outcomes.
  • Treating our patients, teammates, and partners with honesty, respect, integrity, and teamwork.
  • Challenging patients, teammates, and partners to achieve exceptional results and potential.
  • Schedule : 10 hour shifts

    Work Environment :

    This job operates in a professional medical office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.

    Physical Demands :

    The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

    While performing the duties of this job, the employee is regularly required to talk or hear. The employee frequently is required to stand; walk; use hands to finger, handle or feel; and reach with hands and arms. This position requires the ability to occasionally lift office products and supplies, up to 20 pounds.

    Other Duties :

    Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

    Note : reasonable accommodations may be made available for individuals with disabilities to perform the essential functions of this position.

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