Job Summary

Contact patients to schedule appointment, complete patient questionnaire accurately, and maintain timely and accurate documentation in the patient charting system.

Job Responsibilities

• Conduct patient calls and send letters to patients (patient outreach) needing primary care services.
• Assist with the scheduling of primary care visits, Annual Wellness Visits, and Transitional Care Management visits.
• Distribute patient-specific health questionnaires to primary care providers and coordinate with staff to complete the forms.
• Collect completed patient-specific health questionnaires and submit requested information back to payers to support payer risk-adjustment programs.
• Complete post-discharge phone calls each day to recently discharged patients to review for possible home-care challenges and scheduling of a visit with patient’s primary care provider.
• Perform chart audits and reviews at the request of payers, management, information services, and providers to ensure proper documentation or update payer records.
• Submit electronic health record elements to payers in accordance with information security and technology requirements.
• Assist office clinical staff with proper workflow to ensure accurate documentation to support quality reporting requirements.
• Accurately review and document health care standards and follow written guidance to ensure 100% compliance with regulatory and financial guidelines.  
• Other duties as assigned.

Education Requirements

• Minimum: High School Diploma or equivalent
• Preferred: Completion of qualified Medical Assistant program, CNA or other medical background plus a minimum of five (5) years of work experience.

Experience Requirements

• Minimum:  Six (6) months or more Medical Experience or physician billing/coding experience in a physician practice setting.  
• Preferred: Three (3) or more years of experience with Medical Assistant or other clinical role or physician billing/coding experience, previous patient care experience in a physician practice setting.  Basic knowledge of Microsoft Excel, data entry and clinical documentation.

License/Certification Requirements

• Minimum: None
• Preferred:  Certified or Registered Medical Assistant