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Prior Authorization Specialist

American Medical Associates seeks a full-time Prior Authorization Specialist who performs a wide range of administrative duties to include medical insurance prior authorizations, patient registration and verification of medical insurance benefits, processing faxes, and patient appointment scheduling.

Duties/Responsibilities:

Assembles information concerning patient’s clinical background and prior authorization needs.
Contacts insurance companies to ensure verification of benefits and prior authorization approval requirements are met.
Communicates patient updates between program and prior authorization source.
Process faxes and voicemail messages by creating telephone encounters and sending these to the appropriate recipients.
Assist with answering telephones and other clerical tasks as needed.

Required Skills:

Handles requests from third party prior authorization sources and provides relevant information and data.
Ensures complete and accurate patient registration, including demographics and current insurance information.
Maintain strict confidentiality and adhere to all HIPAA guidelines and regulations.
Performs other related duties as assigned.

Education/ Experience:

High school diploma or equivalent required.
Completion of a medical assisting course preferred but not required.
Three (3) years of prior authorization specialist experience required.
Strong customer service focus.
Effective verbal and written communication skills.
Teamwork oriented.
Organized and able to manage multiple priorities simultaneously.
Good judgment.
Resourcefulness in problem solving.
Able to take and follow through with delegated tasks and accountability.

Benefits:

Job Summary:

After successful completion of a 90 day probationary period, medical, dental, vision, and life insurance, as well as an opportunity to accrue sick and paid time off will be offered.

Job Type:

Full-Time

Pay:

$19.00 per hour

JOB CLOSING DATE:

August 31, 2023

Referral Coordinator/Medical Assistant

American Medical Associates seeks a full-time Referral Coordinator who can perform a wide range of administrative duties including referral processing, patient registration and verification of medical insurance benefits, patient appointment scheduling, and program communication with referral sources.

Duties/Responsibilities:

Responsible for the tracking, coordination, and communication of patient referrals.
Reviews details and expectation of referral with the patient.
Ensures that referrals are addressed in a timely manner.
Contacts insurance companies to ensure verification of benefits and prior authorization approval requirements are met.
Coordinate lunches with drug company representatives and specialty provider offices.
Assist with answering telephones and other clerical tasks as needed.

Required Skills:

Assembles information concerning patient’s clinical background and referral needs.
Communication with referral sources to ensure patient information and/or registration is complete.
Communicates patient updates between program and referring source.
Handles requests from third party referral sources and provides relevant information and data.
Ensures complete and accurate patient registration, including demographics and current insurance information.
Assists patients in problem solving potential issues related financial or social barriers (e.g., request interpreters as appropriate, transportation services, etc.).
Maintain strict confidentiality and adhere to all HIPAA guidelines and regulations.
Performs other related duties as assigned.

Education/ Experience:

High school diploma or equivalent required.
Three (3) years of referral coordinator experience and completion of a medical assisting course required.
Strong customer service focus.
Effective verbal and written communication skills.
Teamwork oriented.
Organized and able to manage multiple priorities simultaneously.
Good judgment.
Resourcefulness in problem solving.
Able to take and follow through with delegated tasks and accountability.

Benefits:

Job Summary:

After successful completion of a 90 day probationary period, medical, dental, vision, and life insurance, as well as an opportunity to accrue sick and paid time off will be offered.

Job Type:

Full-Time

Pay:

$20.00 per hour

JOB CLOSING DATE:

August 31, 2023

Chronic Care Management (CCM) Coordinator

American Medical Associates seeks a full-time Chronic Care Management (CCM) Coordinator who performs care management for patients with chronic diseases. The ideal candidate works in conjunction and in continuous partnership with chronically ill patients and their family/caregiver(s), as well as with American Medical Associates Providers in a team approach to increase patients’ ability for self-management and shared decision-making.

Duties/Responsibilities:

• Educates patient and family/caregiver(s) about relevant community resources.
• Responsible for registry of CCM patients.
• Validates enrollment of CCM patients based on provider request.
• Maintain strict confidentiality and adhere to all HIPAA guidelines and regulations.
• Performs other related duties as assigned.

Required Skills:

• Work closely with Primary Care Providers, clinic staff, and health team members to assist with Medicare patients enrolled in the practice’s Chronic Care Management (CCM) Program in self-management, chronic care coordination, visits, and referral coordination.
• Ensures continuity of care by making follow up contact with patients for a minimum of one (1) 20 minute telephone call each month to each CCM patient on the roster using established guidelines.
• Assist with the identification of “high-risk” patients (the chronically ill and those with special health care needs), and assist on the enrollment of these to the CCM patient registry.

Bonus Pay

This position is eligible for bonus pay proportional to the number of completed CCM telephone calls for the month that exceed 20 minutes.

Education/ Experience:

• High school diploma or equivalent required.
• Medical terminology required.
• Bilingual (English/Spanish) preferred.
• Basic computer skills including previous work with an electronic health record (EHR). eClinicalWorks experience a plus.
• Strong customer service focus.
• Effective verbal and written communication skills.
• Teamwork oriented.
• Organized and able to manage multiple priorities simultaneously.
• Good judgment.
• Resourcefulness in problem solving.
• Able to take and follow through with delegated tasks and accountability.

Benefits:

Job Summary:

After successful completion of a 90 day probationary period, medical, dental, vision, and life insurance, as well as an opportunity to accrue sick and paid time off will be offered.

Job Type:

Full-time

Pay:

$18.00 per hour plus bonus pay

JOB CLOSING DATE:

June 24, 2023

Family Nurse Practitioner-Certified

Our Nurse Practitioners plan, direct, and evaluate patient and employee healthcare in an ambulatory setting; examine and treat chronic and acute episodic illnesses, minor injuries, accidents, and other injuries/illnesses; performs selected laboratory testing; offers referrals to outside physicians and facilities, writes prescriptions, and performs office procedures within the scope of expertise, protocols, and available equipment. Our Nurse Practitioners also work with the Medical Director in the care and treatment of patients and staff.

Duties/Responsibilities:

Meets new and existing ambulatory patients in the clinic for examination, diagnosis, and development of patient care plans based on the patient’s medical history.
Administering diagnostic tests.
Refers to outside Physicians and facilities as needed.
Writes prescriptions and performs office procedures within the scope of expertise, protocols, and available equipment.
Performs physical examinations (PAP and Well Woman exams, DOT physicals, etc.).
Follows patients in clinic as needed for continuity of care.
Maintain strict confidentiality and adhere to all HIPAA guidelines and regulations.
Enforces all policies, procedures, protocols, directives and goals of the organization.

Salary commensurate based on education, experience, skills, and training.

Required Skills:

Excellent verbal and written communication skills.
Exceptional interpersonal skills.
Superb organizational skills and attention to detail.
Strong analytical and problem-solving skills.
Ability to prioritize tasks.

Education/ Experience:

Successful completion of an approved Nurse Practitioner program.
AZ APN authorization in family health by the Board of Nurse Examiners.
A sound understanding of all pertinent federal and state regulations, including HIPAA and OSHA.
Prescriptive authorization.
Proficiency with medical instruments and equipment required to perform your work.
Proficient in charting and completing tasks in an EMR system.

Benefits:

Job Summary:

After successful completion of a 90-day probationary period, medical, dental, vision, and life insurance, as well as an opportunity to accrue sick and paid time off will be offered.

Job Type:

Full-time

Pay:

$120,000 to $123,000 per year

JOB CLOSING DATE:

June 10, 2023

Certified Medical Assistant-Behavioral Health

We are looking for a Certified Medical Assistant with Behavioral Health experience to join our team who can multi-task in a fast paced environment Monday through Friday with required rotating Saturdays in our Maricopa, AZ location. The ideal candidate will also provide backup coverage to our main Primary Care/Internal Medicine clinic in Chandler, AZ, as needed.

Since there are many variations to the job duties, the ideal candidate will have completed a medical assisting course, be flexible and friendly, and willing to assist in multiple clinic functions. A strong work ethic, dependability, and attention to detail are a must.

Duties/Responsibilities:

Perform front and back office duties as well as assists providers with patient care, administrative, environmental, and organizational tasks. Responsible for the following front and back office duties:

Essential Front Office duties including but not limited to:

• Greets and registers patients in a prompt, pleasant, and helpful manner.
• Verifies patient’s insurance and collects patient co-pays and unmet deductibles.
• Answers telephone, screen calls, takes messages, and provides information.
• Schedules appointments as requested.
• Maintains and updates current information on the physician’s schedule ensuring that patients are scheduled properly.
• Answers questions regarding patient appointments and blood draw schedule.
• Process faxes by creating telephone encounters and sending these to the appropriate recipients.
• Responds to patient text messages.
• Generates specialist referrals, as needed.
• Oversees the waiting area, coordinates patient movement, reports problems or irregularities.
• Keeps lobby and front desk area clean and tidy per COVID-19 protocols.

Essential Back Office duties including but not limited to:

• Rooming patients and taking vitals.
• Patient record management utilizing the E-Clinical Works EMR system.
• Answering telephone calls related to clinical questions and relaying messages to the provider.
• Calling patients with test results and processing prescription refill requests, as directed by the provider.
• Providing patient instructions, screening (UA) and other clinical tests.
• Ordering lab work and imaging at the providers discretion.
• Completing prior authorizations and generating specialist referrals.
• Maintain strict confidentiality and adhere to all HIPAA guidelines and regulations.
• Other duties as assigned.

Required Skills:

• Basic computer skills including previous work with an electronic health record (EHR).
• Strong customer service focus.
• Effective verbal and written communication skills.
• Teamwork oriented.
• Organized and able to manage multiple priorities simultaneously.
• Good judgment.
• Resourcefulness in problem solving.
• Able to take and follow through with delegated tasks and accountability.

Education/ Experience:

• High school diploma or equivalent required.
• Completion of a medical assisting course required.

Benefits:

Job Summary:

After successful completion of a 90 day probationary period, medical, dental, vision, and life insurance, as well as an opportunity to accrue sick and paid time off will be offered.

Job Type:

Full-time

Pay:

$18.00 to $20.00 per hour

JOB CLOSING DATE:

June 10, 2023

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