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Remote - Healthcare - Medical Assistant V Location: US-Remote Jobcode: 3604118 Email this job to a friend
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Job Title: Medical Assistant VLocation: RemoteDuration: 6 monthsJob Description:What is the typical schedule/shift going to be (i.e., 8am 5pm The training schedule will be M-F 8AM-4PM EST.After the training schedule will be M-F 9AM-5PM local time, there is flexibility in schedules that can be discussed further.No specific work location 100% however must be available to train in EASTERN STANDARD TIME.Possible OT at the end of the quarters.Potential to convert to an FTE with a positive work record.Temps will need: 2 monitors, headset, laptop, docking station, keyboard, mousenbsp;Job Description:This position works under the supervision of the Medical Claims Review Nurse and is cross-trained to work in a variety of areas and functions, including appeals, claims analytics, DRG Validation claims repricing, and outpatient payment integrity audit conceptsbull;Knowledge of all back-office functions of a medical assistant in accordance with the MA scope of practice and protocolbull;These functions include but are not limited to intake and recording of health and immunization history, patient preparation for exam or procedure, administration of screening (hearing/vision) tests, preparation, administration of immunizations/medication, processing vital signs, venipuncture/blood draw/phlebotomy, and administration of injectionsbull;Able to provide guidance to the staff and feedback to management on the performance of audit concepts performancebull;Proficient in State and Federal Regulatory programs and their required documentation processes required for claim payment. Assures completion of patient visit documentation including logs, patient charting, inventory, etc. by provider & staff on date of patient visitnbsp;Must Have Skills:Proficient in medical terminologybull;Good interpersonal and problem-solving skillsbull;Must have the ability to satisfactorily speak, read, write and understand English for effective communicationbull;Must be computer proficient in typing and system/ database supportbull;Knowledge of Electronic Medical Record (EMR) and Practice Management (PM) systems are a plusbull;Ability follow direction and abide by Client established Policies and ProceduresMaintain regular attendance based on agreed-upon schedulebull;Maintain confidentiality and comply with all Health Insurance Portability and Accountability Act (HIPAA) and Protected Health Information (PHI) Regulationsbull;Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customersnbsp;Day to Day Responsibilities: Completing non-clinical appeals reviews for overpaid claimsbull;Complete repricing of identified claims to identify overpayment variances for DRG Validation claimsbull;Completing outpatient payment integrity auditsRequired Years of Experience: 5+ years Medical Assistant ExperienceRequired Licensure / Education:High School Diploma or GED equivalent.Medical Assistant program graduate from a federally accredited, State licensed vocational/technical schoolnbsp;
APN Consulting Inc
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