Medical Assistant - Care Connections

Medical Assistant

Provides medical assistant support for Care Connections team. Responsible for contacting members following appointments / services rendered to ensure member understanding and navigation of the health care system, and coordination support for follow-up care. Also provides assistance for other administrative clinical support tasks. Contributes to overarching strategy to provide quality and cost-effective member care.

Essential Job Duties

• Coordinates care between members and providers after appointment / service delivery to support member navigation of the health care system, needs related to follow-up care and highest quality care / desired member health outcomes.
• Communicates with Care Connections providers to clarify orders / requests and assists with escalation of issues to appropriate team(s) when unable to resolve independently.
• Supports processing and follow-up for care management assignment and primary care provider referrals for high-risk members.
• Escalates member issues related to prior authorizations for medications and durable medical equipment.
• Communicates lab results and other exam findings with members and primary care providers.
• Communicates with nurse practitioners on member health issues to ensure timely follow-up and response.
• Supports care coordination and intervention by sending electronic messages / faxes to primary care providers.
• Closes gaps in health care by preparing member lab result letters and coordinates follow-up on lab results.
• Fulfills nurse practitioner supply orders and maintains adequate nursing supply inventory.
• Performs administrative tasks such as telephone and email response, documentation follow-up and updates to member records.
• Facilitates follow-up calls to members to ensure positive member experience / outcomes and ensure needs are met.
• Assists with special projects under the direction of clinical leadership.

Required Qualifications

Preferred Qualifications

Pay Range : $21.16 - $34.88 / HOURLY