Your Role

The Blue Shield Promise team provides seamless primary and urgent care services to the Promise Health Plan members . The Medical Assistant will report to the clinic supervisor . In this role you will be serve as initial point of contact for providers and members in the medical management process by telephone or correspondence. Assists in ensuring members are effectively and efficiently managed through the medical/disease management process as needs require. Process authorization requests and facilitates referrals. Assists with system letters, requests for information and data entry. Provides administrative/clerical support to medical and disease management.

Your Work

In this role, you will:

• Greet patients
• Vital and room patients for examinations
• Stock and clean exam rooms
• Point of Care Testing Not limited to-glucose, hemoglobin, dipstick, lab draws
• Vision and hearing screenings
• Obtain member history and physical intake information for visit (other age-appropriate level screenings)
• EKG and other office procedures as needed
• Medication and vaccination administration
• Process incoming calls from members/voice messages
• Process faxed/phoned in authorizations, UM/CM requests from provider pertaining to members visit
• Support to Advanced/Specialist CSC
• Research member eligibility/benefits
• May provide guidance and assistance to new or entry-level employees.
• Maintain accurate logs, card files, statistics, and information release forms for providing medical record information.
• Works to deliver on day-to-day objectives with direct impact on achievement of results for the job area.
• Work consists of tasks that are typically routine, with some deviation from standard practice.
• Works under moderate supervision for routine tasks. May seek advice of more senior personnel in the same area. Keep supervisor informed of issues, activities, progress, and problems.
• Checks and makes minor adjustments to work methods to solve problems that are routine and typically exist in current work processes and systems. May be required to highlight areas of concerns/problems and put forth solutions to supervisor in own job area.
• Problems and issues faced are generally routine but may require some interpretation of procedures or policies to resolve problems.
• Other duties as assigned.