Certified Medical Assistant
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Job Description
Remote Certified Medical Assistant processing prescription refills and verifying Medicare-related requests for Carenet Health. Tracking refill metrics and supporting clinical medication programs.
Responsibilities:
- Receive and respond to prescription refill requests through phone, email, fax, and Telephone Encounter
- Verify the validity and accuracy of prescription refill requests in compliance with regulatory guidelines
- Prepare and dispense prescription refills accurately and efficiently according to organizational protocols
- Provide clear and comprehensive information and exceptional customer service to internal and external stakeholders
- Compile and analyze data, track key performance indicators, present findings to departmental leadership, and identify trends
- Adhere to assigned schedules and quality metrics while maintaining productivity and efficiency
- Provide administrative support to clinical staff and managers for special projects, studies, and reports related to medication refill programs
- Collaborate with interdisciplinary teams to optimize workflow efficiency and enhance patient care outcomes
Requirements:
- Minimum of High School Diploma or GED
- Minimum of three years’ experience in a retail pharmacy
- Extensive knowledge of Medicare Part D, particularly pharmacy record review, claims, billing and reimbursement rules
- Working knowledge of HIPAA Privacy and Security Rules and CMS security requirements
- Working knowledge of Medicare Part B and Part D coverage guidelines and payment methodologies
- Ability to read, analyze, and interpret company software, guidelines, health references, professional journals, technical procedures, or governmental regulations
- Ability to effectively present information and respond to questions
- General writing skills and ability to produce work free from typographical or spelling errors
- Ability to calculate figures and amounts and apply concepts of basic algebra
- Ability to deal with and solve problems using solid judgment skills
- Basic PC and keyboarding skills required
- Working knowledge of Microsoft Office, Internet and e-mail
- Current, unrestricted license required
- Medical Assistant certification by the American Association of Medical Assistants or registration as a Registered Medical Assistant by the American Medical Technologists
- Bilingual and National Certification preferred
- Ability to handle multiple-line phone systems, pagers and paging systems preferred
Benefits:
- Health, dental, and vision insurance
- A 401(k) plan with company match
- Paid time off (PTO) and holidays
- Flexible spending accounts (FSAs)
- Employee wellness programs
- Career development opportunities
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