POSITION SUMMARY:
Performs clinic support in both the clinical and administrative areas:
In the clinical area the medical assistant, under the direction and supervision of Operations Manager/Supervisor or licensed Provider, and in accordance with hospital policies, procedures, protocols, and standards of practice participates in the delivery of patient care.
In the administrative area the medical assistant gathers patient information for registration, schedules appointments, verifies demographic and financial information and assists in the facilitation of patient flow throughout the ambulatory setting.
Boston Medical Center (BMC) is more than a hospital. It's a network of support and care that touches the lives of hundreds of thousands of people in need each year. It is the largest and busiest provider of trauma and emergency services in New England. Emphasizing community-based care, BMC is committed to providing consistently excellent and accessible health services to all—and is the largest safety-net hospital in New England. The hospital is also the primary teaching affiliate of the nationally ranked Boston University School of Medicine (BUSM) and a founding partner of Boston HealthNet – an integrated health care delivery systems that includes many community health centers. Join BMC today and help us achieve our Vision 2030 which is a long-term goal to make Boston the healthiest urban population in the world.
Position: Medical Assistant
Department: Belkin Breast Clinic
Schedule: Full Time, (M-F) 8:30AM-5PM
ESSENTIAL RESPONSIBILITIES / DUTIES:
Delivers care in a non-judgmental, non-discriminatory manner that is sensitive to and demonstrates respect for patients. Duties include:
Clinical Support: Under the direction of the Operations Manager/Supervisor or licensed Provider, performs a variety of appropriately delegated patient care interventions for patients and their families.
1. Collaborates with the Provider/clinic manager, as a member of the interdisciplinary team throughout the shift to determine appropriate work assignment and priorities, as well as communicates status of delegated task completion and outcome of patient data findings. Maintains timely ongoing verbal communication.
2. Monitors patient flow including waiting room activity and communicating wait time updates to patients. Informs nursing staff, technical staff and/or supervisor of arrival of patients.
3. Conducts pre-visit chart review and preparations for upcoming visits, including:
Identification and documentation of patient care needs based on clinic guidelines and protocols (e.g. live interpreter needs, Hoyer-lift).
Enters order for labs and tests to be completed at upcoming visit per clinic guidelines and protocols.
4. Greets patient in waiting room and escorts to exam room
5. Uses recognized and accurate medical terminology and abbreviations for all documentation, avoiding the use of unapproved abbreviations, per Hospital policy.
6. Assists with intake process in the following areas as determined by departmental needs:
Checks two patients identifiers
Accurately collects and documents in the medial records vital signs, chief complaint/reason for visit, and medical/family/social history
Enter allergies and smoking status
Documents current medications and prescriptions that need to be renewed
Obtains immunization records/history, and enters findings into patient medical record
Instructs patient on how to prepare for the provider (assisting as necessary)
Anticipates/sets up special equipment and/or supplies needed for visit
Administers preventative/population health management screens and questionnaires (e.g. PHQ2 and other behavioral health screens) and records in medical record.
Arranges refills information for provider approval
Alerts the provider when patient is ready and communicates abnormalities in findings (e.g. elevated temperature )
Complies with department documentation standards to ensure a complete and accurate patient record
Update patient pharmacy information
7. Collects, labels, sends and may deliver specimens with appropriate laboratory slips and or requisitions.
8. Identifies emergency/crisis situations and initiates appropriate response actions within the scope of his/her role, including immediate communication of such events to the licensed Nurse/Physician.
9. Under direction of the licensed nurse or designee maintains competence of tasks and performs tasks in relation to a variety of technical skills which may include but are not limited to:
Glucose finger stick
Application of external monitor
Routine EKG
POCT (i.e. glucometer, pregnancy test, etc.)
Peak flow
Visual acuity
Vital signs
Oxygen saturation by pulse oximeter
Biopsy set up
Procedure tray set up
Urine culture prep
Simple dressing changes
Specimen Collection
Phlebotomy
10. Provides basic skin care, including but not limited to: application of heat and cold, diabetic foot care, application of elastic stockings, and ace wraps.
11. Uses Universal precautions, performs wound care inclusive of simple dressing changes and saline irrigations. Must arrange for Provider to be present for wound assessment with each dressing change.
12. Assists licensed nurse/health team members with various minor procedures limited to set up and breakdown of simple sterile procedure (e.g. sterile biopsy). Draping and prepping patient under the direction of the licensed nurse or provider, including but not limited to:
Endometrial biopsy
IUD insertion and removal
Pelvic exam
Incision and drainage
Punch biopsy
Colonoscopy
Suprapubic tube changes
13. Provides basic patient equipment care including but not limited to: changing hearing aid batteries, applying splints/prostheses, etc.
14. Helps to complete patient visit:
Prints disposition forms and patient education materials
Assists with staging selected prior authorization for medication or supplies needed under the direction of nurse manager or designee
15. Strictly adheres to isolation procedures as initiated by licensed personnel.
16. Performs initial cleaning/decontamination of equipment/materials and instruments.
17. Checks inventories, and restocks, replaces, assembles patient equipment and supplies.
18. Utilize the care team’s population health management registry or other applicable database for preventative care outreach, including:
Review of patient data
Reminding patients of test/screening needs (i.e. by phone, letter)
Prints and displays care team registry data or other applicable database data
19. Restocks, replaces assembles patient equipment and supplies ordered by Nurse Manager and/or designee. Responsible for alerting licensed nurse, manager or designee of broken, or otherwise non-functional supplies or equipment. Prepares supply order form.
20. Understand, respect and demonstrate patient confidentiality in all endeavors.
21. Performs other duties as needed
Advanced Clinical Activities:
The list below is not an all-inclusive list, but illustrates the nature and scope of some tasks/procedures that a Medical Assistant in a Specialty clinic may 1) assist with or, 2) perform. These procedures may require specific training (typically provided by a BMC staff member or vendor training).Some procedures may require special certification. Some examples of these tasks/procedures are:
Assist with:
Chronic wound treatment (e.g. assist in wound graft)
MOHS surgery
Excisional surgery
Laser treatment
Cool/Sculpting treatment
Other Cosmetic Procedures (e.g. peels, fillers)
Urodynamic studies
Flow rate/voiding trials
Low-dye taping
Phototherapy and PUVA
Perform:
Suture Removals
Phlebotomy
Clerical Support: Performs all duties associated with an Ambulatory Services Representative, including but not limited to registration, scheduling, and collecting co-payments.
1. Gathers and/or assist patients with registration information at every visit. Ensures accurate data entry and updates data into the computer system. Data includes demographic, billing data and patient payment information.
2. Verifies third-party insurance coverage for patients, including day of service and whether prior approval for service is necessary for proper reimbursement of services rendered. Obtains this approval whenever it is necessary, and enters into the hospital billing system appropriately
3. Follow internal collection and cash control policies by informing patients of their financial obligations, collecting payment (deposits, co-paym
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