Medical Claims Review Manager jobs in Lompoc, CA

Salary Range: $18.93 - $26.09

Pay rates are determined based on experience and internal equity.

Position Summary:

• Assists with office procedures and provides direct patient care.
• Obtain and document patient history and vital signs (i.e., height, weight, BP).
• Performs a wide range of clerical duties that may include: obtaining test results, tracking labs, documenting information as needed, helping to schedule follow-up appointments, procedures and tests.
• Clean exam room tables, chairs, surfaces, blood pressure cuffs, patient care equipment and other equipment as needed. Keep exam rooms stocked with supplies.
• Organize and maintain clinical stations and medication rooms as needed.
• Occasionally cover for other non-licensed staff as deemed necessary.
• Completes special projects as assigned.
• Works as a team player supporting a variety of staff.
• Displays a caring and responsive attitude and conducts all activities respecting patient, family and employee rights and expectations.
• Demonstrates sound cost containment techniques.
• Adheres to established safety requirements and procedures to ensure a safe working environment.
• Maintains and evaluates own clinical expertise and practice. Recognizes legal and policy limits of individual practice.
• Maintains certification and license requirements and submits required evidence of certification/licensure as needed.
• Adheres to all policies and procedures.
• Regular attendance is an essential job function.
• Completes annual performance and competency evaluation process with management and participates in goal setting, performance improvement and educational training as needed.
• Participates in department quality improvement, clinic safety, infection control and hazardous materials programs/activities. 
• Participates in professional development activities and maintains professional affiliations.
• Attends required meetings and participates in committees as requested.
• Adheres to HIPAA regulations.
• Exercises discretion and maintains high level of confidentiality.
• Performs related work as required.

District Responsibility:

• Support of the District Mission and Values
• Demonstrate Respect, Professionalism and Courtesy to all patients, other providers and coworkers.
• Constantly use C-I-CARE principles when communicating with others.

Position Duties/Responsibility:

• Knowledge of clinical policies and procedures.
• Knowledge of clinical practices and medical terminology.
• Knowledge of common safety hazards and precautions to establish a safe work environment.
• Ability to communicate well with patients, families, co-workers, physicians, other members of the healthcare team, etc.
• Ability to adapt to varied, age-specific and/or specialized groups.
• Ability to understand use, function, interpret, document, and keep records.
• Ability to interpret, adapt and apply guidelines and procedures.
• Ability to react calmly and effectively in emergency situations.
• Ability to read, write and communicate effectively in English.
• Ability to organize and prioritize work. 
• Ability to follow oral and written instructions. 
• Ability to reason and make sound judgments.
• Skill in identifying problems and recommending solutions.
• Skill in establishing and maintaining effective working relationships with co-workers, management, patients, medical staff, and the public.
• Skill in accepting constructive criticism and giving suggestions in a professional manner.

Essential Functions:

• The ability to verbally and in writing communicates with physician; patients and co-workers.
• The ability to maintain a California Medical Assistant certification.
• The ability to be supervised.
• The ability to work as a Team.
• The ability to have positive personal interactions with coworkers, patients, families and others.

Position Qualifications:

• High School diploma or equivalent.
• Certification with one of the following agencies is highly preferred: American Association of Medical Assistants (AMA), American Medical Technologists (AMT), California Certifying Board of Medical Assistants (CMAA) with Injection Training.
• Current CPR certification required from the American Heart Association.
• Skills/Ability:    Be able to communicate effectively with patients to the degree the patient’s ability allows. Be able to follow written and verbal instructions and communicate patient’s condition to other staff.  Bilingual Spanish fluency preferred but not required.
• LVMC reserves the right to modify the minimum requirements depending on the needs of the organization.