Full Time

Medical Assistant (San Antonio & New Braunfels locations)

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GENERAL JOB SUMMARY: At Texas MedClinic, the term Medical Assistant (MA) is used to refer to nonphysician medically trained personnel assigned to the clinics (such as Medical Assistants (MA), Emergency Medical
Technicians (EMT-I or EMT-P). The primary role of the Medical Assistant-Receptionist (MAR) is to provide quality
medical care and outstanding customer service. After training, the MAR is responsible for performing the duties
assigned to the position accurately and efficiently with minimal supervision. The MAR is expected to strictly adhere to the established practice and safety standards

Work Hours:

WORK HOURS: Full-Time: 35 to 40-hour workweek (5 shifts), Monday through Sunday as scheduled. Overtime
and Holiday coverage may be required or authorized. Every effort is made to accommodate individual scheduling
needs; however, staff working primarily in the daytime (weekdays) can be expected to work evening rotations when
scheduled. Following probation, the MA will be scheduled on the “on-call” roster. Periodically, full-time staff can expect to be assigned for shift(s) at different locations.

Education & Training:

• High school diploma or GED
• Graduation from an accredited vocational training program relevant to the position (Medical Assistant or Nursing
course), EMT-I or EMT-P Certification, or authorized military training courses. For credentials other than those
listed, refer to the Director Operations for review and approval.
• CPR/ First Aid Certification
• Knowledge of medical terminology, its spelling and abbreviations preferred
• Strong typing skills (35 wpm accurately)
• 10-key (by touch) preferred
• Working knowledge of computers required

Essential Knowledge, Skills & Abilities:

• Excellent customer service and interpersonal skills w/patients, clients and staff
• Strong verbal and written communication skills (in English)
• Communicate effectively with patients, staff, physicians and other providers (e.g. labs, pharmacies, specialty
services) regarding medical care, treatment plans, etc.
• Read, correctly interpret and follow written guidelines/protocols
• Strong deductive reasoning/problem solving skills
• Able to learn and apply new skills
• Meet established training requirements including proficiency testing where applicable (BAT, DOT Drug Test
Collector and X-Ray Certifications)
• Work efficiently in a fast paced environment
• Work independently with minimal supervision
• Medical training and experience relevant to the position

Essential Job Functions & Duties:

1. Smile!
2. Answers phones
3. Triages medical emergencies and respond promptly
4. Performs dressing correctly including removing and applying new dressing.
5. Obtain chief complaint, brief medical history, vital signs (BP/P/R/T/spO2/Orthostatics)
6. Follow established documentation guidelines
7. Prepare patient for exam (e.g. gown appropriately) burns, ENT procedures, minor surgical procedures, gyn exams,
8. Eye procedures:
a. Visual acuity (Far/Near vision, depth perception, peripheral vision and color-blindness testing)
b. Setting up for eye injuries (including supplies and equipment):
1) Foreign body
2) Chemical exposure
c. Medication administration
d. Irrigation:
1) With Morgan Lens
2) Without Morgan Lens
e. Application of cotton eye patch or Press Patch
f. Documentation and coding guidelines
9. Ear procedures:
a. Whisper test
b. Audiometry testing
c. Medication administration
d. Irrigation
e. Setting up for ear injuries (including supplies and equipment):
1) Foreign body removal
2) Others
3) Documentation and coding guidelines
10. Emergency procedures:
a. EKG
b. CPR & First Aid (up-to-date certification required)
c. Trauma Room: STAT medications and supplies
d. Personal Protective Equipment
e. Request EMS services
f. Documentation & coding guidelines
11. Respiratory procedures:
b. Oxygen set-up & administration
c. Peak Flow
d. Nebulizer treatment
e. Spirometry testing
f. Documentation and coding guidelines
12. Medication/Administration (not otherwise listed in other sections):
a. PO/Sublingual
b. Injections:
1) Routes: ID, IM, SQ
2) Vaccine/immune globulins
3) Dosage calculations
4) Documentation & coding guidelines
13. Intravenous (IV) Infusion:
a. IV insertion
b. Fluid administration
c. Medication administration
d. Heparin lock
e. Documentation and coding guidelines
14. Laboratory procedures:
a. Lab safety
b. Lab testing:
1) Urinalysis (dipstick and micro prep)
2) Glucose
3) Strep A
4) Mononucleosis
5) HCG (urine)
6) Fecal Occult
7) Documentation & coding guidelines
c. Venipuncture & capillary collection procedures
d. CTRC specimen collections
e. Reference Lab Testing:
1) Collection procedures
2) Specimen preparation
3) Orders requests
4) Shipping
5) Documentation & coding guidelines
15. Orthopedic procedures:
a. Durable equipment
b. Fiberglass splints
c. Gait training
d. Cast removal
e. Chart documentation & coding guidelines
16. Physicals:
a. TMC Post Offer Physicals/Health Screening Evaluations
b. Return to duty, MMI evaluations, Impairment Ratings and other employment related evaluations
c. Federally mandated physicals (e.g. DOT, INS/Agents & Border Patrol, FAA, Asbestos/Hazard
d. Materials/Respirator Certifications, etc.
e. Other specialized physical (e.g. INS/Immigration, Sports, Private medical/life insurance evaluations, Travel
Clinic, etc.)
f. Ancillary procedures:
1) Height/Weight
2) Fitness screening
3) Functional capacity testing
4) Respirator Fit testing
5) Body Fat (as needed to meet the needs of our clients)
6) Documentation and coding guidelines
17. Drug & Alcohol Testing:
a. DOT Collections:
1) Breath (BAT Certification)
2) Urine (DOT DT Collector Certification)
b. Non-DOT collections and specimen handling:
1) Blood
2) Breath
3) Hair
4) Urine
5) Rapid Drug Testing (USPS Certification, MedTox)
6) Documentation and coding guidelines
18. X-Ray Equipment Operator:
a. Operate x-ray equipment in accordance with established safety standards
b. Perform diagnostic x-ray procedures (TDH approved exams only)
c. Maintain compliance with established standards (dosimetry badge, certification eligibility, etc.)
d. Complete the x-ray proficiency-testing program within 21 months from date the x-ray training began
e. Documentation & coding guidelines
19. Sterile procedures:
a. Sterile techniques
b. Instrument care
c. Autoclaving
d. Spore testing
20. Housekeeping:
a. Biohazard waste disposal
b. Laundering of contaminated linen
c. Decontamination of work areas
d. Documentation guidelines
1. Greet patients and maintain appropriate interpersonal skills
2. Keep waiting room and front desk area clean and tidy
3. Keep patients informed of unforeseeable delays and waiting time
4. Check-in procedures:
a. Ask patients (determine) reason for visit
b. Provide patient with PIW and all other necessary paperwork based on visit type
c. Review PIW when returned, check for completeness and method of payment
d. If work related/occupational:
1) Pull Occupational account page
2) Obtain driver’s license if applicable
3) Obtain TA, check the authorization log and fax file, and/or call/verify visit when required
e. If private insurance:
1) Provide a copy of the Insurance Filing Policy to the patient
2) Review insurance card and identify if TMC has a contract with the patient’s insurance company (refer to
Insurance Binder)
3) Use the Insurance Filing Policy to determine patient’s financial responsibility at the time of service
5. Locate patient’s existing account and /or set-up a new account
6. Input new patient information in the computer or verify existing entries
7. Generate chart and indicate reason for visit
8. Forward the charts and all other completed forms to the Nurse’s station
9. Checkout procedures:
a. Identify CPT codes, fees and calculate totals
b. Input charges (CPT codes/verified fees) in patient’s computer account
c. Identify ICD-9 codes and proceed to complete all checkout fields
d. Review method of payment
e. Calculate discounts and identify co-insurance/co-pay accurately
f. Collect payment (cash/bank card transactions, on checks indicate DL# with exp. date, chart # and stamp
g. Indicate method of payment and amount collected/to be bill# (including check # if applicable) on the chart
h. Print receipt if applicable
i. Obtain pharmacy information (patient selection/ Employer Profile page if applicable) and document
name/location or fax # on the chart, or release written Rx to patient after making a copy
j. Review Work Status Report (WSR) including “Return To Work” section (full/limited),follow-up
appointment date and time, give copy of WSR to patient
10. Log in and out of computer, turn on/off all reception area equipment
11. Balance mid-day and evening books
12. Answer phones:
a. Smile and greet the caller
b. Refer callers to the appropriate person (i.e. technician, OSR, etc.)
c. When applicable, take messages from patients in need of Rx refills, pull charts, document requests and place
charts on the red clipboard
d. Refer callers to the Billing Office in reference to insurance/billing questions
e. Provide guidance in reference to TMC fees and insurance filing policy
f. Obtain requests for services and record in the authorization log
13. File charts accurately
14. Make Acupuncture, O.M. and follow-up appointments following established guidelines
15. Attend staff meetings and continuing education training in-services
16. Any other duties as assigned
1. Handle referral letters when needed
2. Check x-rays out of the clinic as needed
3. Must be punctual and reliable in attendance

Customer Service Skills:

1. Maintains or enhances self-esteem of patients/customers
2. Listens and responds with empathy to patients/customers
3. Involve the patients/customers
4. Gives and receives patients/customers feedback
5. Acknowledges patients/customers courteously and with full attention
6. Clarifies patients/customers needs understanding their need before taking action or offering solution
7. Meets or exceeds patients/customers expectations taking opportunities to do more than is expected
8. Confirms patients/customers satisfaction by asking them if they received everything they needed or wanted
9. Handles patient/customer problems by taking action to find solutions to their problems

Working Conditions & Risks:

WORKING CONDITIONS AND RISKS: Work is indoors in a well lighted, and seasonally heated and cooled
clinic. Job hazards are estimated to be minimal (low risk). Potential risk exists from accidents while using routine
office equipment or from exposure to blood or other potentially infectious bodily fluids. This position requires driving
personal vehicle occasionally to and from other facilities as part of work or training.

Physical Requirements:

PHYSICAL REQUIREMENTS (correctable): The MAR position requires prolonged standing, walking, sitting, and
using hands and fingers. Repetitive motions consist of extended periods of upper limb movements (arms, hands, and
wrists). Good vision; good hearing; and clear speech required. Capable of lifting 20-50 pounds of weight on an
occasional basis.
1. Strength Requirements: Medium to heavy work – lifting 20 to 50 pound boxes of patient charts, medical
supplies, and positioning patients on tables, especially x-ray tables.
a. Required body positioning(s): standing and walking on carpeted and tile floor. Must be able to stand at the xray machine and position a patient on the x-ray table. Must be able to raise the arms to position the overhead
surgical light, and collimate the x-ray machine. Must be also able to work at the permanent counter-top work
b. Staff Agility: Must be able to lift objects from one level to another, and reach different types of office and
medical equipment; must be able to raise the arms above the head to position the overhead surgical light.
2. Climbing and/or Balancing: Must be able to maintain balance over carpeted and tiled surfaces; will occasionally
stand on step stool or ladder to obtain objects from cabinets or shelves
3. Stooping, Kneeling, Climbing, Crouching and Squatting: Stooping may be required to obtain supplies from low
cabinets; squats may be required to lift items from the floor area
4. Reaching, Handling, Fingering, and/or Feeling:
a. Must be able to reach above the head to position the overhead surgical light, collimate the x-ray machine, and
obtain supplies from overhead cabinets. Must be able to reach reaching horizontally, up and down to access
equipment. Must be able to use a typewriter, calculator, copy machine, and other office and/or medical
b. Must be able to work with papers at counter-top height. Hands and arms are extended while working at sign-in
desk or counter tops.
5. Talking, Hearing, and Seeing:
a. Talking – Must be able to speak plainly enough for listener to understand conversational tone from a 5 foot
distance when communicating with co-workers and patients.
b. Hearing – Must be able to hear conversational tone of voice at 5-foot distance in the clinic setting while any
equipment is in operation.
c. Seeing- Must be able to see patients coming in the door or leaving to assess needs, and read printed forms.
6. Working around Fumes/Odors/Chemicals: Job involves working around various chemicals, e.g. for x-ray,
autoclave, etc. Employees must be able to read and utilize the information on a Material Safety Data Sheet (MSDS)
to safely and correctly use these chemicals and use necessary personal protective equipment.
7. Personal Protective Equipment Used:
a. Gloves must be worn when coming in contact with blood or other body fluids. The use of impervious gowns
and face shields are encouraged but not mandatory
b. Red “bio-hazard” bags must be used for all trash containing 10 milliliters or more of blood or other body fluids
c. Sharps containers must be used for disposal of all sharp instrument, e.g., injection needles, blades, and suture
d. Film badges will be worn at the collar while performing x-rays; lead aprons and gloves will be worn when

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