The posting
General Summary: The Medical Support Specialist supports both primary care and behavioral health providers in delivering coordinated, whole-person care in accordance with State & Federal regulations and requirements. This role functions similarly to a Medical Assistant, with the exception that the Medical Support Specialist does not perform blood draws or administer injections. The Medical Support Specialist ensures member readiness for appointments, supports full and efficient provider schedules, completes key clinical administrative tasks (referrals, prior authorizations, medication refill requests), and helps maintain office compliance with applicable licensing and regulatory requirements. The Medical Support Specialist plays a critical role in supporting integrated care delivery, identifying care gaps, assisting with quality measures, and ensuring compliance with scope of practice requirements and organizational standards. Overview of Primary Responsibilities: Member support and rooming Greets members and prepares them for appointments in a timely, professional manner Obtains and documents vitals prior to each appointment, including blood pressure, pulse, temperature, height, weight, BMI, oxygen saturation, and other measures as applicable Updates and verifies demographic information, preferred pharmacy, and other key member details as needed Assists with member flow to reduce wait times and support on time provider schedules Scheduling and access management Completes appointment reminder calls, texts, and outreach according to clinic standards Works outreach lists to reduce no shows and close gaps in the provider schedule Supports schedule optimization to keep provider calendars full and balanced, including same day fill opportunities when available Coordinates re-schedules and follow-up appointments as directed by providers and clinic leadership Identifies urgent concerns and immediately escalates to the provider or clinical lead per protocol Medication and prior authorization coordination Receives, tracks, and submits medication refill requests to RN or licensed provider per clinic workflow Collects required information for prior authorization requests and submits requests within required timeframes Communicates prior authorization status to members, pharmacies, and providers as appropriate Maintains accurate tracking logs to ensure timely completion and follow up Referrals, lab coordination, and care coordination tasks Sends and tracks referrals for labs, imaging, and specialty providers per provider orders Coordinates lab orders and results routing per established process, including ensuring results are received and appropriately forwarded to the provider for review Communicates scheduling instructions and next steps to members, including preparation instructions when provided by the lab or specialist Supports continuity of care by coordinating information exchange with external providers as required Documentation and administrative support Enters and updates information in the EHR accurately and promptly, following documentation standards Maintains organized records, authorizations, referral documentation, and correspondence per policy Supports supply checks and basic clinic readiness tasks to ensure exam rooms and work areas are stocked and functional Participates in team huddles and communicates barriers, trends, and operational needs to leadership Compliance and quality Supports office compliance with licensing regulations, clinic policies, and safety standards Maintains confidentiality and complies with HIPAA and organizational privacy standards Follows infection control and environmental safety practices, including cleaning and room turnover processes as assigned Reports incidents, safety concerns, and compliance risks to the supervisor promptly Scope and Limitations This position does not perform blood draws, EKGs, or administer injections. This position works under the direction of licensed clinical staff and within organizational policies and applicable regulations. QUALIFICATIONS: Minimum Education Required: High School Diploma or Equivalent Minimum Experience Required: 2 years in a healthcare setting. Certification Requirement: BH Level: BHPP Preferred Education: Preferred Certification: CCMA and Phlebotomy Certification Regulatory- Minimum 18 years of age. Valid AZ DPS Level I fingerprint clearance card (must maintain valid card throughout employment) CPR, First Aid, AED certification, if required (must maintain throughout employment). Initial current negative TB test result, if required (Employer provides). Must pass a pre-employment drug screen and may be subject to random, post-injury, reasonable suspicion and/or annual drug screens as requested by leadership or required by program regulations. Questions about this position? Contact us at [email protected].
