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Prequalification Form

Medical Assistant:


  • Adheres to Plan of Care established by the physician.
  • Evaluates effects of treatment at various stages and adjusts treatments to achieve maximum benefit. Documents treatment, response, and progress in patient’s chart.
  • Establishes and maintains effective communication and good working relationship with co-workers for the patient’s benefit.
  • Interacts positively, friendly, and professionally with physicians, patients/family, office staff, hospital staff, and insurance companies,
  • Speaks clearly, concisely, and understandably in a group or one-on-one. Articulates thoughts well and has a good rapport with listeners.
  • Obtain pre-certification or pre-authorizations according to insurance plan and ordered procedure for new or established patients.
  • Listens well. Asks for clarification as needed. Demonstrates respect for others.
  • Utilizes initiative; strives to maintain steady level of productivity; self-motivated.
  • Respond to issues and make decisions in a timely manner.
  • Demonstrate ability and precise surgery scheduling
  • Minimum Requirements
Office Hours


8:00 A.M. TO 5:00 P.M.

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