Administrative Medical Assistant KRA/KPI

Key Responsibility Areas (KRA) & Key Performance Indicators (KPI) for Administrative Medical Assistant

1. Appointment Scheduling and Coordination

KRA: Ensuring efficient scheduling and coordination of patient appointments to optimize clinic workflow.

Short Description: Manage and organize patient appointments effectively.

• Number of appointments scheduled per day
• Percentage of appointments rescheduled
• Average wait time for patients
• Accuracy of appointment details

2. Patient Record Management

KRA: Maintaining accurate and updated patient records for easy accessibility and compliance.

Short Description: Ensure completeness and accuracy of patient records.

• Percentage of records updated weekly
• Compliance with data protection regulations
• Number of errors in patient records
• Time taken to retrieve patient information

3. Insurance Verification and Billing

KRA: Verifying insurance coverage and processing accurate billing for patient services.

Short Description: Handle insurance verifications and billing procedures.

• Percentage of claims successfully processed
• Rate of denied insurance claims
• Timeliness of billing submissions
• Collection rate for outstanding payments

4. Inventory Management

KRA: Monitoring and maintaining adequate medical supplies inventory levels for seamless clinic operations.

Short Description: Manage inventory to support clinic needs.

• Inventory turnover rate
• Accuracy of inventory counts
• Stockout incidents per month
• Cost-saving initiatives in inventory management

5. Front Desk Operations

KRA: Overseeing front desk operations to provide excellent customer service and patient assistance.

Short Description: Ensure smooth functioning of the front desk area.

• Customer satisfaction ratings
• Response time to patient inquiries
• Number of complaints received
• Front desk staff performance evaluations

6. Compliance with Regulations

KRA: Ensuring adherence to healthcare regulations and maintaining confidentiality of patient information.

Short Description: Uphold legal and ethical standards in healthcare practices.

• Compliance audit results
• Training completion rates on regulations
• Incidents of data breaches
• Feedback from compliance officers

7. Medical Coding and Documentation

KRA: Accurately assigning medical codes and documenting patient encounters for billing and clinical purposes.

Short Description: Code and document medical procedures correctly.

• Coding accuracy rate
• Documentation completeness score
• Number of coding errors detected
• Documentation turnaround time

8. Patient Check-In and Check-Out

KRA: Facilitating smooth patient check-in and check-out processes for a positive patient experience.

Short Description: Manage patient arrival and departure efficiently.

• Check-in wait time average
• Check-out accuracy rate
• Number of missed appointments
• Check-in/check-out staff performance metrics

9. Communication and Interpersonal Skills

KRA: Demonstrating effective communication and interpersonal skills in interactions with patients and colleagues.

Short Description: Foster positive relationships through communication.

• Patient feedback on communication
• Interdepartmental communication effectiveness
• Conflict resolution instances handled
• Continuing education in communication skills

10. Quality Assurance and Improvement

KRA: Participating in quality assurance initiatives and contributing to continuous improvement in healthcare services.

Short Description: Enhance quality of care through improvement efforts.

• Quality improvement project participation
• Outcome measures for quality of care
• Patient satisfaction with services provided
• Feedback from quality improvement committees