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
