Medical Assistant
When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.
Regular
Scheduled Hours : Work Shift :
Work Shift :
Day (United States of America)The Medical Assistant provides high quality, direct patient care in a team-based model to our BIDHC patients and supports smooth and efficient administrative and clinical practice operations.
The Medical Assistant has the ability to work with people from different backgrounds and respects the beliefs of all patients and team members.
Reports to the Practice Manager.
1.High School diploma or GED required. Bachelor's degree in Health Science preferred.
2.License Medical Assistant Certificate preferred., or Registration Certified Nursing Assistant preferred., or Certificate 1 EMT Basic License preferred.
or Certificate 2 Phlebotomy Certificate preferred.
3.0-1 years related work experience required.
4.Demonstrated Medical Assistant (MA) competencies within one year of hire.
Job Description :
Location : BILH Chelsea Primary Care Practice
The Practice Assistant (or Medical Assistant) role is now eligible for a $1,500 sign on bonus. Important Details : Bonuses are paid out in $500 increments at 30 days, 6 months and at the 1 year anniversary.
To be eligible, you must be a non-BILH employee or a previous eligible employee who returns to BILH after 1 year. Employee must be in good standing to receive the bonus at the time of payment.
All bonuses are subject to applicable taxes. This program is subject to change at any point.
Job Summary : Reports to : Practice Manager or Ambulatory Practice Coordinator with input from assigned physician(s), nurses or other health care providers.
Responsible for delivering the highest quality service to patients while contributing to the smooth functioning of practice operations.
Department Specific Job Responsibilities :
Answers and processes telephone calls in a polite and courteous manner. Provides accurate information, directions and / or guidance and follows up promptly to ensure that needs have been met.
Process and prepare prior authorizations, including prescriptions, imaging and procedures.
Process and prepare prescription refills (requests via fax, patients portal, escribe).
Review, respond to and appropriately message and follow up on patient portal messages.
Perform Practice Assistant duties : Greet patients, perform check in, registration, scheduling, verification of demographic information and fiscal data.
Collects co-payments, schedules, reschedules and cancels appointments making every effort to accommodate patient and provider needs.
Obtains and enters referrals. Prepare and maintain medical records.
Support practice in an administrative clinical capacity by working with Nurse and Medical Assistant team to streamline workflows.
Essential Responsibilities :
Serves as a communication resource. Asks appropriate questions and solves problems. Takes complete and accurate information from patients in person and by phone, prioritizing and communicating the information to providers appropriately.
Responds quickly and courteously to phone calls and requests. Seeks assistance from supervisor and others appropriately.
Greets patients and escorts to exam rooms. Ensures availability of x-rays, lab slips, medical records and other pertinent info.
Obtains vitals, weight, blood pressure, pulse and temperature, performs EKGs, injections and / or phlebotomy, and assists providers.
Performs departmental screening, lab tests and specimen collection. Implements quality control standards.
Provides patients with relevant instructions for specific tests and procedures. Performs or assists with routine procedures under proper supervision as directed by physician, Nurse Practitioner.
Schedules follow-up tests and appointments. Arranges patient transport as needed. Sorts / distributes lab results daily to appropriate physician or nurse practitioner.
Maintains patient confidentiality.
Assists with procuring medical records. Ensures patient records and relevant documents filed in the record have appropriate patient identification.
Adds new medications to patient record in EMR system. Assemble records according to BIDHC / APG policy and as standards are defined by the Joint Commission of Accreditation of Health Care Organizations (JCAHO).
Ensures that equipment and supplies necessary to carry out patient care activities are available and usable and the environment is clean and organized.
Maintains an unobstructed area for patient access. Cleans rooms after patient usage and ensures appropriate disposal of contaminated materials.
Tracks, orders and maintains supplies and equipment, restocks supplies.
Participates in practice improvement initiatives.
Attend and successfully complete annual APG Medical Assistant Competency Training.
Medical Assistants will ensure that PHI (Patient Health Information) will only be used for the purposes of patient TPO (treatment, payment and operations).
APG patient personal health information is only shared with individuals who are actively managing the patient's care. NO other parties are entitled to receive, discuss a patient's personal health information without the patient's permission.
The Medical Assistant will ensure patient safety practices to prevent / eliminate risk of patient harm. Adverse patient events and near misses will be promptly reported to the APG Risk Management Dept.
Required Qualifications :
High School diploma or GED required.
Certificate 1 Medical Assistant Certificate required.
0-1 years related work experience required.
Graduation from an accredited Medical Assistant program.
Experience with computer systems required, including web based applications and some Microsoft Office applications which may include Outlook, Word, Excel, PowerPoint or Access.
Preferred Qualifications :
Certified Medical Asst.
Competencies :
Decision Making : Ability to make decisions that are based on specific instructions, standard practices and established procedures which generally require little or no supervision.
Problem Solving : Ability to address problems that are routine, somewhat repetitive and generally solved by following clear directions and procedures and by identifying opportunities for process improvements.
Independence of Action : Ability to follow general instructions and procedures as provided. Work is monitored by supervisor / manager.
Written Communications : Ability to communicate clearly and effectively in written English with internal and external customers.
Oral Communications : Ability to comprehend and converse in English to communicate effectively with medical center staff, patients, families and external customers.
Knowledge : Ability to demonstrate full working knowledge of standard concepts, practices, procedures and policies with the ability to use them in varied situations.
Team Work : Ability to work collaboratively in small teams to improve the operations of immediate work group by offering ideas, identifying issues, and respecting team members.
Customer Service : Ability to provide a high level of customer service to patients, visitors, staff and external customers in a professional, service-oriented, respectful manner using skills in active listening and problem solving.
Ability to remain calm in stressful situations.
Age based Competencies :
Employees in this job must be competent to provide patient care to the following age groups : Neonatal : Birth to 6 months, Youth : 6 months to 16 years, Young adult : 16-30 years, Middle Age : 30 - 60 years, Elderly : 60 -.
Physical Nature of the Job :
Medium work : Exerting up to 50 pounds of force occasionally and or up to 20 pounds of force frequently. Job is physical in nature and employee needs to stand and / or move around through the majority of their shift.
FLSA Status : Non-Exempt
Non-Exempt
As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities.
Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) and COVID-19 as a condition of employment.
about this requirement.
More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives.
Your skill and compassion can make us even stronger.
Equal Opportunity Employer / Veterans / Disabled
Related Jobs
Medical Assistant
When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.
Regular
Scheduled Hours : Work Shift :
Work Shift :
Day (United States of America)The Medical Assistant provides high quality, direct patient care in a team-based model to our BIDHC patients and supports smooth and efficient administrative and clinical practice operations.
The Medical Assistant has the ability to work with people from different backgrounds and respects the beliefs of all patients and team members.
Reports to the Practice Manager.
1.High School diploma or GED required. Bachelor's degree in Health Science preferred.
2.License Medical Assistant Certificate preferred., or Registration Certified Nursing Assistant preferred., or Certificate 1 EMT Basic License preferred.
or Certificate 2 Phlebotomy Certificate preferred.
3.0-1 years related work experience required.
4.Demonstrated Medical Assistant (MA) competencies within one year of hire.
Job Description :
Location : BILH Chelsea Primary Care Practice
The Practice Assistant (or Medical Assistant) role is now eligible for a $1,500 sign on bonus. Important Details : Bonuses are paid out in $500 increments at 30 days, 6 months and at the 1 year anniversary.
To be eligible, you must be a non-BILH employee or a previous eligible employee who returns to BILH after 1 year. Employee must be in good standing to receive the bonus at the time of payment.
All bonuses are subject to applicable taxes. This program is subject to change at any point.
Job Summary : Reports to : Practice Manager or Ambulatory Practice Coordinator with input from assigned physician(s), nurses or other health care providers.
Responsible for delivering the highest quality service to patients while contributing to the smooth functioning of practice operations.
Department Specific Job Responsibilities :
Answers and processes telephone calls in a polite and courteous manner. Provides accurate information, directions and / or guidance and follows up promptly to ensure that needs have been met.
Process and prepare prior authorizations, including prescriptions, imaging and procedures.
Process and prepare prescription refills (requests via fax, patients portal, escribe).
Review, respond to and appropriately message and follow up on patient portal messages.
Perform Practice Assistant duties : Greet patients, perform check in, registration, scheduling, verification of demographic information and fiscal data.
Collects co-payments, schedules, reschedules and cancels appointments making every effort to accommodate patient and provider needs.
Obtains and enters referrals. Prepare and maintain medical records.
Support practice in an administrative clinical capacity by working with Nurse and Medical Assistant team to streamline workflows.
Essential Responsibilities :
Serves as a communication resource. Asks appropriate questions and solves problems. Takes complete and accurate information from patients in person and by phone, prioritizing and communicating the information to providers appropriately.
Responds quickly and courteously to phone calls and requests. Seeks assistance from supervisor and others appropriately.
Greets patients and escorts to exam rooms. Ensures availability of x-rays, lab slips, medical records and other pertinent info.
Obtains vitals, weight, blood pressure, pulse and temperature, performs EKGs, injections and / or phlebotomy, and assists providers.
Performs departmental screening, lab tests and specimen collection. Implements quality control standards.
Provides patients with relevant instructions for specific tests and procedures. Performs or assists with routine procedures under proper supervision as directed by physician, Nurse Practitioner.
Schedules follow-up tests and appointments. Arranges patient transport as needed. Sorts / distributes lab results daily to appropriate physician or nurse practitioner.
Maintains patient confidentiality.
Assists with procuring medical records. Ensures patient records and relevant documents filed in the record have appropriate patient identification.
Adds new medications to patient record in EMR system. Assemble records according to BIDHC / APG policy and as standards are defined by the Joint Commission of Accreditation of Health Care Organizations (JCAHO).
Ensures that equipment and supplies necessary to carry out patient care activities are available and usable and the environment is clean and organized.
Maintains an unobstructed area for patient access. Cleans rooms after patient usage and ensures appropriate disposal of contaminated materials.
Tracks, orders and maintains supplies and equipment, restocks supplies.
Participates in practice improvement initiatives.
Attend and successfully complete annual APG Medical Assistant Competency Training.
Medical Assistants will ensure that PHI (Patient Health Information) will only be used for the purposes of patient TPO (treatment, payment and operations).
APG patient personal health information is only shared with individuals who are actively managing the patient's care. NO other parties are entitled to receive, discuss a patient's personal health information without the patient's permission.
The Medical Assistant will ensure patient safety practices to prevent / eliminate risk of patient harm. Adverse patient events and near misses will be promptly reported to the APG Risk Management Dept.
Required Qualifications :
High School diploma or GED required.
Certificate 1 Medical Assistant Certificate required.
0-1 years related work experience required.
Graduation from an accredited Medical Assistant program.
Experience with computer systems required, including web based applications and some Microsoft Office applications which may include Outlook, Word, Excel, PowerPoint or Access.
Preferred Qualifications :
Certified Medical Asst.
Competencies :
Decision Making : Ability to make decisions that are based on specific instructions, standard practices and established procedures which generally require little or no supervision.
Problem Solving : Ability to address problems that are routine, somewhat repetitive and generally solved by following clear directions and procedures and by identifying opportunities for process improvements.
Independence of Action : Ability to follow general instructions and procedures as provided. Work is monitored by supervisor / manager.
Written Communications : Ability to communicate clearly and effectively in written English with internal and external customers.
Oral Communications : Ability to comprehend and converse in English to communicate effectively with medical center staff, patients, families and external customers.
Knowledge : Ability to demonstrate full working knowledge of standard concepts, practices, procedures and policies with the ability to use them in varied situations.
Team Work : Ability to work collaboratively in small teams to improve the operations of immediate work group by offering ideas, identifying issues, and respecting team members.
Customer Service : Ability to provide a high level of customer service to patients, visitors, staff and external customers in a professional, service-oriented, respectful manner using skills in active listening and problem solving.
Ability to remain calm in stressful situations.
Age based Competencies :
Employees in this job must be competent to provide patient care to the following age groups : Neonatal : Birth to 6 months, Youth : 6 months to 16 years, Young adult : 16-30 years, Middle Age : 30 - 60 years, Elderly : 60 -.
Physical Nature of the Job :
Medium work : Exerting up to 50 pounds of force occasionally and or up to 20 pounds of force frequently. Job is physical in nature and employee needs to stand and / or move around through the majority of their shift.
FLSA Status : Non-Exempt
Non-Exempt
As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities.
Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) and COVID-19 as a condition of employment.
about this requirement.
More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives.
Your skill and compassion can make us even stronger.
Equal Opportunity Employer / Veterans / Disabled
MEDICAL ASSISTANT
When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.
Job Type : Regular
Regular
Scheduled Hours : Work Shift :
Work Shift :
Day (United States of America)
Beth Israel Deaconess Milton is committed to improving the health of our community by providing exceptional, personalized health care with dignity, compassion and respect for all.
Beth Israel Milton is currently seeking a full-time Medical Assistant in our Bariatrics Department.
SIGN-ON BONUS $1,000
POSITION FUNCTION : Perform a wide variety of medical assisting activities during patient visits in an outpatient setting.
Position involves extensive interaction with diverse populations including patients, medical staff practitioners and other personnel.
Reports to the Director or their designee with competency assessment input from assigned physicians and physician extenders.
Performs a wide variety of patient care activities during patient visits and / or procedures. May include, but not limited to;
taking / recording vital signs, height and weight, EKGs, phlebotomy, suture removal and assisting during procedures.
Opens and closes assigned exam rooms / corridors daily. Ensure that equipment and supplies necessary to carry out patient care activities are available and usable and the environment is clean, organized, and stocked appropriately.
Monitor patients entering, waiting or leaving the exam area. Facilitates timely flow referring issues to the designated patient flow coordinator.
Assist patients who have physical and psychological limitations with ambulation and patient care functions to ensure their comfort and dignity during the exam.
May include transferring a patient from a wheelchair to exam table, undressing and dressing patients and ensuring patient is safe until provider arrives.
Communicates with and assists patients, other employees and the general public in a courteous, helpful manner by phone and in person in compliance with the center’s G.R.E.A.T. service standards.
Takes complete, accurate information from patients, prioritizing and communicating to clinical staff appropriately. Distribute questionnaires and forms to patient at the beginning of visit.
Enter orders and information relating to the patient visit in the electronic medical record as assigned.
Escort patients to ancillary service areas such as radiology and lab as needed. Perform other support activities as requested by managers or clinical providers in order to provide for patient needs in an optimal way.
Registers patients, verifying demographics and insurance, in required EMRs as assigned to provide front desk coverage.
Collect patient record upon completion of visit. Schedules next Center appointment in related EMRs. May schedule related diagnostic and / or lab tests making every reasonable effort to accommodate patient and provider needs.
Obtains required insurance prior authorization for testing.
Track, order, and maintain supplies and equipment which may include monitoring code cart supplies. Ensure that supplies are within expiration dates.
Clean and disinfect medical equipment used for patient care between each patient use according to guidelines as required by the center.
Maintains patient confidentiality at all times, by phone, in discussion or by electronic distribution of information.
Attends internal or external educational or training sessions as assigned. May be assigned off-shifts, holidays, and weekends, and may work additional hours beyond schedule when needed to provide for patient services or in an emergency / disaster.
Employee maintains competencies (position specific and hospital-wide) required for the specific patient population served.
Perform all duties in accordance with safety and other laws, rules, and regulations as set forth by appropriate regulatory and governmental agencies and in accordance with established department and hospital policies and procedures.
May be required to perform similar or related duties reflective of the level of experience as may be necessary on an emergency, temporary or limited basis or as designated by the Director of the Center or their designee.
Min Education :
High school diploma or GED required. Completion of program as Certified Medical Assistant preferred. Associates degree preferred
Min Experience :
Minimum 2 years related work experience required and in an orthopedic outpatient setting preferred.
License / Certification : Current CPR certification
Skills :
Basic familiarity with computers. Navigate at a basic level within web-based applications. Decision Making : Ability to make decisions based on specific instructions, standard practices and established procedures which generally require little or no supervision.
Oral / written Communication : Ability to read and write in English in order to understand basic safety instructions and take direction from supervisors;
communicate effectively in basic English with patients, families and medical center staff in response to routine questions.
Team Work : Ability to interact respectfully with other employees, professional staff and / or external contacts to offer ideas, identify issues, obtain information or deliver services.
Customer Service : Ability to provide a high level of customer service to patients, visitors, staff, and external customers in a professional, service-oriented, respectful manner using skills in active.
BID Milton is offering a $1,000 signing bonus (in two payments over 6 months) to hired candidates for this position. Candidates will receive 500 on the pay period following date of hire and 500 once they reach six months of employment.
Important Details :
- Employees applying internally from within BID Milton or another BILH entity are not eligible for this signing bonus program.
- Re-hires may receive signing bonuses if they terminated their employment with BID Milton more than a year before new hire date.
This includes students, volunteers and interns who have worked (paid or unpaid) at BID Milton
- New employees must be in good standing at the bonus payout dates to receive payout.
- Candidates who are referred by a current employee will receive their bonus as part of the employee referral program. Candidates may not receive both a signing bonus and a referral bonus.
- Bonus eligible jobs are subject to change based on the hospital's hiring needs and will be determined by Human Resources on an ongoing basis.
HR reserves the right to change the bonus eligible jobs at any time. Additionally, all payouts are subject to standard state and federal tax withholdings and are processed through payroll.
Job Description : MEDICAL ASSISTANT
MEDICAL ASSISTANT
FLSA Status : Non-Exempt
Non-Exempt
As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities.
Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) and COVID-19 as a condition of employment.
Learn more about this requirement.
More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives.
Your skill and compassion can make us even stronger.
Equal Opportunity Employer / Veterans / Disabled
Medical Assistant
When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.
Job Type : Regular
Regular
Scheduled Hours : Work Shift :
Work Shift :
Day (United States of America)
BILH Primary Care is where you can truly make a difference. As the Medical Assistant, you are responsible for assisting in the delivery of high quality, safe clinical care, by being a member of a high performing clinical team.
The Medical Assistant on the BILH Primary Care team, will work to enhance patient satisfaction and provider efficiency through a collaborative approach to patient care.
Working with Healthcare Providers on their daily needs and schedules will assure patient care is delivered in a timely manner.
Taking patient vital signs as well as documenting medical history in our EMR system and providing patients and families medical information in order to achieve positive patient satisfaction are just some of the critical duties you will be performing.
Your skills will be valued here. Come join us!
Minimum Qualifications :
Education : High School Diploma or equivalent required, and :
1) Graduate of an Accredited Medical Assistant program
2.) Has obtained a Medical Assistant Certification (AAMA, CCMA, RMA, NCMA)
3.) 5 years experience working as a Medical Assistant
Licensure, Certification, Registration :
Achieves and maintains Basic Life Support (BLS) certification through American Heart Association, within 90 days of hire.
Skills, Knowledge & Abilities :
Strong interpersonal and customer service skills. Knowledge of medical terminology. Must possess strong problem solving abilities and analytical skills to ensure patient’s needs are met.
Must possess basic computer skills. Utilizes critical thinking and good judgement in performance of tasks. Must possess good organizational skills and the ability to multitask.
Job Description : FLSA Status :
FLSA Status : Non-Exempt
Non-Exempt
As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities.
Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) and COVID-19 as a condition of employment.
Learn more about this requirement.
More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives.
Your skill and compassion can make us even stronger.
Equal Opportunity Employer / Veterans / Disabled
Medical Assistant/Medical Sect
When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.
Job Type : Regular
Regular
Scheduled Hours : Work Shift :
Work Shift :
Day (United States of America)
A variety of medical secretarial functions are performed accurately, appropriately, and in a timely manner according to departmental standards, policies, and procedures.
Job Description :
Essential Duties & Responsibilities (including but not limited to) :
1. Types a variety of memos, manuscripts, correspondence, reports, minutes, schedules, and forms.
2. Maintains billing for surgical workload and outside vendors.
3. Answers telephone, screens calls, refers to the appropriate individual or takes messages.
4. Performs data entry from the transcription of surgical pathology and autopsy reports.
5. Maintains the inventory of office supplies.
6. Maintains records for the department according to all regulatory agencies and departmental policies and procedures.
7. Maintains records of journals and books contained in the Pathology Library.
8. Sends out surgical specimens for special testing, and records information.
9. Opens and distributes departmental mail daily.
10. Determines appropriate SNOMED and ICD9 codes for Pathology specimens.
11. Reports to Lead Pathology Secretary and Lab Administrator.
Minimum Qualifications :
1. Thorough knowledge of medical terminology required, excellent typing / computer skills, normally acquired through the completion of an Associate's degree in a medical secretary program or equivalent.
2. At least one year of medical secretarial experience and office experience are preferred.
3. Need excellent communication skills, including good auditory abilities.
Physical Requirements & Environment :
1. Generally works in an office environment with some limited exposure to odors, toxins, and other hazardous substances in the laboratory.
2. Works under constant time deadlines.
3. Performs data entry with repetitive hand movement and visual concentration at video display terminal to review and enter data.
4. Complies with precautions, as defined by Infection Control staff, in patients / materials requiring isolation.
FLSA Status : Non-Exempt
Non-Exempt
As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities.
Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) and COVID-19 as a condition of employment.
Learn more about this requirement.
More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives.
Your skill and compassion can make us even stronger.
Equal Opportunity Employer / Veterans / Disabled
Medical Assistant
Great Life work Balance position with excellent benefits! We are seeking a Medical Assistant who is passionate about providing quality care to the geriatric population.
Under the direction of a nurse, assists with assessments, treatments and the overall care of the participants. Demonstrates proficiency in administering personal and professional healthcare services in a respectful manner, with the goal of assisting frail elders to remain living in the community for as long as they may do so safely.
This is a full-time position, Monday- Friday 8-4 position; no nights, weekends or holidays!
Location : Lynn, MA
Responsibilities :
- Assists the center doctors, nurse practitioners and nurses with minor office procedures.
- Renders participant care within the scope of their training.
- Performs phlebotomy procedures : finger stick blood sugars; PT / INR; etc.
- Performs EKG’s, urine dips, stools for occult blood.
- Assists with treatments, collection of specimens, oxygen use and vital sign monitoring, as directed by the primary nurse.
- Perform other duties as required.
Qualifications :
- High School diploma or equivalent.
- Current Medical Assistant Certificate in Massachusetts or at least two years’ experience as a phlebotomist.
- Minimum of 1 year experience with a geriatric population
- Ability to convey information clearly and succinctly with all employees, so that relevant information is communicated appropriately and in a timely manner.
- Ability to work independently and to be able to work well with others.
- Ability to work within a team concept and to be considerate of co-workers and colleagues.
- Ability to pay attention to detail, to be a self-starter, and to complete tasks on time.
- Ability to be able to quickly recognize situations / problems before they become acute, and to be able to implement effective solutions and understand consequences.
Proof of Covid vaccines required.
Benefits :
- Health insurance
- Dental insurance
- Vision insurance
- Paid time off
- Retirement plan
- Supplemental benefits
EEO Statement
Element Care is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, sex, color, religion, national origin, sexual orientation, protected veteran status, or on the basis of disability.
Element Care is committed to valuing diversity and contributing to an inclusive working environment.
PI223681278