Medical Secretary User Guide

Complete guide for medical secretaries managing patient registration, queue, and billing.

Last Updated: January 2025 Version 1.0

1. Getting Started

1.1 Your Role as Medical Secretary

As a Medical Secretary (also known as Medical Office Assistant), you are the backbone of clinic operations. Your role includes:

  • Managing the patient queue
  • Checking in patients
  • Recording vital signs
  • Handling appointment bookings
  • Processing billing and payments
  • Managing patient records

1.2 Logging In

  1. Open your web browser and navigate to your clinic URL
  2. Enter your credentials (Email and Password)
  3. Click Sign In

1.3 Navigation

Menu ItemDescription
DashboardQueue management and daily overview
AppointmentsView and manage all appointments
DoctorsView assigned doctors and their status
PatientsManage patient records
BillingCreate and manage invoices

2. Dashboard & Queue Management

The Dashboard is your primary workspace for managing daily clinic operations.

2.1 Queue Board Overview

The dashboard features a Kanban-style queue board with 5 columns representing the patient flow:

ColumnDescriptionActions Available
IncomingPending appointment requestsApprove, Reject, Reschedule
ScheduledConfirmed appointmentsCheck-in, Reschedule, Cancel
Waiting RoomChecked-in patientsRecord Vitals, Start Consultation
In ConsultationCurrently with doctorView Status
For BillingConsultation completedCreate Invoice

2.2 Checking In Patients

When a patient arrives at the clinic:

  1. Find their appointment in the Scheduled column
  2. Click Check-in
  3. Patient moves to Waiting Room
  4. Optionally record vital signs

2.3 Recording Vital Signs

Vital SignUnitHow to Measure
Blood PressuremmHgUse BP monitor (e.g., 120/80)
Pulse RatebpmCount beats for 1 minute
Temperature°CUse thermometer
WeightkgUse weighing scale

2.4 Drag-and-Drop

You can drag appointment cards between columns to change status:

  • Drag from ScheduledWaiting Room = Check-in
  • Drag from Waiting RoomScheduled = Revert check-in

2.5 Updating Doctor Status

Help patients know doctor availability:

  • Active (green) - Available for consultations
  • On Break (yellow) - Temporarily unavailable
  • Out of Office (red) - Not available today

3. Appointments Management

3.1 Creating Walk-In Appointments

For patients who arrive without prior booking:

  1. Click + Walk-In button
  2. Search for existing patient or create new
  3. Select the doctor
  4. Choose appointment reason
  5. Click Create Walk-In

3.2 Booking Scheduled Appointments

  1. Click + Book Appointment
  2. Search and select patient
  3. Choose doctor
  4. Select date from calendar
  5. Pick available time slot
  6. Add appointment reason
  7. Click Book

3.3 Rescheduling & Cancelling

To reschedule: Find appointment → Click Reschedule → Select new date/time → Confirm

To cancel: Find appointment → Click Cancel → Select reason → Confirm

4. Patient Management

4.1 Creating a New Patient

  1. Click + New Patient
  2. Fill in required information:
FieldDescriptionRequired
First NamePatient's first nameYes
Last NamePatient's last nameYes
Date of BirthBirthdayYes
GenderMale/FemaleYes
PhoneContact numberYes
EmailEmail addressNo
Emergency ContactName and phoneRecommended
  1. Add HMO information if applicable
  2. Click Save
Duplicate Detection: The system automatically checks for existing patients with the same name, birthdate, and gender to prevent duplicate records.

4.2 Viewing Patient History

  1. Click on patient name
  2. View consultation history: Past visits with dates, Diagnoses, Prescriptions given, Documents uploaded

4.3 Archiving Patients

For inactive patients: Find patient → Click Archive → Confirm

To restore: Go to Archived filter → Find patient → Click Unarchive

5. Doctor Management

5.1 Viewing Assigned Doctors

Navigate to Doctors to see doctors you work with:

  • Doctor name and photo
  • Specialty
  • Current status (Active, On Break, Out of Office)
  • Today's appointment count

5.2 Doctor Status Management

  1. Click on doctor card
  2. Update status: Active, On Break, or Out of Office

5.3 Checking Slot Availability

  1. Select doctor
  2. Choose date
  3. System shows available time slots
  4. Grayed slots are unavailable

6. Billing & Invoices

6.1 Creating an Invoice

After consultation is complete:

  1. Find patient in For Billing column or go to Billing
  2. Click Create Invoice
  3. Step 1 - Select Services: Choose consultation fee, Add procedures/tests, Add custom items
  4. Step 2 - Review: Verify line items, Check total, Apply discounts
  5. Click Create Invoice

6.2 Common Billing Items

ItemDescription
Initial ConsultationFirst-time patient visit
Follow-up ConsultationReturn visit
Procedure FeeMedical procedures
LaboratoryLab test charges
Medical CertificateDocument fees

6.3 Recording Payments

  1. Find the invoice
  2. Click Record Payment
  3. Enter: Amount, Payment Method (Cash, Card, GCash, etc.), Reference Number
  4. Click Confirm Payment

6.4 Payment Methods

MethodNotes
CashCount carefully, give receipt
Credit/Debit CardRecord reference number
GCash/MayaScreenshot confirmation
Bank TransferRecord reference number
HMOVerify coverage first

6.5 Cancelling & Refunds

To cancel: Find invoice → Click Cancel → Enter reason → Confirm

To refund: Find paid invoice → Click Refund → Enter amount and reason → Process

7. Document Management

7.1 Uploading Patient Documents

  1. Go to patient record
  2. Click Documents tab
  3. Click + Upload
  4. Select document type:
TypeExamples
Medical ReportPrevious medical records
PrescriptionOld prescriptions
Lab ResultBlood tests, urinalysis
ImagingX-ray, ultrasound, MRI
Vaccination CardImmunization records
IDValid identification
InsuranceHMO cards
  1. Select file from computer
  2. Click Upload

8-9. Profile & Troubleshooting

8.1 Profile Settings

Click your name in sidebar to view profile. You can change email and password.

9.1 Common Issues

  • Cannot Check-In Patient - Appointment not approved. Approve from Incoming column first.
  • Cannot Start Consultation - Patient not checked in. Check-in patient first.
  • Invoice Creation Failed - Consultation not completed. Wait for doctor to end consultation.
  • Cannot Find Patient - Check archived list or search by phone number.

9.2 Best Practices

  1. Check-in patients promptly when they arrive
  2. Record vitals before consultation starts
  3. Verify HMO before the appointment
  4. Create invoices immediately after consultation
  5. Update doctor status when they take breaks

9.3 Getting Help

  1. Contact Clinic Admin - For access and permission issues
  2. Email Support: support@ritecaredr.com

Appendix: Status Color Codes

ColorAppointment Status
BlueScheduled
YellowWaiting Room
GreenIn Consultation
GrayCompleted
RedCancelled
OrangeNo-Show