Medical Services Coordinators; Healthcare Administration Job Ramstein-Miesenbach Rheinland-Pfalz Germany,Healthcare

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Medical Services Coordinators
Place of Performance: Ramstein Air Base, Germany

We will discuss with you the job, salary and others upon interview.

Specific Tasks:

Review referrals for suitability, administrative, and clinical completeness, covered TRICARE benefit, and required tests and pre-work. Coordinate with referring provider in cases where additional referral information is required.
Verify patients are registered in MHS GENESIS, EWRAS, and DEERS; updates demographic information as needed.
Assist with RFR determinations for specialty care that can be provided within the MTF using the Capacity and Capability Reports and information systems that link the referral to the appointment to the ATC category and standard.
Schedule specialty referral appointments to MTF or Direct Care System ATC standards 90 percent of the time.
Coordinate with specialty referral clinics (internal or external) on special patient instructions and tests required prior to appointment.
Advise patients of the provider, location, time, and day of referral appointments or requests the patient to call back for appointment information if an appointment was not provided prior to leaving MTF.
Assist team members in providing pre-appointment instructions to patients as indicated.
Locate referral requests and ensure appropriate documents are available prior to all specialty appointments.
Print diagnostic reports and treatment profiles as necessary.
Ensure patients leave MTF with all necessary documentation appropriate for the referred care episode and the referral provider knows where to return his/her results.
Contact referring providers in the event referral requests are invalid or disapproved by second level review.
Submit referrals when required for medical necessity and appropriateness review.
Receive and appropriately forward clinical phone consult requests from patients.
Advise all categories of patients of what their referral and health treatment options are as related to their eligibility and beneficiary status.
Track referrals to include obtaining reports from MTF, Direct Care System, and network and non-network providers within established standards. The primary responsibility to obtain Network/Non-Network results and return them to the referring provider resides with the MCSC.
Track patient appointments, either in the MTF, another MTF, in the Network or with a non-network provider.
Follow-up with MTF providers who did not review referral results within required timelines.
Ensure that results from other MTFs and from Network/non-network providers are returned to the referring provider and to the medical record within required timelines and follow up as necessary. (Process to obtain Network/non-network reports and return them to the referring providers will be outlined in the Memorandum of Understanding (MOU) between the MCSC and the MTF. The primary responsibility to obtain Network/Non-Network results resides with the MCSC).
Assist in preparation of monthly reports.
Greet patients, screen, and appropriately route phone calls.
Provide requesting provider with administrative assistance.
Serves as the “central clearing house” for providers and patients needing help with referrals.
Provide administrative support to the Medical Evaluation Board (MEB) program.
Provide administrative support to the Service Treatment Record (STR) program.

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