Clear and Legible Clerk; CLR - Healthcare Administration

Federal Staffing Resources, LLC dba FSR is an Equal Opportunity

Employer:

disability/veteran/military spouse. These contractors and subcontractors shall abide by the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a). These regulations prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on race, color, religion, sex, sexual orientation, gender identity or national origin. Moreover, these regulations require that covered prime contractors and subcontractors take affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disability.

• Veterans and Military Spouses Encouraged to Apply
• Civilian position on Shaw Air Force Base
• Monday-Friday days

• Health and Welfare Fringe Benefits
• Paid Time Off
• Paid Holidays
• Paid Sick Time
• Company-funded match and safe harbor 401(k)
• Medical, Dental and vision plans available
• Life insurance and accidental death plans available
• Short-term and long-term disability plans available
• TRICARE Supplemental available
• Supplemental Benefit plans available
• Employee Assistance Program
• Pet Insurance Plans available
• Will Preparation Services available

• Support the daily functions of specialty care referrals, reviews and coordination, beneficiary counseling, and referral tracking
• Initiate, follow, manage, and close all referrals within timeliness standards
• Provide patient education including, but not limited to, specialty care referral, procedures, and labs to prepare the patient for their specialty care appointment and/or procedure.
• Review initial specialty care and deferred-to network primary care referrals for administrative completeness
• Verify patients are registered update demographic and other pertinent information through the appropriate medical systems and software programs.
• Determine patient eligibility for services and schedule specialty referral appointments to MTF or Other Direct Care System
• Document patient appointments
• Process ROFRs within the time limits outlined
• Coordinate with specialty referral clinics
• Provide pre-appointment instructions to patients, if possible, prior to leaving the MTF.
• Print diagnostic reports and treatment profiles as required for patients to hand carry to a network/non-network initial specialty care appointment.
• Submit referrals to the appropriate reviewer when required for medical necessity and appropriateness review.
• Generate and forward referral-related patient telephone consults requiring clinical decision-making to the appropriate provider/team.
• Track and obtain initial specialty care and deferred to Network primary care referrals
• Import/scan CLRs into the correct patients' medical record
• Prepare referral management data reports/metrics, using referral tracking data tools.
• Accurately advise all patients of their referral eligibility, beneficiary status, and health treatment options as outlined by their TRICARE enrollment and/or DEERS status.
• Direct patient to patient travel coordinator and provide information on travel related benefits.
• Provide medical ethics, telephone etiquette, office, administrative, and clerical skills to perform receptionist duties.
• Provide positive, courteous and professional customer service support to patients and MTF staff.
• Initiate, receive, and coordinate (telephone/computer/written) communication between beneficiaries, team members, internal staff and providers, network/outside providers and ancillary health care workers regarding specialty clinic appointments and referrals.

• 2 years within the past 3 years healthcare administrative experience in either an inpatient or outpatient care setting, highly preferred
• ICD-9 coding, highly preferred
• TRICARE benefits knowledge, highly preferred
• Excellent customer service skills and experience
• HIPAA - working knowledge
• Basic Life Support (BLS)
• High school diploma or GED equivalency
• General office administrative and clerical skills to perform receptionist duties and answer telephones.
• Excellent communications skills and strong organizational skills
• Computer operations, including operational skills with Microsoft applications (Windows, Word, Excel)
• Personnel shall understand the importance of meeting deadlines
• General medical ethics, telephone etiquette, written/verbal/electronic communication, and excellent customer service skills

Come join our team of healthcare professionals!