Clear and Legible Clerk (CLR) - Healthcare Administration

• Veterans and Military Spouses Encouraged to Apply
• Civilian position on MacDill 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

Epic Government