Clear and Legible Clerk (CLR) Healthcare Administration

Federal Staffing Resources

Job Location:

Sumter, SC - USA

Monthly Salary: Not Disclosed

Posted on: 6 days ago

Vacancies: 1 Vacancy

Job Summary

Clear and Legible Clerk (CLR) - Healthcare Administration job in Sumter South Carolina.

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

Benefits:

Health and Welfare Fringe Benefits
Paid Time Off
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

Clear and Legible Clerk (CLR) - Healthcare Administration Overview:

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.

Clear and Legible Clerk (CLR) - Healthcare Administration Job Qualifications:

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!

Federal Staffing Resources (FSR) is an Equal Opportunity Employer. We make employment decisions based on qualifications merit and business needs and do not discriminate based on race color religion sex sexual orientation gender identity national origin age disability veteran status or any other protected status under federal state or local law.

FSR is committed to providing reasonable accommodations for qualified individuals with disabilities and sincerely held religious beliefs. We proudly encourage Veterans and individuals from all backgrounds to apply.

Clear and Legible Clerk (CLR) - Healthcare Administration job in Sumter South Carolina.Veterans and Military Spouses Encouraged to ApplyCivilian position on Shaw Air Force BaseMonday-Friday daysBenefits:Health and Welfare Fringe BenefitsPaid Time Off Company-funded match and safe harbor 401(k)Medica...

Clear and Legible Clerk (CLR) - Healthcare Administration job in Sumter South Carolina.

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

Benefits:

Health and Welfare Fringe Benefits
Paid Time Off
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

Clear and Legible Clerk (CLR) - Healthcare Administration Overview:

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.

Clear and Legible Clerk (CLR) - Healthcare Administration Job Qualifications:

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