Referral Management Clerk

3 months ago

Fife, United States Epic Government Full time
Job DescriptionJob Description

Referral Management Clerk job in Tacoma, Washington.

  • Veterans and Military Spouses Encouraged to Apply
  • Civilian position on-site at the Puget Sound Military Appointing Center
  • Monday through Friday days

Benefits/Compensation:

  • $18.50 - 20.00 per hour
  • Health and Welfare Fringe Benefits: $4.57 per hour
  • Paid Time Off - 10 8-hour days
  • Paid Holidays - 11 days
  • Paid Sick Time - 2.154 hours for every 80 hours worked accrual rate
  • 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
Referral Management Clerk Job Overview
  • The Puget Sound Military Appointing Center (PSMAC) is a centralized services center that serves as the primary point of contact for PSMHS beneficiaries for PAS, RMS, and CLRS as they seek healthcare services, and is therefore a critically important resource in our healthcare delivery system.
  • Call center that manages inbound and outbound calls from beneficiaries, validates beneficiary eligibility, schedules, cancels, and reschedules patient appointments in order to provide timely access to quality healthcare.
  • Provide outbound calls in order to schedule specialty appointments for beneficiaries who have received a direct care specialty referral.
  • RMS processing supports the timely scheduling of specialty care referrals ordered by MTF HCPs.
  • RMS services span a range of functions to include, but not limited to: identifications of specialty referrals to be deferred to the network, ensuring processing in accordance with DHA timeliness, and tracking status of network referrals.
  • Review of each MTF generated referral and determining a disposition as either "Appoint to MTF" or "Defer to Network (DTN)" based on specific MTF specialty clinic capabilities, capacities, and DHA access to care standards.
  • Maximizing the retention of specialty care within the MHS to support the readiness of the Medical Force, within capability and capacity parameters.
  • Additional contracted services include processing Secure Message Service (SMS) transmittal requests for appointments, drive-time mapping capabilities in support of specialty care appointing, as well as outbound letters to beneficiaries referred for MTF specialty care.

Duties

  • Disposition all routine referrals as either Appoint to MTF, Defer to Network, or route to MTF Referral Management Center (RMC) IAW standardized PSMHS business policy.
  • Document and report complaints received, errors found, and the specific corrective action taken by the contractor. Errors shall include those identified by patients/beneficiaries, clinic and/or MTF staff, and direct to the contractor.
  • Process incoming referrals (ROFR) from the MCSC network providers and MTFs according to eMSM, DHA requirements and standardized guidelines.
  • Record and track status and disposition on all Prime/Select/VA/ ROFRs, MTF, and network referrals and communications received, per DHA and PSMHS business rules.
  • Review all referrals and appoint to MTF referrals, or return to requester based on policies and procedures.
  • Provide Monthly Reporting

Referral Management Clerk Job Qualifications:

  • High school diploma or General Educational Development (GED) equivalency
  • Skilled in Word, Excel, Access, and other software programs
  • Excellent communication, interpersonal and customer service skills
  • Able to define problems and obtain solutions
  • Must be able to obtain clearance to access the work site and be granted a Common Access Card (CAC).
  • Must be able to clearly communicate, verbally and written with coworkers and clinic staff.
  • Healthcare administrative experience - preferred
  • Ability to obtain facility security

Come join our team of healthcare professionals



www.FSRpeople.com

FSR employs healthcare professionals at government medical facilities providing care to military service members, retirees, and their families. Since 2004, FSR has built mutually beneficial, sustainable partnerships with healthcare professionals and our clients nationwide.

FSR is an award winning organization built with committed professionals with a unified vision of helping others. We are honored to be named one of the Baltimore Sun's Top Workplaces



Federal Staffing Resources dba FSR is an Equal Opportunity Employer: disability/veteran/military spouse

This contractor and subcontractor 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 their 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.

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