Referral Management Specialist

6 days ago

Fife, Washington, United States Epic Government Full time
Job Overview

The Puget Sound Military Appointing Center 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. The Referral Management Clerk plays a crucial role in this process by managing inbound and outbound calls, validating beneficiary eligibility, scheduling, canceling, and rescheduling patient appointments to provide timely access to quality healthcare.

Responsibilities
  • Disposition all routine referrals as either Appoint to MTF, Defer to Network, or route to MTF Referral Management Center (RMC) according to standardized PSMHS business policy.
  • Document and report complaints received, errors found, and the specific corrective action taken by the contractor.
  • Process incoming referrals 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.
Requirements
  • 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.
About Us

Epic Government employs healthcare professionals at government medical facilities providing care to military service members, retirees, and their families. We are committed to building mutually beneficial partnerships with our clients nationwide.

Benefits
  • $20-$21 per hour salary.
  • Health and Welfare Fringe Benefits: $4.93 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.

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