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Clear and Legible Clerk (CLR) - Healthcare Administration
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Overview
Job Description
Description
Clear and Legible Clerk (CLR) - Healthcare Administration job in Tampa, Florida.
- Veterans and Military Spouses Encouraged to Apply
- Civilian position on MacDill Air Force Base
- Monday-Friday days
What You'll Do
- 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.
What You'll Need
- 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
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