Medical Appointment Clerk Referral Management

Summary CHENEGA TRI-SERVICES, LLC Okinawa, Japan The Medical Appointment Clerk - Referral Management shall provide referral management administrative support services to the Directorate of Healthcare Business at U.S. Naval Hospital Okinawa, Japan to assist in ensuring uninterrupted care along the healthcare continuum. U.S. Naval Hospital Okinawa provides professional healthcare for more than 55,000 beneficiaries on Okinawa and referral services for nearly 189,000 beneficiaries distributed around the Pacific. Responsibilities Process approximately six (6) referral transactions per hour. Process approximately 11,568 referral transactions during the period of performance. Check referrals for administrative, clinical completeness and appropriateness. Review requests for surgery/medical procedures, laboratory, radiology, pharmacy, and general hospital procedures against established clinical guidelines and TRICARE policy. If unsure, coordinate with the Medical Treatment Facility (MTF) Registered Nurse, MTF Medical Manager, or TRICARE Regional Office Clinical Liaison Nurse to remedy errors or uncertainties. Process referrals within two business days of receipt. Delays in processing due to inability to contact patients shall be documented in the Composite Health Care System (CHCS) referral. Track referral appointments in accordance with Military Health System Access to Care Standards within the direct care system or outside the MTF with network/non-network providers. Coordinate with specialty referral clinics (internal and external) to obtain special patient instructions and/or tests required prior to appointment. Provide pre-appointment instructions to patients as well as the details regarding their referral appointment (i.e., date/time, provider, and location), ensuring patients receive documentation appropriate for the referred medical care visit. Takes messages as required and relay messages to staff. Arranges and schedules meetings for customers and staff members as required. Obtains, updates and files departmental records/reports. Ensure completeness, accuracy, and consistency within established guidelines. Enter data from various sources (reports, equipment displays, printouts, forms, et) into the appropriate computer system. Print reports at a required. Obtains, updates and files departmental records/reports. Ensure completeness, accuracy, and consistency within established guidelines. Enter data from various sources (reports, equipment displays, printouts, forms, et) into the appropriate computer system. Print reports as required. Files, retrieves, and collates documentation. Provide programmatic support services when the services are unique to a medical environment. Other duties as assigned Qualifications High school diploma or General Educational Development (GED) equivalency. Minimum one (1) year of experience providing medical administrative support services. Minimum one (1) year of experience interpreting coding records Minimum six (6) months experience with the following systems is highly desirable: Armed Forces Health Longitudinal Technology Application (AHLTA) Composite Health Care systems (CHCS) and/or MHS GENESIS Defense Enrollment Eligibility Reporting System (DEERS) Knowledge, Skills and Abilities Ability to read, write, speak and understand English. Ability to type 50 WPM, preferred Ability to use standard office equipment, such as personal computers, copiers, fax machines, and telephone systems. Must have general knowledge of medical ethics, telephone etiquette, and excellent communication and customer service skills. Must have working knowledge of a variety of computer software applications as well as experience with Electronic Medical Records. Medical terminology, highly desirable. Experience with Microsoft Word and Excel Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this Job, the employee is regularly required to sit and talk or hear. The employee may use repeated motions that include the arms, wrists, hands and/or fingers. The employee is occasionally required to walk, stand, climb, balance, stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision.