Clear and Legible Clerk (CLR) - Healthcare Administration at Epic Government

Job DescriptionJob DescriptionClear 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 Paid HolidaysPaid Sick TimeCompany-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 availableClear and Legible Clerk (CLR) - Healthcare Administration Overview:Support the daily functions of specialty care referrals, reviews and coordination, beneficiary counseling, and referral trackingInitiate, 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 preferredICD-9 coding, highly preferredTRICARE benefits knowledge, highly preferredExcellent customer service skills and experienceHIPAA - working knowledge Basic Life Support (BLS)High school diploma or GED equivalencyGeneral office administrative and clerical skills to perform receptionist duties and answer telephones.Excellent communications skills and strong organizational skillsComputer operations, including operational skills with Microsoft applications (Windows, Word, Excel)Personnel shall understand the importance of meeting deadlinesGeneral medical ethics, telephone etiquette, written/verbal/electronic communication, and excellent customer service skillsCome join our team of healthcare professionals!www.epicgovernment.comEPIC GOVERNMENT employs healthcare professionals at government medical facilities providing care to military service members, retirees, and their families. Since 2004, Epic Government has built mutually beneficial, sustainable partnerships with healthcare professionals and our clients nationwide. Epic Government 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!Epic Government dba FSR is an Equal Opportunity Employer: disability/veteran/military spouse#OFCCP