Federal government contractor seeks:
Referral Coordinator for Naval Healthcare New England, Naval Branch Health Clinic
SUMMARY: The scope of the services involves the administrative review of all incoming CLRs for accuracy, completeness, and legibility and posting of consultation reports for patients referred both to and from civilian network providers. If an incoming report does not meet the CLR standards, the civilian physician's office must be contacted for an acceptable report. The contractor shall notify MTF providers when a CLR is posted; monitor timelines of incoming CLRs. During the initial contract period of performance the contractor shall initiate chase for delinquent CLRs (defined above). The contractor shall provide CLR receipts validation and shall cross-check referral authorizations against claims adjudicated. As part of the contractor’s Quality Control Plan, the contractor shall ensure that all network referral CLRs have correct disposition or are annotated as a non-appointed referral. The contractor shall track all consult updates or status changes per the TRICARE contractor’s referral authorization process, and shall track and document customer feedback in CHCS/AHLTA/Referral Tracking databases/Audio Communicator Reports.
The contractor shall provide personnel having certain minimum levels of training and experience. The minimum qualifications are listed below.
-High school diploma or GED certificate;
-One year of experience providing medical administrative support services;
-Be a U.S. Citizen per Attachment AC;
-Maintain current certification in American Heart Association Basic Life Support (BLS) for Healthcare Providers; American Heart Association Healthcare Provider Course; American Red Cross CPR (Cardio Pulmonary Resuscitation) for the Professional Rescuer; or equivalent. Training shall be the responsibility of the contractor and is at no cost to the Government contract employees, not in possession of current certification, must acquire certification prior to initiating contract performance. Web based classes do not meet these standards. A copy of the Navy Medicine BLS instruction may be obtained from the World Wide Web at: http://navymedicine.med.navy.mil/Files/Media/directives/1500-15a.pdf.