Referral Clerk- Dover
Chenega Corporation - Dover AFB, DE

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This position provides clerical/administrative support in the Referral Management Center for customer service, referral tracking, referral appointing, and reporting activities. This position will supports the daily functions of specialty care referral appointing, referral review and coordination, beneficiary counseling and referral tracking at the MTF.

Essential Duties and Responsibilities:
UNIQUE MILITARY HEALTH CARE SYSTEMS/PROCEDURES: The Composite Health Care System (CHCS) and the newest version, Armed Forces Health Longitudinal Technology Application (AHLTA), or other MTF ICD-B programs must be utilized for referral management services. Access will be granted by local MTF connectivity and the contractor shall comply with MHS communications and Government IT security standards and policies. The military facility will provide system accounts for MASS personnel after required training and security procedures have been completed by the contractor. If the Military Health Service processes moves away from specified systems, the government will modify the task order accordingly.

PERFORMANCE OUTCOMES

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Greets patients/visitors at a front desk, referral center or office setting.

Answers main office phone line(s). Directs telephone calls to appropriate section for assistance, handles independently or takes messages as required.

Reviews referrals for administrative completeness and researches covered benefits prior to processing.

Determines patient eligibility for services and arranges and schedules medical appointments for referred care.

Provides general instructions to patients and ensures patients have necessary documentation for referred health care services.

Obtains updates and files medical records as needed.

Organizes and researches patient records, extract needed information, and review records for referral results within established guidelines.

Request medical records and ensures arrival of medical records prior to appointment(s).

Initiates and locates patient medical records as needed.

Obtains documentation as requested by healthcare providers (test results, or documentation not yet filed in records).

Ensures referral results are returned to the referring provide and to the medical record within required timelines. Assists with follow up, written or verbal, as necessary.

Completes referral tracking data collection tool for, calculates metrics, and compiles monthly reports as directed by the MTF.

Orients and trains MTF personnel about the referral process and timelines.

Supervision:
This position does not have any supervisory responsibilities.

Minimum Qualifications:
Mandatory knowledge and skills.

A fully qualified typist with a minimum of 50 WPM is required.

General medical ethics, telephone etiquette, and excellent communication and customer service skills.

General office administrative and clerical skills to perform receptionist duties and answer telephones.

Ability to communicate effectively, both orally and in writing.

Education and/or Experience:
Education

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High school diploma or General Educational Development (GED) equivalency. Completion of an Administrative Assistant program is desired.

Experience. At least 6 months of experience in medical office setting.

Computer Skills:
Must have working knowledge of a variety of computer software applications in word processing, spreadsheets, database, presentation software (MSWord, Excel, Access, PowerPoint), and Outlook.

Certificates, Licenses, Registrations: N/A

Competencies

  • To perform the job successfully, an individual should demonstrate the following competencies:
Problem Solving

  • Identify and resolve problems in a timely manner; gather and analyze information skillfully; develop alternative solutions; work well in group problem solving situations; use reason even when dealing with emotional topics.
Written Communication

  • Write clearly and informatively; edit work for spelling and grammar errors; vary writing styles to meet needs; present numerical data effectively; read and interpret written information.
Diversity

  • Demonstrate knowledge of EEO policy; show respect and sensitivity for cultural differences; educate others on the value of diversity; promote a harassment-free environment; build a diverse workforce.
Ethics

  • Treat people with respect; keep commitments; inspire the trust of others; work with integrity and ethically; uphold organizational values.
Strategic Thinking

  • Develop strategies to achieve organizational goals; understand organization's strengths & weaknesses; analyze market and competition; identify external threats and opportunities; adapt strategy to changing conditions.
Planning/Organizing

  • Prioritize and plan work activities; use time efficiently; plan for additional resources; set goals and objectives; organize or schedule other people and their tasks; develop realistic action plans.
Professionalism

  • Approach others in a tactful manner; react well under pressure; treat others with respect and consideration regardless of their status or position; accept responsibility for own actions; follow through on commitments.
Innovation

  • Display original thinking and creativity; meet challenges with resourcefulness; generate suggestions for improving work; develop innovative approaches and ideas; present ideas and information in a manner that gets others' attention.
Qualifications -

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Language Skills -

Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Write reports, proposals, business correspondence, and procedure manuals. Effectively present information and respond to questions from groups of managers, clients, customers, and the general public.

Mathematical Skills -

Apply concepts such as fractions, percentages, ratios, and proportions to practical situations.

Reasoning Ability

  • Define problems, collect data, establish facts, and draw valid conclusions. Question activities and issues in all functional areas and make sound business decisions based on that data.
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 is frequently required to walk; use hands to finger, handle, or feel and reach with hands and arms. The employee is occasionally required to stand; climb or balance and 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.

Work Environment -

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The employee will normally work in a temperature-controlled office environment, with frequent exposure to electronic office equipment. The noise level in the work environment is usually moderate.

Chenega Corporation is an EOE. AA/M/F/D/V. Native preference under PL 93-638. We participate in the E-Verify Employment Verification Program.

Qualifications

Minimum Qualifications:
Mandatory knowledge and skills.

A fully qualified typist with a minimum of 50 WPM is required.

General medical ethics, telephone etiquette, and excellent communication and customer service skills.

General office administrative and clerical skills to perform receptionist duties and answer telephones.

Ability to communicate effectively, both orally and in writing.

Education and/or Experience:
Education. High school diploma or General Educational Development (GED) equivalency. Completion of an Administrative Assistant program is desired.

Experience. At least 6 months of experience in medical office setting.

Computer Skills:
Must have working knowledge of a variety of computer software applications in word processing, spreadsheets, database, presentation software (MSWord, Excel, Access, PowerPoint), and Outlook.

Certificates, Licenses, Registrations: N/A

Job

Clerical Support

Primary Location

United States-Delaware-Dover

Organization

GTW, LLC

Recruiter

Matt Brady

Chenega Corporation - 15 months ago - save job - copy to clipboard
About this company
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Chenega prides itself on providing industry leading market driven compensation, a comprehensive benefits program that is tuned to the market...