Clearing house clerk job description

• Health and Welfare Fringe Benefits
• 401(k) available
• Paid Time Off
• Paid Holidays
• Paid Sick Time
• Long Term Disability (LTD), Short Term Disability (STD), and medical, dental, life, and vision plan options available

Clear and Legible Reporting (CLR) Clerk Job Overview:

• The Puget Sound Military Appointing Center is a centralized services center that serves as the primary point of contact for PSMHS beneficiaries as they seek healthcare services, and is therefore a critically important resource in our healthcare delivery system.
• Call center manages inbound and outbound calls from beneficiaries, validates beneficiary eligibility, schedules, cancels, and reschedules patient appointments in order to provide timely access to quality healthcare.
• Record each beneficiary call using the most current DHA and PSMHS policies.
• Processing appointment requests via Secure Messaging System, as well as outbound calls for patient care reminders, to include pre-appointment instructions and reminders (lab/radiology/fasting/pre-op surgery, etc.), drive-time mapping capabilities in support of specialty care appointing, as well as outbound letters to beneficiaries referred for MTF specialty care.
• Monitoring care delivered and ensuring the retrieval of health care records from the civilian provider and the delivery of those documents to the beneficiaries' medical record.

Duties

• Track and account for all MTF generated specialty care that are deferred to the network until closure.
• Process all CLRs into the patient's permanent EHR within three working days of receipt, close the referral, and notify the referring provider and/or Primary Care Manager (PCM) that the CLR is awaiting their review
• Track all STAT, Urgent, and Priority referrals.
• Initiate efforts to capture the CLR upon request by the referring provider or no later than 60 calendar days from the date the referral was ordered or as soon as a claim is discovered, whichever occurs first.
• Perform periodic monitoring of calls handled by the Appointing, Referral, and CLR agents to identify any customer service or training issues.
• Report up to management and stakeholders as required
• Adhere to all rules and regulations including but not limited to HIPAA, TJC
• Foster a positive work environment
• Treat all encounters professionally
• Report that details the number of MTF generated initial specialty care deferred to the network, the number of CLRs uploaded into the EHR within 30 and 60 days, total number of CLR reports not received after 180 days, beneficiary referrals canceled and CLR error rates.

Clear and Legible Reporting (CLR) Clerk Job Qualifications: :

• High school diploma or General Educational Development (GED) equivalency
• Skilled in Word, Excel, Access, and other software programs
• Excellent communication, interpersonal and customer service skills
• Able to define problems and obtain solutions
• Must be able to obtain clearance to access the work site located on a CSMHS military installation and be granted a Common Access Card (CAC)
• Must be able to clearly communicate, verbally and written with coworkers and clinic staff.
• Healthcare administrative experience - preferred

Incumbents HIGHLY encourage to contact us! Come join our team of healthcare professionals!

www.FSRpeople.com

FSR provides healthcare professionals to government facilities supporting active duty military service members, retirees, and their families. FSR began as a women-owned, minority-owned, small business in Maryland and has grown to an award-winning organization serving the federal government nationwide and around the globe.

We invite you to join our team!

Federal Staffing Resources dba FSR is an Equal Opportunity Employer: disability/veteran/military spouse

This contractor and subcontractor shall abide by the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a). These regulations prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, religion, sex, sexual orientation, gender identity or national origin. Moreover, these regulations require that covered prime contractors and subcontractors take affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disability.