Federal Staffing Resources is hiring a Referral Management Clerk - Healthcare

Referral Management Clerk job in San Antonio, TX - Remote Support the Military Community – Civilian Opportunity at Puget Sound Military Appointing Center Schedule: 40 hours/week Pacific Time Zone Location Requirements: Candidate must reside within a 40 mile radius of San Antonio Benefits/Compensation: - Hourly Pay: $18.50 - 20.00 per hour - Health & Welfare Fringe Benefit: $5.09 per hour - Paid Time Off: 10 days annually (based on 8-hour days) - Paid Holidays: 11 days per year - Paid Sick Leave: Accrues at 2.154 hours per 80 hours worked - 401(k): Company-funded match and Safe Harbor - Medical, Dental, and Vision Plans Available - Life Insurance and Accidental Death Coverage - Short- and Long-Term Disability Plans - TRICARE Supplemental and Additional Benefit Plans - Employee Assistance Program - Pet Insurance Plans - Will Preparation Services Referral Management Clerk Job Overview - The Puget Sound Military Appointing Center (PSMAC) is a centralized services center that serves as the primary point of contact for PSMHS beneficiaries for PAS, RMS, and CLRS as they seek healthcare services, and is therefore a critically important resource in our healthcare delivery system. - Call center that 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. - Provide outbound calls in order to schedule specialty appointments for beneficiaries who have received a direct care specialty referral. - RMS processing supports the timely scheduling of specialty care referrals ordered by MTF HCPs. - RMS services span a range of functions to include, but not limited to: identifications of specialty referrals to be deferred to the network, ensuring processing in accordance with DHA timeliness, and tracking status of network referrals. - Review of each MTF generated referral and determining a disposition as either "Appoint to MTF" or "Defer to Network (DTN)" based on specific MTF specialty clinic capabilities, capacities, and DHA access to care standards. - Maximizing the retention of specialty care within the MHS to support the readiness of the Medical Force, within capability and capacity parameters. - Additional contracted services include processing Secure Message Service (SMS) transmittal requests for appointments, drive-time mapping capabilities in support of specialty care appointing, as well as outbound letters to beneficiaries referred for MTF specialty care. Duties - Disposition all routine referrals as either Appoint to MTF, Defer to Network, or route to MTF Referral Management Center (RMC) IAW standardized PSMHS business policy. - Document and report complaints received, errors found, and the specific corrective action taken by the contractor. Errors shall include those identified by patients/beneficiaries, clinic and/or MTF staff, and direct to the contractor. - Process incoming referrals (ROFR) from the MCSC network providers and MTFs according to eMSM, DHA requirements and standardized guidelines. - Record and track status and disposition on all Prime/Select/VA/ ROFRs, MTF, and network referrals and communications received, per DHA and PSMHS business rules. - Review all referrals and appoint to MTF referrals, or return to requester based on policies and procedures. - Provide Monthly Reporting Remote work & Equipment Requirements: - Must work remotely within the United States from an approved home address - Must be available and responsive during scheduled work hours - Dedicated, private workspace with a door required (no shared/common areas) - Must use company-issued or approved secure equipment only - Required to have wired (Ethernet) internet connection - Minimum internet speeds: Download: 50 Mbps Referral Management 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 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 - Ability to obtain facility security