Job SummaryOnesourcePCS is seeking a medical administrator out of Goose Creek, SC.The candidate shall provide medical administrative support services to support the overall mission of the MTF to provide high quality healthcare to operational forces and their beneficiaries.Responsibilities and Duties
Shall perform a variety of clerical and administrative duties which document results in support of claims investigations and care provided.
Shall screen, record, and redirect 600 telephone calls per month (7,200 per year) for the MTF using appropriate telephone etiquette; take accurate messages and record information immediately into DoD information systems.
Shall receive, greet, and direct patients, provide accurate responses in a friendly, courteous, and concerned manner; and accurately report and record information to the professional staff.
Shall receive research and respond to various inquiries from patients, MTF staff, other government agencies and Managed Care Support Contractor personnel concerning medical care claims and related administrative matters.
Shall determine the general nature of inquiry; provide a brief description of the problem and respond to most requests independently, seeking assistance from the supervisor only when necessary.
Shall upload patient information into the Healthcare Artifacts and Imaging Management Solution (HAIMS) System. The contractor shall respond to a minimum of 100 requests per month.
Shall take appropriate measures to ensure confidentiality and privacy during phone and in-person interactions with beneficiaries and others and provide necessary information and background material (copies of referrals, copies of claims, billing information and information about TRICARE enrollment etc.)
Shall utilize the Consolidated Health Care System (CHCS), Armed Forces Longitudinal Health Technology Application (AHLTA), Healthcare Artifacts and Image Management Solution (HAIMS), Defense Medical Logistics Standard Support (DMLSS), Defense Enrollment Eligibility System (DEERS), Defense Health Agency web based services, and Managed Care Support contractor information systems for medical documentation.
Shall verify enrollment/eligibility and refer non-enrolled and ineligible patients appropriately approximately 600 times per month; frequently monitor electronic mail system (e-mail) to ensure all updates/changes to department procedures.
Shall maintain adequate supply of standard forms an clerical supplies; keep area stocked with needed supplies; The contractor shall coordinate with the Material Management Department to order department supplies utilizing the MTF’s internal supply system.
Shall submit a Monthly Report with Workload Statistics. Data shall be recorded by each clerk daily, reported for the month, and provided to the COR. Statistics to be reported in a monthly spreadsheet include total number of incoming telephone calls answered, outgoing telephone calls to patients, HAIMS requests received, and the number of enrollment/eligibility verifications and referrals done during the month.
High school diploma or GED certificate.
Possess one (1) year of experience in the following areas: medical administrative support services, medical office management, medical front desk operations, medical records administrative and/or referral processing, tracking and closure.
Possess experience in the operation of all standard office equipment such as desk top computers, fax, scanner, printers, office copiers, and data transcribing procedures.
Ability to use a variety of software applications and be able to type on a computer/word processer at a minimum of 30 words per minute (wpm).
Shall possess experience using the Composite Healthcare System (CHCS) and Armed Forces Health Longitudinal Technology Application (AHLTA).
Company OverviewOnesourcePCS is an Information Technology and Health Care company providing government services to the federal market place. Our capabilities include engineering and support services, Healthcare IT, and clinical and non-clinical services, management, system integration, IT support, and managed services.Benefits and PerksOnesourcePCS, LLC offers exceptional benefits, including competitive compensation, Medical/Dental/Vision, short and long-term disability, life insurance, paid vacation, paid holidays, a 401(k), and semi-monthly direct deposit.http://www.onesourcepcs.comPowered by JazzHRFull-time