Referral Management Clerk - Start Immediately

We are on the lookout for an experienced Referral Management Clerk to join our awesome team at Compass Government Solutions, LLC in Tacoma, WA.
Growing your career as a Full Time Referral Management Clerk is an awesome opportunity to develop productive skills.
If you are strong in creativity, cooperation and have the right initiative for the job, then apply for the position of Referral Management Clerk at Compass Government Solutions, LLC today!

Compass Government Solutions is a Woman Owned Small Business serving those who have served our nation and is committed to excellence in our daily practices. 

Job Description

Compass Government Solutions is seeking entry level General Clerks (to include roles as Referral Management and Clear and Legible Reporting Clerks) with customer service experience in Tacoma, Washington.

• Veterans and Military Spouses Encouraged to Apply
• Civilian position supporting the military community
• Monday through Friday days

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

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

Additional Information

Benefits:

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

EOE AA M/F/Vet/Disability

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Benefits of working as a Referral Management Clerk in Tacoma, WA:

● Company offers great benefits
● Advancement opportunities
● Advantageous package