Clear and Legible Reporting (CLR) Clerk - Healthcare Administration

Description

• $19-20 per hour
• Health and Welfare Fringe Benefits: $5.09 per hour
• 401(k) available
• Paid Time Off - 80 hours
• Paid Holidays - 11 days
• Paid Sick Time - 2.154 hours for every 80 hours worked accrual rate
• Company-funded match and safe harbor 401(k)
• Medical, Dental and vision plans available
• Life insurance and accidental death plans available
• Short-term and long-term disability plans available
• TRICARE Supplemental available
• Supplemental Benefit plans available
• Employee Assistance Program
• Pet Insurance Plans available
• Will Preparation Services available

• 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.

• 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.

• 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