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Clear & Legible Reporting Clerk (GCII)

Choctaw Staffing Solutions, Inc.

This is a Full-time position in Lemoore, CA posted July 12, 2022.

Clear and Legible Report Clerk Services Naval Health Clinic Lemoore, CA Clear and Legible Reporting Clerk (CLR Clerk) services will be provided to support Naval Health Clinic Lemoore, CA. The purpose of the Clear and Legible Report Clerk Services is to facilitate the proper, efficient, and expeditious movement of specialty referral results to and from civilian providers. CLR Clerk services to include customer service and administrative support services to support the clinic’s overall mission to deliver high quality healthcare and support to operational forces. Services are required to provide the necessary level of administrative support required to satisfy the overall operational objectives of the clinic. QUALIFICATIONS 1. Possess experience producing documents that require complex formats to edit, update or re-write to make clear and revise existing complex word processing documents or spreadsheets. 2. Possess at minimum 1 (one) year of medical coding experience. 3. Possess and maintain current certification in American Heart Association Basic Life Support (BLS) for Healthcare Providers. Web based classes do not qualify. Certification Card must display the American Heart Association or Military Training Network Emblem. TASKS CLR Clerk employees shall perform a full range of tasks consistent with their profession, education, training, experience, and assigned responsibilities. General requirements that apply to all contractor employees are provided below. 1. Follow the MTF Standard Operating Procedures (SOPs) to provide administrative support services to the MTF. 2. Receive, greet, and inform patients, visitors, and hospital personnel and provide accurate responses in a friendly, courteous, and concerned manner. 3. Fax, copy, scan, print, and type documents to complete daily tasks listed within this contract and the MTF SOPs. 4. Utilize the Composite Healthcare System (CHCS), the Armed Forces Health Longitudinal Technology Applications (AHLTA), and various other databases in support of patient care and to satisfy administrative requirements. 5. Maintain a level of productivity comparable with that of other individuals performing similar services. 6. Complete orientation training required by the MTF for new personnel. 7. Complete all annual training required by the MTF. This includes annual information awareness training and HIPAA training. TASKS FOR CLEAR AND LEGIBLE REPORTING (CLR) SUPPORT Note: All specialty care and Right of First Refusal (ROFR) referrals/consults shall be managed per current DHA and MTF referral management policies and guidance. All specialty care referrals will be appointed to the MTF/Direct Care System within prescribed Access to Care (ATC) Standards or referred to the local network. 1. Review all incoming CLRs for accuracy, completeness, and legibility and posting of consultation reports for patients referred both to and from providers. 2. Contact the physician’s office, if an incoming report does not meet the CLR standards. 3. Notify MTF providers when a CLR is posted and monitor timelines of incoming CLRs. 4. Provide CLR receipts validation and shall cross-check referral authorizations against claims adjudicated. 5. Properly document patient responses in CHCS, AHLTA, and the Referral Management System/Referral Management System Tracking Reports and Health Artifact and Image Management Solution (HAIMS). Provide notification to the referring Provider of patient requests to cancel referrals. 6. Contact Provider offices to determine if a patient was seen and if so, acquire referral results. Properly close referrals in CHCS and the Referral Management System/Referral Management System Tracking Reports appropriately and shall forward informational advisement of the referral status to the initiating MTF provider or PCM. Contacts shall be documented per MTF instructions. 7. Assist with the return of completed consult reports to civilian providers for patients seen within the MTF under ROFR. ROFRs shall be processed within the time limits outlined in the TRICARE Operations Manual. The above-noted job description is not intended to describe, in detail, the multitude of tasks that may be assigned but rather to give the applicant a general sense of the responsibilities and expectations of this position. As the nature of business demands change so, too, may the essential functions of the position. EEO/AAP Statement We acknowledge and honor the fundamental value and dignity of all individuals. We pledge ourselves to craft and maintain an environment that respects diverse traditions, heritages, and experiences. Choctaw is an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Choctaw Staffing Solutions is full-service staffing and employment agency. Choctaw Staffing Solutions (CSS) delivers pre-qualified healthcare professionals that are licensed and credentialed to national industry standards and regulations. CSS provides behavioral health providers and mental health services to support the U.S. Government. CSS offers a variety of administrative services, ranging from Human Resources to logistics and facilities to help desk support. PI184606838