[Hiring] Referral Management Clerk @Federal Staffing Resources

Role Description

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 to provide timely access to quality healthcare.
• Provides outbound calls 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 include:
  • Identifications of specialty referrals to be deferred to the network.
  • Ensuring processing in accordance with DHA timeliness.
  • Tracking status of network referrals.
• Reviews each MTF generated referral and determines 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.
• Maximizes the retention of specialty care within the MHS to support the readiness of the Medical Force.
• Processes Secure Message Service (SMS) transmittal requests for appointments.
• Provides drive-time mapping capabilities in support of specialty care appointing.
• Sends outbound letters to beneficiaries referred for MTF specialty care.

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 clearly communicate, verbally and written with coworkers and clinic staff.
• Healthcare administrative experience - preferred.
• Ability to obtain facility security clearance.

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.

Benefits

• 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.