Job Title: Healthcare Operations SpecialistWe are seeking a highly skilled and experienced Healthcare Operations Specialist to join our team. The successful candidate will be responsible for coordinating the daily operations of our healthcare services, ensuring seamless communication between patients, providers, and staff.Key Responsibilities:Review referrals for suitability, administrative, and clinical completeness, covered TRICARE benefit, and required tests and pre-work.Coordinate with referring providers in cases where additional referral information is required.Verify patients are registered in MHS GENESIS, EWRAS, and DEERS; update demographic information as needed.Assist with Right of First Refusal (RFR) determinations for specialty care that can be provided within the MTF using the Capacity and Capability Reports and information systems that link the referral to the appointment to the Access to Care (ATC) category and standard.Schedule specialty referral appointments to MTF or Direct Care System ATC standards 90 percent of the time.Coordinate with specialty referral clinics (internal or external) on special patient instructions and tests required prior to appointment.Advise patients of the provider, location, time, and day of referral appointments, or request the patient to call back for appointment information if an appointment was not provided prior to leaving MTF.Locate referral requests and ensure appropriate documents are available prior to all specialty appointments.Print diagnostic reports and treatment profiles as necessary.Ensure patients leave MTF with all necessary documentation appropriate for the referred care episode, and the referral provider knows where to return his/her results.Contact referring providers in the event referral requests are invalid or disapproved by second-level review.Submit referrals when required for medical necessity and appropriateness review.Receive and appropriately forward clinical phone consult requests from patients.Requirements:High School diploma or General Educational Development (GED) equivalency.Have a basic knowledge level to include principles of customer service, TRICARE, quality control and risk management, medical terminology, medical forms and records management, guidelines for release of medical information, medical and legal ethics, applicable systems technology, supply procedures, and information systems.Completion of the Administrative Assistant program is desirable.Completed training in Microsoft Windows and Microsoft Excel is desirable.Completed and maintained Basic Life Support Training as required by the Military Treatment Facility (MTF).Contractor shall be able to read, write, speak, and understand English.Benefits:Competitive Compensation packageComprehensive benefits including medical, dental and vision options.Outstanding career growth potential.About Us:Our organization provides medical, technical, logistical, and administrative services to federal government and commercial clients across the country. We offer competitive salaries and benefits packages.