Medical Services Coordinator
Administrative Support
Location:
Operations and Patient Administration Flight
86th Medical Group (MDG) TRICARE
Unit 3215
Ramstein Air Base, APO AE 09094-3215 Germany
* Citizenship: U.S. Citizenship Required.
* Clearance Requirements: Tier 1 [Public Trust] Background Investigation, National Agency
* Check with Law and Credit Check, and fingerprints. (Standard Form 85).
* Estimate Pay: $50,000 - $55,000 per year (Negotiable)
* Type of Employment: 40 hours per week.
* Period of Performance: 30 September 2025 to 39 September 2030.
* Paid Time Off per Year: 80 hours per year, occurring on day one.
* Sick Leave per Year: 56 hours per year, occurring on day one.
* Paid Federal Holidays: Eleven (11) Paid Federal Holidays
* Travel: Travel is authorized
Working Hours:
The Medical Services Coordinators are required to work during the following hours: 0700-1630 hours (to include a 1-hour lunch break daily): Monday through Friday, including German holidays, but excluding U.S. Federal holidays. Workdays will generally consist of eight-hour days. Hours are subject to change as mutually agreed between the Functional Requirements Evaluator Designee (FRED) and the Contractor.
Summary of Duties:
The Medical Services Coordinators will ensure optimized patient flow by assisting patients at the Referral Management Center (RMC) to process their referrals to specialty care and make their appointments, including computerized appointment booking and appointment validation. Medical Services Coordinators will maintain and assist with various health record storage and retrieval systems and participate with RMC staff in providing, assessing, and improving a wide variety of customer services/relations.
Mandatory Qualifications
* 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.
Duties/Responsibilities:
Referral Appointing
* Review referrals for suitability, administrative, and clinical completeness, covered TRICARE benefit, and required tests and pre-work.
* Coordinate with the referring provider 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.
* Assist team members in providing pre-appointment instructions to patients as indicated.
* 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.
* 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.
Health Benefits Advice
* Advise all categories of patients of what their referral and health treatment options are as related to their eligibility and beneficiary status.
Referral Tracking
* Track referrals to include obtaining reports from MTF, Direct Care System, and network and non-network providers within established standards. The primary responsibility to obtain Network/Non-Network results and return them to the referring provider resides with the MCSC.
* Track patient appointments, either in the MTF, another MTF, in the Network, or with a non-network provider.
* Follow-up with MTF providers who did not review referral results within the required timelines.
* Ensure that results from other MTFs and from Network/non-network providers are returned to the referring provider and to the medical record within required timelines and follow up as necessary. (Process to obtain Network/non-network reports and return them to the referring providers will be outlined in the Memorandum of Understanding (MOU) between the MCSC and the MTF. The primary responsibility to obtain Network/Non-Network results resides with the MCSC.
* Assist in the preparation of monthly reports
Customer Service
* Greet patients, screen, and appropriately route phone calls.
* Provide the requesting provider with administrative assistance.
* Serves as the central clearing house for providers and patients needing help with referrals.
* Provide administrative support to the Medical Evaluation Board (MEB) program.
* Provide administrative support to the Service Treatment Record (STR) program.
COMPENSATION AND BENEFITS:
* Competitive Compensation package
* Comprehensive benefits including medical, dental and vision options.
* Outstanding career growth potential.
ABOUT US:
Fidelity Partners is a Inc. 5000, USA company that provides medical, technical, logistical, and administrative services to the federal government and commercial Clients across the country. Fidelity offers competitive salaries and benefits packages.
Qualified applicants are encouraged to learn more about us at www.fidelitypartners.org or call us at (210) 822-4005 or Join our Team
Fidelity Partners provides equal employment without regard to race, color, religion, sex, national origin, age, disability, or in accordance with applicable federal state, and local laws (EoE).