Clear & Legible Reporting Clerk (Chaser)

Responsibilities

• Establish and maintain a positive working relationship with the MTF, clinics, and staff.
• Process clinical results daily, uploading them into the appropriate record via MHS GENESIS.
• Send a communication to the PCM/referring provider through MHS GENESIS notifying them that the results are available for review.
• Review and disposition referrals accordingly in MHS GENESIS.
• Research and request replacement documents for partial results and those missing a second identifier.
• Research all referrals that are open on days 50, 120, and 180 using MHS GENESIS and the Managed Care Support Contractors website.
• If there is no claim at day 120, notify the PCM/referring provider that the referral was not utilized via appropriate means.
• Close referrals in accordance with facility guidelines.
• Capture Health effectiveness Data and Information Set (HEDIS) on all results meeting criteria during processing.
• Adhere to all requirements under the Health Insurance Portability and Accountability Act (HIPAA).
• Document their work appropriately in required systems.
• Perform other job-related duties as assigned.

Qualifications

• Excellent customer service skills and experience.
• HIPAA - working knowledge.
• High school diploma or GED equivalency.
• General office administrative and clerical skills to perform receptionist duties and answer telephones.
• Excellent communication skills and strong organizational skills.
• Computer operations, including operational skills with Microsoft applications (Windows, Word, Excel).
• Possess or complete the Privacy Act and HIPAA, Data Safeguarding, Anti-Terrorism, and Interacting with Government Employees, MHS GENESIS appointment booking, and policy training in a trainer-to-trainer format.
• Possess or complete TRICARE online training and have a solid understanding of the TRICARE online appointment and referral process.
• Possess or complete MHS GENESIS Revenue Cycle and scheduling training.
• Possess or complete training on the MHS GENESIS referral management function and the MHS GENESIS appointing function.
• Possess or complete training on the secure messaging platform and be capable of managing inbox volume.
• Must pass the pre-employment qualifications of Cherokee Federal Company Information.

Benefits

• Full-time benefits include Medical, Dental, Vision, 401K, and other possible benefits as provided.
• Benefits are subject to change with or without notice.