Overview
Medical Administration Specialists Jobs in Bethesda – Maryland – USA at Ivyhill Technologies
Position: Â Medical Administration Specialists (Bethesda, MD)
Ivyhill Technologies has an immediate need for Medical Administration Specialists for a project located in Bethesda, MD. The qualified candidates will provide medical appointment activities for service members and their families at a Military Treatment Facility (MTF) for a government contract operations.
Job Responsibilities:
Receive phone calls for appointment related request for the National Capital Region and the Pro-active line/POM.
Via the POM, call the patient, schedule an appointment with PCM or Specialty clinic.
If the patient accepts the appointment, the Appointment Coordinator, will document the encounter in CHCS and the customer’s database.
Document each attempt to contact the patient in the customer’s database. (A total of two contact attempts should be made).
Document patients who decline offered appointments in order to update their referral record accordingly.
Determine appointment needs according to local and regional managed care rules. Validates and implements MTF policy in support of hospital accreditation program and quality improvement efforts.
Search for patient demographics in CHCS.
Review health care delivery plans related to patient eligibility status in CHCS, EWRAS, and DEERS. Identify market forces, patient and beneficiary demand and other issues impacting MTF capabilities,access and patient care compliance and/or quality of care and services. Projects and studies require analysis of inter-related issues of effectiveness, efficiency, productivity andcustomer satisfactionduring both peacetime and wartime.
Conduct a DEERS eligibility check on 100% of patients who request an appointment.
Correct demographic data, by performing a mini registration update in DEERS (as necessary).
Provide clinic appointment access, T-cons to doctors and administrators. Search all MTFs for possible
capability, based on clinic guidance and available appointments within the CHCS.
Accurately and courteously schedule appointments in accordance with NCR established standards, policies,
and business rules, and the customer’s Protocol Website for (600) plus clinic SOPS.
Spot check scheduled appointments and initiate wait list when required. Refer patients to appropriate MTF
and provide advice on location of clinics.
Prioritize beneficiary appointments to be scheduled in accordance with Tricare Access to Care Standards
and written guidelines.
Verify and document eligibility of each patient to whom services are scheduled.
Direct all questions regarding beneficiary eligibility to the Chief, PAD at the MTF.
Gather demographic data information and enter into the patients authorized record of medical treatment, AHLTA.
Requirements
Shall be able to read, write, speak, and understand English.
Be a U.S Citizen.
Mastery level knowledge of military Medical Services, civilian health care delivery systems, military management health care principles and techniques, TRICARE Managed Health Support contracts and clinical and financial systems, policies, procedures and standards.
Have experience using the CHCS and AHLTA.
Knowledge of medical information systems and automated analytical tools and software (clinical and financial models). Expertise in quantitative and qualitative analyses techniques using various military computer systems.
Possess knowledge of medical terminology, release of medical information and legal ethics.
Be able to perform accura…
Title: Medical Administration Specialists
Company: Ivyhill Technologies
Location: Bethesda – Maryland – USA
Category: Administrative/Clerical, Healthcare
