Clear & Legible Reporting Medical Record Clerk (Liaison)

Clear and Legible Reporting Clerk

Fort Carson, CO

**Must have the ability to obtain a Public Trust**

SUMMARY

The Clear and Legible Reporting Clerk will establish and maintain a positive working relationship with the MTF, clinics and staff. This position is responsible for processing clinical results daily, uploading them into the appropriate record via MHS GENESIS, and use excellent customer service skills.

ESSENTIAL DUTIES AND RESPONSIBILITIES

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

SUPERVISORY/MANAGEMENT AUTHORITY

None

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 communications skills and strong organizational skills
• •Computer operations, including operational skills with Microsoft applications (Windows, Word, Excel)
• •Personnel shall understand the importance of meeting deadlines

Preferred KNOWLEDGE, SKILLS and ABILITIES

• General medical ethics, telephone etiquette, written/verbal & electronic communication.
• Operational computer skills with general working knowledge of word processing, and Microsoft applications (including Windows, Word, Excel, Outlook).
• Possess or complete Privacy Act and HIPAA, Data-Safeguarding, Anti-Terrorism, 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 appointing 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

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• Possess or complete training on the secure messaging platform and be capable of managing inbox volume.

PHYSICAL DEMANDS

Frequent sitting, using hands/fingers, handling, reaching with hands and arms, talking, hearing and seeing up close, at a distance, along the periphery, with depth perception and the ability to adjust focus; occasional walking or standing

WORK ENVIRONMENT

Work is performed primarily in a clinical office setting. Employee will be exposed to a wide variety of people in differing functions, personalities and abilities.

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