Clear & Legible Reporting Clerk (Chaser)

Cherokee Federal•Fort Carson, CO

11d•$18 - $19

About The Position

The Clear & Legible Reporting Clerk (Chaser) is responsible for researching and requesting replacement documents for partial results and those missing a second identifier. This role involves establishing and maintaining positive working relationships with MTF, clinics, and staff, processing clinical results daily, and communicating with providers. The position requires adherence to HIPAA regulations and accurate documentation in required systems.

Requirements

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)
Personnel shall understand the importance of meeting deadlines

Nice To Haves

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 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.

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.
At day 120, if there is no claim, 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.
Performs other job-related duties as assigned.