Medical Administration Specialist

CABAN RESOURCES, LLC•Honolulu, HI

2d•Onsite

About The Position

Provides medical administration services in a wide range of organizational, business and financial operations. This individual will assist senior level management by providing technical expertise and administrative support impacting plans and operations, compliance, risk and quality management, managed care, human resource management, logistics management, patient administration, budgetary and fiscal management, medical manpower, information management, medical readiness, medical facility management, and biometrics. Medical Administrative Specialist is required to support the Medical Evaluation Board (MEB) and Physical Evaluation Board Liaison Officer (PEBLO) staff and patient services to assist with achieving its Integrated Disability Evaluation System (IDES) goals and objectives. The MEB and PEBLO medical administrative services will also support processing members for the Temporary Disability Evaluation Board (TDEB) and Permanent Disability Evaluation Board (PDEB), as well as Limited Duty (LIMDU) boards located at JBPHH NHCH. The NHCH is a TRICARE Prime facility that serves active duty, their family members, eligible retired military personnel, and their families. The Medical Administrative Specialist will provide information to Active-Duty Service members, facility staff, local and remote commands as applicable. This position will provide a wide range of clerical/administrative support within Branch Health and Dental outpatient clinics. Schedules appointments in Composite Health Care Systems (CHCS/AHLTA) or MHS GENESIS for primary care, specialty, and subspecialty medical care. In addition to, scheduling requested appointments, this position will call patients to schedule, reschedule, and/or cancels appointments as needed, to include appointments for consult/referral specialty care within the MTF. Serves as a medical records technician to process and maintain inpatient, outpatient or ambulatory procedure unit medical records. Compile or extract medical records data to ensure compliance with regulatory requirements.

Requirements

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.
Knowledge of DoD, Air Force, Army or Navy and Accreditation Association of Ambulatory Health Care (AAAHC) standards and privacy and confidentiality requirements (HIPAA).
Working knowledge of Department of Defense (DoD), Federal, State, non-profit healthcare systems and organizations, to include DoD Tri-Service Military Healthcare Systems, TRICARE purchased care system, Medicare, Medicaid, Veterans Administration (VA), Public Health Department, and Regional and local support services.
Knowledge of medical information systems and automated analytical tools and software (clinical and financial models). Expertise in quantitative and quantitative analyses techniques using various military computer systems.
Knowledge of Microsoft Office programs, Outlook (e-mail), and Internet familiarity is required. This includes various microcomputer equipment, and be able to input, retrieve and format documentation.
Effective communication skills both orally and in writing. Research of operational activities may require coordination with high level officials such as the comptroller, civil engineering, or civilian and federal agencies.
At minimum of 10 years of medical administration services is required.
Specific military systems include, but are not limited to: The Composite Health Care System (CHCS) MHS GENESIS, AHLTA, ICD programs, government data repositories such as P2R2 Virtual Analyst, M2 Data Mart, Enterprise Data Warehouse (EDW), Population Health Operational Tracking and Optimization System, Defense Medical Logistics Standard Support (DMLSS), Medical Expense and Performance Reporting System, Third Party Collections, Defense Pharmacy System, Radiology and PACS, Automated Business Services System and Commanders' Resource Integration System.

Nice To Haves

Master's Degree in health care administration, business, information management, or a related discipline is preferred.

Responsibilities

Reviews health care delivery plans; identifies 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 and customer satisfaction during both peacetime and wartime.
Researches and analyzes complex health care operations. Prepares presentations, project papers, staff and biometric reports and other medical administrative correspondence; delivers to senior MTF management.
Uses business intelligence applications to extract, manipulate, format, and from various Government computer systems. May maintain metadata, or design basic databases.
Notifies and directs professional staff and other medical administrative personnel regarding process, policy and requirements.
Using analytical skills and tested methodologies, conducts studies in support of various projects, program, processes or initiatives covering all aspects of military health care activities. Projects may be complicated by regulatory requirements, long-range projections and objectives, and/or political and economic uncertainties.
Validates and implements MTF policy in support of hospital accreditation program and quality improvement efforts.
Assists with the development of financial plans and budgets to execute health care activities and initiatives. Analyzes utilization of funds in collaboration with MTF management.
Assists with preparations for facility construction, modification and design activities. Researches requirements to ensure an adequate patient care facility as well as a safe work environment.
Support the Medical Evaluation Board (MEB) and Physical Evaluation Board Liaison Officer (PEBLO) staff and patient services to assist with achieving its Integrated Disability Evaluation System (IDES) goals and objectives.
Support processing members for the Temporary Disability Evaluation Board (TDEB) and Permanent Disability Evaluation Board (PDEB), as well as Limited Duty (LIMDU) boards.
Provide information to Active-Duty Service members, facility staff, local and remote commands as applicable.
Provide a wide range of clerical/administrative support within Branch Health and Dental outpatient clinics.
Schedules appointments in Composite Health Care Systems (CHCS/AHLTA) or MHS GENESIS for primary care, specialty, and subspecialty medical care.
Call patients to schedule, reschedule, and/or cancels appointments as needed, to include appointments for consult/referral specialty care within the MTF.
Serves as a medical records technician to process and maintain inpatient, outpatient or ambulatory procedure unit medical records.
Compile or extract medical records data to ensure compliance with regulatory requirements.