Receives FOH program direction from the FOH Medical Director or designee. Notifies FOH Medical Director or designee of any planned Leave of absence using established processes. Attends all monthly RMO calls in real time or by viewing recorded sessions. Presents interesting case or topic to RMOs apropos to law enforcement or medical surveillance at least once each calendar year. Completes all required training and demonstrates proficiency in using FOH IT systems for the performance of reviews and communication. Reviews and complies with all federal cybersecurity policies and standard operating procedures. Demonstrates a high level of professional conduct. Provides quality work products in a short time frame, which is pre-determined by the type of work that is to be completed. Works with designated management, safety, and human relations personnel of federal agency clients on all matters pertaining to occupational health and safety and related programs and services. Partners with FOH team members to provide prompt response to customer inquiries related to case reviews or urgent consultation.
Medical Assistant - Case Review Specialist
Location
United States
Posted
69 days ago
Salary
$28 / hour
Job Description
Role Description
STGi is currently seeking a Medical Assistant - Case Review Specialist to support our Federal Occupational Health (FOH) contract in San Francisco, CA. The position is remote and open to candidates nationwide. Local San Francisco staff may be required to go into the office on a limited basis.
Provides direct support to the mission of Federal Occupational Health (FOH), a component of the Program Support Center (PSC), to improve the health, safety, and productivity of the Federal workforce by performing fulfillment of case review activities.
- Review of service and provider fulfillment.
- Interact with internal and external customers regarding questions and clarification of services.
- Coordinate service delivery with FOH Business Operations team.
- Ensure exam scheduling, management and processing of medical records, QA checks, and charges/administrative fees are entered on exams.
- Ensure complete exams are sent to the Reviewing Medical Officer (RMO) for review in a timely manner.
- Reach out to clinics to retrieve missing exam items.
- Work with Occupational Health Clinics (OHC) to ensure all portions of exams are billed appropriately.
- Collaborate with FOH team members to meet customer needs.
- Relay any concerns raised by customers to Program Manager (PM).
Qualifications
- Understanding of the Case Review process.
- Competencies in all areas of case review.
- Proficient in IT systems, including Microsoft Word, Excel, Outlook, Teams, and Adobe Acrobat.
Requirements
- Ensure exam scheduling requests are submitted timely.
- Retrieve exams for case review processing.
- Process exams including QA, tracking missing components, and sending to RMO.
- Track exams to ensure timely processing.
- Ensure medical reviews, letters, and exams are sent securely.
- Participate in cost recovery efforts.
- Attend all mandatory meetings and training.
- Report all privacy and security breaches immediately.
- Manage customer/agency complaints professionally.
Benefits
- Remote work flexibility.
- Opportunity to support Federal Occupational Health initiatives.
Job Requirements
- Understanding of the Case Review process.
- Competencies in all areas of case review.
- Proficient in IT systems, including Microsoft Word, Excel, Outlook, Teams, and Adobe Acrobat.
- Ensure exam scheduling requests are submitted timely.
- Retrieve exams for case review processing.
- Process exams including QA, tracking missing components, and sending to RMO.
- Track exams to ensure timely processing.
- Ensure medical reviews, letters, and exams are sent securely.
- Participate in cost recovery efforts.
- Attend all mandatory meetings and training.
- Report all privacy and security breaches immediately.
- Manage customer/agency complaints professionally.
Benefits
- Remote work flexibility.
- Opportunity to support Federal Occupational Health initiatives.
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