Clerical Support Services
Contract Term: 09/06/2021 to 09/05/2023 (With option to extend)
Location: U.S. Coast Guard Headquarters Washington, DC 20593
Job Description: The purpose of the one-year contract plus renewal is to provide the following:
- The Candidate shall provide support personnel to perform the related services within the Medical Accounts Receivable program in support of all activities outlined in this PWS:
- Review and provide analysis of admission, disposition and injury reports generated by the Composite Health Care Systems (CHCSII)/Integrated Health Information System (IHiS), Tricare contractors, DoD and U.S. Coast Guard Military Treatment Facilities.
- Compile data from the medical acute care clinics, emergency rooms, and other clinics where patients were treated as a result of a motor vehicle accident or personal injury.
- Investigate medical information on the Emergency Treatment Records (ETRs) to insure that all sources of recovery are forwarded to the U.S. Coast Guard Claims and Litigation Division (G-LCL).
- Interview beneficiaries and initiate correspondence to obtain necessary insurance information regarding the injury/accident including the civilian attorney's name, if applicable and then consolidates the information from the patient, accident reports, and medical records into a tort case file.
- Explain and answer questions from patients and insurance companies on statutes, regulations, and matters applicable to the TPL process. The Candidate shall assist patients in the completion of required forms and documents.
- Receive and answer requests for information, medical invoices, and liens for TPL claims from civilian attorneys, military legal offices, and government agencies.
- Draft correspondence, file records, make copies of related correspondence, answer related phone calls and transfer calls to appropriate personnel, perform data entry by way of MS Access and utilize the task feature in MS Outlook to maintain Task List generated by the Government Program Manager.
- Prepare FMCRA liens to include billing forms and UB92 insurance forms, compile all medical and legal documentation into a case file and forwards completed case files to the Claims and Litigation office at U.S. Coast Guard Headquarters or military legal office having jurisdiction over the case, which adjudicates and collects the reimbursement.
- Enter each open case into a computer tracking system.
- Provide support to generate medical liens and route for review and approval and determine if TPL case meets current threshold guidelines.
- Establish new case files, maintain existing case files and utilize US Coast Guard information services to establish and maintain case files.
- Review incoming mail to determine priority and process, route for action, scan and email outgoing correspondence.
Calloway & Associates, Inc., a Disability/Military friendly company, gives preferential consideration to U.S. Military Veterans or Veteran family members.
Calloway & Associates, In. Benefits:
- Health, Dental, and Vision
- Group Life/AD&D insurance
- AFLAC Voluntary Benefit Program
- Paid Time Off and Sick Leave
- 11 Federal Holidays Observed
- 401(k) Plan
- On Time On Target Attendance Bonus Program
- Employee Referral Bonus Program
- Service Excellent Performance Program
Disclaimer: Calloway & Associates, Inc. provides support to federal government clients. As such, we may be required to have our employees fully vaccinated for COVID-19. By applying for this position, you understand you may be required to disclose your vaccination status as a condition of employment.
Calloway & Associates, Inc. is proud to be an equal opportunity employer, committed to recruiting, hiring, and promoting qualified people of all backgrounds, regardless of sex; race; color; creed; national origin; religion; age; marital status; pregnancy; physical, mental or sensory disability; sexual orientation; gender identity or any other basis protected by federal, state or local law. Learn more about your EEO rights as an applicant.
Calloway & Associates, Inc. is committed to the full inclusion of all qualified individuals. As part of this commitment, Calloway will ensure that persons with disabilities are provided reasonable accommodations. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact Jackie W. Johnson, Human Resources (919) 747-7488 or Jackie.w.johnson@calloway-assoc.com .
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