Medical Administration Specialist - Medical Group Command

Job Description

Job Description

Join Decypher and make a direct impact on the health and readiness of America’s service members, veterans, and their families. Since 2008 Decypher has offered healthcare industry professionals careers where their expertise is valued, and their work makes a meaningful impact. Decypher partners with the Defense Health Agency to deliver professional services, technology, and management solutions. Our mission is to provide and support quality care for our veterans, servicemembers and their families, across the United States.

Job summary: Medical Administration Specialist to provide comprehensive administrative and patient access support within a military healthcare environment, coordinate patient management and referral processes, manage base access procedures, and ensure compliance with DHA, HIPAA, TRICARE, and Joint Commission standards. The ideal candidate will support communication between medical staff, Security Forces, and leadership while maintaining high-quality customer service, operational efficiency, and secure access to healthcare services across the continuum of care. This role is at Nellis Air Force Base in Nevada.

Required Qualifications:

• Education :
  • An associate’s degree or equivalent is required.
  • A bachelor’s degree in health care administration, business, information management, or a related discipline is preferred.
• Experience:
  • A minimum of 2 years of medical administration services is required.

U.S. Citizenship is required

Qualifications:

• Working knowledge of patient management and referral processes in a hospital or clinical setting.
• 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.
• Must have knowledge of DoW, Air Force, Army or Navy and The Joint Commission (TJC) standards and privacy and confidentiality requirements (HIPAA).
• Must have working knowledge of Department of War (DoW), Federal, State, non-profit Healthcare systems and organizations, to include DoW 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 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.
• Manage patient and visitor pass length.
• Renew passes for patients, vendors requested by Medical management staff and designated community members by Executive staff as needed.
• Elevate denied passes to appropriate Security Forces and Wing leadership for waiver authority program.
• Maintain communication with Security Forces personnel 2 to 3 days per week or 72 hours prior to patient/visitor arrival.
• Manages the entry access excel list for patients and visitors in collaboration with security forces.
• Manages Agent card package for base access for qualified members.
• Ensures a high level of quality service provided to patients.
• Monitors all patient and visitor access processes generally and individual workers specifically to assure compliance with 99 Air Base Wing (ABW) Installation Defense Plan (IDP).
• Offers guidance to employees related to customer service related to Base Access.
• Ensures proper utilization of purchased software: MHS Genesis, Tiger Connect, MS Teams, Microsoft Office, etc.
• Keeps up to date on changes imposed by Department of Healthcare Administration (DHA), Nellis Air Force Base Installation Defense Plan, and 99 Medical Group (MDG) local policies.
• Ensures Mike O’Callaghan Military Medical Center Group Commander, 99 Air Base Wing Commander, and Nellis Air Force Base Security Forces are informed of any unusual and significant issues that may affect breaches in security, safety mitigation, or access to health care.
• Ensures a high level of quality service provided to patients.
• Sets priorities appropriately.

Performance Outcomes:

• Notifies and directs professional staff and other medical administrative personnel regarding base access process, policy and requirements.
• Validates and implements MTF policy along with Installation Defense Plan, in support of hospital accreditation program and quality improvement efforts.
• Establishment of addendums related to Base Access in accordance with Installation Defense Plan and DHA.
• Must expedite base access denials with chain of command within 3-5 business days from initial denial.
• Adheres to all MTF policy and procedures.

Work Environment & Schedule:

• The work is primarily sedentary. However, there may be some physical demands. Requirements include prolonged walking, standing, sitting or bending.
• The schedule days and hours are as follows: Monday-Friday 0730-1630.

Compensation & Benefits: $24.27 + H&W

Decypher is an equal opportunity and affirmative action employer committed to a diverse and inclusive workforce (M/F/D/V)