Supervisor Health Plan Operations Referrals - USFHP

Organizes and directs the daily activities and department workflow of the Referrals and Referral Support Staff under the supervision of the Director of USFHP Operations. Responsibilities include ensuring accurate and timely data entry and processing of authorization and referrals of Pacific Medical Centers' revenues and expenses for Outside e (OPS),. Assures compliance with DoD and other government agency guidelines and contract requirements. Sets Referral policy and monitors compliance to same. Monitors Medicare and TRICARE referral guidelines and educates staff in changes. Identifies and solves processing issues with outside providers. Serves as a member of the US Family Health Plan management team. Jointly manages the US Family Health Plan budget with the Director of USFHP Operations and the other members of the management team.

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