Medical Data & Referrals Specialist

Redding Rancheria•Redding, CA

7d•Onsite

About The Position

The Redding Rancheria is seeking a Medical Data and Referrals Specialist. This position coordinates referrals from Redding Rancheria Tribal Health Systems to other healthcare providers for patient care not performed at the Health Center. Referrals are made to various providers including physicians, diagnostic facilities, radiology, laboratories, and hospitals. The preferred schedule for this position is Monday - Friday 8:00 AM - 5:00 PM. The listed wage reflects the entry-level rate for this position, and compensation may be adjusted based on experience, education, and qualifications.

Requirements

High School diploma or GED required.
Experience with pre-authorization process for 3rd Party payers.
Medical Terminology
Must pass pre-employment drug screening.
Must be fingerprinted and pass background check.
Indian preference

Responsibilities

Receive referrals/requests from providers through the EHR and schedule outside care as indicated.
Provide information to patients regarding referral provider name, address and phone number to allow patients to call to schedule appointment.
Acquire pertinent records, labs, x-rays, diagnostic tests and health summaries related to the patient's current condition from the medical records; forward information to the specialist or facility involved.
Enter referral data, and insurance information into EHR.
Track all referrals sent out to ensure completion of care and receipt of related documentation using SQL reports.
Maintain all required data in the EHR to comply with clinic, state and federal mandates.
Request medical records/other additional information from outside healthcare facilities.
Respond to authorized requests for information by outside healthcare facilities.
Receive outside records and scan to appropriate EHR patient file.
Scan all ‘in house’ forms and documents to the appropriate EHR patient file.
Track all stored historical paper charts and shred as per policy as they time out.
Perform other related duties as needed.