Referral Clerk

Tuolumne Me Wuk Indian Health Center Inc.•Tuolumne City, CA

18h•Onsite

About The Position

Join our team at the Tuolumne Me-Wuk Indian Health Center, where we offer more than just a job -- we provide a community-focused environment with competitive salaries, exceptional benefits, and a true work-life balance. Our comprehensive benefits package includes medical, dental, vision, and a 401(k) plan, ensuring you and your family are well cared for. Enjoy farm-to-table food through our food distribution program, giving you access to fresh, nutritious options. Plus, take advantage of Indian Health Service Loan Forgiveness opportunities to advance your career while reducing your student debt. Located in the heart of California’s Sierra Nevada foothills, our location offers not just a fulfilling career but the chance to explore a region full of stunning landscapes and outdoor recreation. Spend your days helping others grow professionally and your evenings and weekends hiking through serene mountain trails, kayaking on pristine lakes, or enjoying the charm of historic Downtown Sonora. With its vibrant culture, unique shops, and year-round festivals, you’ll find endless ways to connect and thrive. Whether you’re seeking professional growth or outdoor excitement, Tuolumne County is the perfect place to build your future. Apply today and start your next adventure with us! POSITION OVERVIEW: Title: Referral Clerk Reports To: Clinic Manager Schedule: M-F; 8am-5pm Status: Non-Exempt Summary: The incumbent processes referrals for outside services and appointments for Health Center patients, providing referral services to the nursing staff. The incumbent must conduct all health-related services in strict confidence and on a need-to-know basis with all clinic staff and outside health care providers. Protocols for adherence will be in accordance with HIPAA regulation requirements.

Requirements

High School Diploma with one (1) to three (3) years of experience.
High School Diploma with one (1) to three (3) years of experience in related field.

Nice To Haves

Experience working with Native American population in a healthcare setting 2+ years preferred.
Knowledge of current HER and basic Medi-Cal knowledge preferred.

Responsibilities

The Referral Clerk is primarily responsible for managing and completing all patient referrals in a timely and organized manner.
This includes maintaining a daily log of referrals and accurately inputting information into the EHR system.
The clerk provides regular updates to the RN and Clinic Manager regarding referral statuses while ensuring appropriate follow-up, such as rescheduling appointments and notifying providers.
Additionally, the Referral Clerk communicates with patients, providing them with all necessary referral information and instructions to support seamless coordination of care.
To facilitate the referral process, the Referral Clerk maintains ongoing knowledge of referral resources, required documentation, and key contacts.
Responsibilities include obtaining documentation to prepare for service authorizations, submitting information to agencies or companies for pre-authorization payment approvals, and gathering TAR (Treatment Authorization Request) details to secure payment for services.
The role involves close collaboration with the Medi-Cal department to address specialty referrals, costs for services, and other healthcare specialty resources within the Medi-Cal community.
The Referral Clerk must adhere to HIPAA confidentiality requirements in all written and verbal communications involving patient referrals.
Consistent attendance and professional interaction with staff are essential to the role, contributing to a positive and efficient work environment.
The clerk should demonstrate an understanding of the Health Center's mission, showing enthusiasm for its success while meeting corporate data collection needs and other responsibilities as assigned.