PRC Referral Clerk (TM-49334)

CONFEDERATED TRIBES OF THE COLVILLE RESERVATION • Coulee City, WA

6d • $21 - $26 • Onsite

About The Position

The Referral Clerk provides administrative support to the Purchased/Referred Care (PRC) program by processing and tracking patient referrals to external healthcare providers. This role involves coordinating with patients, providers, and insurers to ensure appropriate documentation, eligibility, and follow-up for referred care services. The Referral Clerk ensures compliance with PRC policies, Indian Health Service (IHS) regulations, and tribal healthcare standards. The Referral Clerk position is distinguished by its focus on managing external healthcare referrals within the PRC system. It requires knowledge of PRC regulations, HIPAA compliance, and medical terminology. This role is critical for ensuring timely and efficient coordination of off-site patient care services.

Requirements

• High School Diploma or GED required.
• Two (2) years of experience in a healthcare office, referral coordination, or medical records preferred.
• Experience with PRC or IHS systems highly desirable.
• Valid driver’s license and ability to pass a background check.
• HIPAA certification or willingness to obtain.
• Knowledge of PRC policies, IHS referral protocols, and tribal health system practices.
• Familiarity with medical terminology, billing codes, and insurance verification.
• Proficiency in Microsoft Office and EHR systems.
• Strong organizational skills and attention to detail.
• Effective communication and customer service skills.
• Ability to manage multiple referrals and follow up in a timely manner.
• Ability to maintain confidentiality and adhere to HIPAA regulations.
• Ability to communicate effectively with patients, staff, and external providers.
• Ability to work both independently and as part of a team.
• Ability to adapt to changing procedures and program requirements.
• Must adhere to infection control and safety protocols.
• If required of this position, you must possess and maintain a valid Washington State driver’s license and be eligible for the Tribes’ Vehicle Insurance.
• If applicable, these clearances must be maintained throughout employment.

Nice To Haves

• CPR certification preferred.

Responsibilities

• Processing and tracking patient referrals to external healthcare providers.
• Coordinating with patients, providers, and insurers to ensure appropriate documentation, eligibility, and follow-up for referred care services.
• Ensuring compliance with PRC policies, Indian Health Service (IHS) regulations, and tribal healthcare standards.
• Managing external healthcare referrals within the PRC system.
• Adhering to infection control and safety protocols.
• Traveling occasionally for training or program coordination.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED