Referral Specialist

MACT Health Board Inc • Jackson, CA

1d • $26 - $30

About The Position

MACT Health Board is seeking a detail-oriented Referral Specialist to work in a clinical setting. As a member of the health care team, the Referral Specialist coordinates referrals, diagnostic orders, and surgeries for patients with outside agencies, and ensures appropriate follow-up. The role requires awareness and appreciation of American Indian traditions, customs, and socioeconomic needs, and the ability to interact effectively with Indian health organizations using tact, courtesy, discretion, resourcefulness, and good judgment when handling sensitive matters.

The position offers Monday–Friday hours from 8 a.m. to 5 p.m. and an hourly salary of $25.56–$30.10. MACT describes its mission as improving the health status of American Indian and Alaskan Native people through a range of health services.

Requirements

• High school diploma or equivalent.
• Knowledge of medical terminology.
• Medical office experience.
• One year of experience as a referral clerk or in similar duties involving patient referrals for treatment.
• One year of experience as a medical receptionist, medical assistant, or procedure scheduler, or satisfactory completion of a medical receptionist/medical assistant training program.
• Knowledge of medical computer programs, including Next Gen EPM, EHR, i2i Tracks, Epic, and other HIEs.
• Knowledge of and training in HIPAA regulations related to patient-care documentation, the eligibility process, and regulatory compliance.
• Detail analysis, accuracy, oral and written communication skills, patience, and tact.
• Current BLS/ALS certificate.
• Must pass Occupational Health Screening.
• Must have a valid form of identification listed on the U.S. Department of Justice I-9 form, verified using the E-Verify system.
• Clean DMV driving record and eligibility to drive under MACT auto insurance, as determined by the insurance carrier.
• Ability to understand and work effectively with American Indian traditions, customs, and socioeconomic needs, and to interact with Indian health organizations with tact, courtesy, discretion, resourcefulness, and good judgment.

Responsibilities

• Expedite referrals, diagnostic orders, and surgery coordination, including verifying insurance, obtaining prior authorizations, transmitting required medical records, and scheduling or rescheduling specialty-care appointments.
• Follow up on referrals by confirming receipt, tracking and documenting referral activities and required elements, and receiving medical records and attaching them to patient charts.
• Respond to telephone calls, faxes, and emails regarding referrals, providing information respectfully, courteously, effectively, and efficiently.
• Maintain knowledge and documentation of referral resources, required forms, and key contact persons.
• Communicate with medical staff, including providers, medical assistants, and staff at outside facilities, to support efficient workflows.

Benefits

• Medical, dental, vision, and life insurance benefits at no cost to the employee.
• 403(b) retirement plan.
• PTO, including vacation and sick time, and paid holidays.
• Student Loan Repayment Program.
• Direct quarterly contributions to student loans through the BenefitED program.
• Reimbursement for continuing education and licensure fees.
• Training and advancement opportunities.

What This Job Offers

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