Medical Data & Referrals Specialist

Job Summary

The Redding Rancheria is seeking a Medical Data and Referrals Specialist. The preferred schedule is Monday - Friday 8:00 AM - 5:00 PM. The listed wage reflects the entry-level rate for this position. Compensation may be adjusted based on experience, education, and qualifications.

Requirements/Minimum Qualifications

• High School diploma or GED required
• Experience with pre-authorization process for 3rd Party payers
• Mandatory Medical Terminology
• Pass pre-employment drug screening
• Fingerprinting and background check required
• Indian preference

Essential Job Duties

• Receive referrals/requests from providers through the EHR and schedule outside care as indicated
• Provide information to patients regarding referral provider details
• 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
• 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

Benefits

A complete Redding Rancheria job application must be submitted in order to be considered for employment. You can fill out an application online at the Redding Rancheria ADP Career Center, fax (530-242-4563), or email (employment@reddingrancheria-nsn.gov).

All certifications, credentials/ licenses, education verification /degrees and/or transcripts, and Indian verification are required to process your application.

Redding Rancheria offers an excellent benefit package containing Medical, Dental, Vision, Life Insurance and Short/Long Term disability, paid holidays, vacation and sick leave as well as a generous 401(k) retirement plan.