Medical Referrals & Data Coordinator

Redding Rancheria; Redding (CA); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life insurance

Disability insurance

Paid holidays

Job summary

The Redding Rancheria is seeking a Medical Data and Referrals Specialist to coordinate referrals from Tribal Health Systems to external providers. The role supports patient care not performed at the Health Center and requires handling records, labs, and health summaries while ensuring timely communication with specialists and facilities.

The ideal candidate will have a high school diploma or GED, experience with third-party payer pre-authorization, medical terminology proficiency, and a

Qualifications

• High School diploma or GED required.
• Experience with pre-authorization process for third-party payers.
• Medical terminology proficiency.
• Indian preference.

Responsibilities

• Receive referrals/requests from providers through the EHR and schedule outside care as indicated.
• Provide patients with referral provider name, address, and phone number to schedule appointments; acquire pertinent records, labs, x-rays, diagnostic tests, and health summaries related to the patient’s current condition from medical records and forward information to the specialist or facility involved.
• 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 and other additional information from outside healthcare facilities.
• Respond to authorized requests for information from outside healthcare facilities.
• Receive outside records and scan them to the 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 them as per policy when they expire. Perform other related duties as needed.

Skills

Medical terminology

Pre-authorization experience

Referral coordination

Education

High School diploma or GED

Job description

The Redding Rancheria is seeking a Medical Data and Referrals Specialist to coordinate referrals from Tribal Health Systems to external providers. The role supports patient care not performed at the Health Center and requires handling records, labs, and health summaries while ensuring timely communication with specialists and facilities.

The ideal candidate will have a high school diploma or GED, experience with third-party payer pre-authorization, medical terminology proficiency, and a