Medical Referrals & Data Specialist

Redding Rancheria; Redding (CA); On-site; USD 42,000 - 64,000; Full time

Benefits offered by this job

Medical

Dental

Vision

Life Insurance

Short/Long Term disability

paid holidays

vacation

sick leave

401(k) retirement plan

Job summary

Redding Rancheria seeks a Medical Data and Referrals Specialist to coordinate referrals from Tribal Health Systems to external providers. The role focuses on communicating with patients, gathering records, and ensuring follow-up through the EHR and SQL-based tracking.

The position follows a Monday–Friday 8:00 AM–5:00 PM schedule. Entry-level wage is noted; compensation adjusts with experience and qualifications.

Qualifications

• High School diploma or GED required.
• Experience with pre-authorization process for 3rd Party payers.
• Indian preference.
• Medical Terminology

Responsibilities

• Receive referrals/requests from providers through the EHR and schedule outside care as indicated.
• Provide information to patients regarding referral provider name, address and phone number to schedule appointments; acquire pertinent records as needed and forward to the specialist or facility.
• 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 information from outside healthcare facilities.
• Respond to authorized requests for information by outside healthcare facilities.
• Receive outside records and scan to the appropriate EHR patient file.
• Scan in-house forms and documents to the appropriate EHR patient file.
• Track stored historical paper charts and shred as policy requires.
• Perform other related duties as needed.

Skills

Medical Terminology

Pre-authorization experience

Education

High School diploma or GED

Job description

Redding Rancheria seeks a Medical Data and Referrals Specialist to coordinate referrals from Tribal Health Systems to external providers. The role focuses on communicating with patients, gathering records, and ensuring follow-up through the EHR and SQL-based tracking.

The position follows a Monday–Friday 8:00 AM–5:00 PM schedule. Entry-level wage is noted; compensation adjusts with experience and qualifications.