PRC Referral Clerk (TM-49334)

Confederated Tribes Of The Colville Reservation; Nespelem (WA); On-site; USD 29,000 - 36,000; Full time

Job summary

The Referral Clerk at Confederated Tribes Of The Colville Reservation Nespelem, WA processes and tracks patient referrals to external healthcare providers within the PRC program, coordinating with patients, providers, and insurers to ensure proper documentation, eligibility, and timely follow-up.

The role requires HIPAA compliance, knowledge of PRC policies and IHS regulations, strong organizational skills, and the ability to work independently or with a team, including occasional travel for

Qualifications

• High School Diploma or GED required.
• Two 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.
• CPR certification preferred.
• 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.
• Ability to travel occasionally for training or program coordination.

Responsibilities

• Process and track patient referrals to external healthcare providers.
• Coordinate with patients, providers, and insurers to ensure documentation, eligibility, and follow-up for referred care services.
• Ensure compliance with PRC policies, IHS regulations, and tribal healthcare standards.
• Maintain confidentiality and HIPAA compliance.
• Work independently or as part of a team and adapt to changing procedures.
• Travel occasionally for training or program coordination.

Skills

HIPAA compliance

Microsoft Office

EHR systems

Customer service

Communication

Organizational skills

Referral coordination

HIPAA regulations

Teamwork

Attention to detail

Education

High School Diploma or GED

Tools

PRC systems

IHS systems

EHR systems

Job description

Job Details: Job Location: Nespelem - Nespelem, WA 99155, Salary Range: $21.35 - $26.00 Hourly, Closing Date: October1,2026

Position: Referral Clerk (PRC)

Salary: $21.35 - $26.00

Reports To: PRC Administrator

Location: Nespelem, WA

SUMMARY:

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.

Qualifications: KNOWLEDGE, SKILLS, AND ABILITIES:

• 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.
• CPR certification preferred.
• 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.
• Valid driver’s license and ability to pass a background check.
• HIPAA certification or willingness to obtain.
• CPR certification preferred.
• Must adhere to infection control and safety protocols.
• Ability to travel occasionally for training or program coordination.

Note: Pursuant to Tribal Policy, if this position is safety sensitive it is subject to pre-employment drug testing. In addition, this position is subject to reasonable suspicion and post-accident drug testing.

TRIBAL MEMBER AND INDIAN PREFERENCE WILL APPLY; PREFERENCE WILL ALSO BE GIVEN TO HONORABLY DISCHARGED VETERANS WHO ARE MINIMALLY QUALIFIED.

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. In addition, this position may be subject to pre-employment background clearances. If applicable, these clearances must be maintained throughout employment.

INFORMATION: Terri Mail, HR Generalist, Colville Tribal Health Care Authority, Human Resources Office, P.O. Box 150, Nespelem, WA 99155, (509) [e-mail]