Medical Data & Referrals Specialist
Medical Data & Referrals Specialist
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
***This position is open through Friday June 27th 2025.***
The Redding Rancheria is seeking a Medical Data and Referrals Specialist. The preferred schedule for this position is Monday through Friday 8:00am-5:00pm.
JOB SUMMARY:
Coordinate referrals from Redding Rancheria Tribal Health Systems to other health care providers for patient care that is not performed at the Health Center. Referrals are made to providers such as physicians diagnostic facilities radiology laboratories and hospitals.
REQUIREMENTS/MINIMUM QUALIFICATIONS:
- High School diploma or GED required.
- Experiencewithpre-authorizationprocessfor3rd Party payers.
- MedicalTerminology
- Mustpasspre-employmentdrugscreening.
- Mustbefingerprintedandpassbackgroundcheck
- 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 name address and phone number to allow patients to call to schedule appointment. Acquire pertinent records labs x-rays diagnostictestsandhealthsummariesrelatedtothepatientscurrentconditionfromthemedical records; forward information to the specialist or facility involved.
- EnterreferraldataandinsuranceinformationintoEHR..
- Track allreferralssentouttoensurecompletionofcareand receiptofrelateddocumentation using SQL reports. .
- Maintainallrequireddata intheEHRtocomplywithclinicstateandfederalmandates.
- Requestmedicalrecords/otheradditionalinformationfrom outsidehealthcarefacilities.
- Respondtoauthorized requestsforinformationbyoutsidehealthcarefacilities
- Receiveoutsiderecords andscantoappropriateEHRpatientfile.
- Scanallinhouseformsanddocuments totheappropriateEHRpatientfile.
- Track all stored historical paper charts and shred as per policy as they time out. Perform other related duties as needed.
A completed Redding Rancheria job application must be submitted in order to be considered for employment. You can fill out an application online at please fax ) or email ().
All certifications credentials/ licenses education verification /degrees and/or transcripts and Indian verification are required to process your application.
Any offer of employment is conditioned upon the successful completion of a pre-employment drug screen and criminal background screening clearance. All employees are required to submit to a Tuberculosis test (TB) test after they are hired in addition to being tested annually.
To minimize the spread of COVID-19 the Redding Rancheria will require all healthcare employees to report their vaccination status and be fully vaccinated against COVID-19. Any healthcare employees with medical conditions or sincerely held religious beliefs that prevent them from taking the vaccine may be entitled to an exemption.
Additional Information:
In addition 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.
Redding Rancheria is a federally recognized Tribe with Pit River Wintu and Yana people where pride in Tribal culture history and identity is evident internally and in the larger community. Redding Rancheria is a leader in the constructive development of its people the larger Indian community and the Redding region.
E-Verify Statement
Redding Rancheria participates in the Electronic Employment Verification Program. Visit the E-Verify URL below for more information.
further information please contact Human Resources Dept. at .
The preferred schedule for this position is Monday through Friday 8:00am-5:00pm.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
