Referral Specialist

The Tulalip Tribes The Tulalip Tribes publicly announces that Indian Preference in hiring shall apply to Tulalip Tribal job opportunities according to our Preference Code. DEPARTMENT : Clinical Records JOB SUMMARY : The Referral Specialist will work daily in the EPIC queue for all patient referrals for outside services, and coordinating/notifying patients of appointments. Ensuring that documentation is completed; for insurance coverage, insurance prior authorization, and following I.H.S. /T.C.H.S. guidelines for coverage. Will follow-up with patients and outside vendors to close the referral once consultation is received to the Tulalip Health Clinic and the primary care provider has reviewed. COMPENSATION : $21.48 hr. MINIMUM REQUIRED EDUCATION High School Diploma or GED equivalent. MINIMUM RELATED EXPERIENCE One (1) year of experience with CPT and ICD-9 coding. One (1) year of experience working with medical terminology. One (1) year of working in the medical field. Six (6) months of experience Electronic Health Record and/or EPIC required. Six (6) months of experience working with insurance company with pre-authorization. Experience with CHS priority guidelines preferred Experience working with diverse cultures, specifically Native Americans. Experience using a scheduling GUI to assist with workflow preferred Experience using RPMS preferred SKILLS TESTING Typing 25 WPM Medical Terminology Knowledge REQUIRED LICENSES/CERTIFICATIONS/PREREQUISITES CPR/First Aide Certificate. *Will allow six (6) monthto obtain. Negative TB Skin Test or chest x-ray. HIPAA certificationupon hire. Must abide by departments vaccination policy and will need to provide immunization records. Employment is contingent upon successful completion of a pre-employment background check. TERMS OF EMPLOYMENT : This is a regular Full-Time position. #J-18808-Ljbffr