LRCHC Referrals Clerk

 Lake Roosevelt Community Health Centers provide responsive, high quality health care services that meet the needs of all users in a non-discriminatory, confidential, compassionate, and professional atmosphere.  We serve members of the Colville Tribe and those residents from surrounding areas.   This also includes the many visitors that we have to our beautiful surrounding lakes and forests.  LRCHC offers phenomenal benefits such as 100% paid health, dental and vision insurance for the employee (75% paid for family), supplementary short- and long-term disability insurance at a low, low cost and retirement match up to 6%.   There are 12 paid holidays along with 3 Traditional Days (to use as personal time off), paid sick days and funeral/bereavement days. LRCHC just celebrated 20 years of providing excellent service and it is our intent to provide 20 more and beyond! Come be a part of our team!                                                                                                                                                                                                                  

Basic Functions / Tasks

• Encode and maintain records pertaining to referrals.
• Coordinate and request with the Colville Indian Health Services (IHS) for authorization for specialty services.
• Work with both the medical and billing team to ensure complete professional care provision to LRCHC patients.
• Serve as back up to the medical receptionist and/or as needed throughout LRCHC. 
• Maintain a professional working relationship with all levels of staff, clients and the general public by being a part of the LRCHC team with an emphasis on accomplishing the team’s goals and objectives. 
• Maintain the privacy of all patients and employees by accessing pertinent information only on a need-to-know basis.
• Strictly adhere to the prescribed policies of LRCHC, HIPAA, CCT policies and any other rules regulations pertaining to patient care.

Essential Duties and Responsibilities

The Referrals Clerk will be responsible for working with the Referrals Coordinator to ensure that patient referrals are done in a timely and very professional manner. 

• Track all referrals into the appropriate software system.
• Communicate with the patient/family/guardians on appointment information via in person, phone or electronically.
• Follow up with the patient and the specialty provider to document that patient has kept appointments.  And if not kept, determine why not and how to remedy.  
• Obtain necessary financial documentation from the Purchase Referred Care Department. 
• Track ER visits with IHS for patients (CHC and directly).
• Track all referrals into designated logs including the organization and maintenance of detailed records of incoming and outgoing referrals.
• Maintenance of an accurate list of purchase orders issued by HIS for the Referrals Coordinator.
• Coordinate with the Medical Records staff to track the status of all provider reports on the patients that have been referred to hospitals, outside clinics and specialty providers.  Follow up on any reports and/or records not received.
• Ensure documentation on all actions taken in the patient’s medical record in accordance with LRCHC, IHS and the patient’s Health Plan regulations and guidelines. 
• Fax purchase orders and support documentation as needed.
• Act as a liaison between the patient, the clinic(s) and/or providers, any specialty care providers, various health plan and funding sources and community resources.  This includes helping HIS members with eligibility issues.
• Provide and/or assist in training of support staff.
• Schedule patient appointment for referral renewals.

Knowledge and Skills

• High School Diploma or GED (required) (associate’s degree or better may receive preference)
• Strong computer and phone skills.
• Knowledge of Medical Terminology (Certification within 6 months of hire)
• General understanding of Medicare, Medicaid, commercial carriers and other general healthcare insurance providers.
• Sufficient knowledge of proper English usage, grammar, spelling and punctuation to prepare and provide professional correspondence either written or verbal. 
• Ability to prepare spreadsheets, graphs and charts as needed.

Physical Ability

• Ability to sit for long periods of time. 
• Ability to lift 15 – 30 pounds
• Requires visual acuity to read words and numbers.
• Requires auditory ability to carry on conversations over the phone, in person and when needed electronically. 

This job description describes the general nature of the work performed, representative duties as well as the typical qualifications needed for acceptable performance.   It is not intended to be a complete list of all responsibilities, duties, work steps and skills required of the job. 

Salary : $20 - $22