LRCHC Referrals Coordinator

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. The team of professionals include those in medical, dental, optometry, pharmacy, behavioral health, and physical therapy. We pride ourselves on providing excellent service to members of the Colville Confederate Tribes and all those that live and work in the vicinity of the clinics. As a member of the LRCHC team, the Referrals Coordinator will need to be personable and professional. They will need to have strong leadership skills, be organized and have the ability to handle all types of situations. LRCHC provides above average benefits (see below) and competitive rates of pay. If you meet the qualifications that are listed below, please consider joining our team.

Basic Functions / Tasks

• Ensure that patients who need specialty services are able access them in a timely and efficient manner, with an emphasis on the interactions of the team members for concise and professional patient hand-off.
• Encode and maintain all records pertaining to referrals.
• Coordinate and request with the Colville Indian Health Services (IHS) for authorization for specialty services.
• Supervise and provide guidance to a Referral Clerk (when needed).
• Work with both the medical and billing team to ensure complete professional care provision to LRCHC patients.
• 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 Coordinator will be responsible for completion of the referral process (for themselves and other team members), including:

• Enter and track all referrals into the appropriate software system.
• Obtaining referral for any/all providers in a timely manner
• Obtaining authorization(s) when applicable. This includes pre-authorizations for the insurances for specific procedures needed to be completed by an outside provider.
• Communicate with the patient/family/guardians on appointment information via in person, phone or electronically. This includes the scheduling/problem solving and coordination of referral appointments with outside specialist(s).
• 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 all referrals into designated logs including the organization and maintenance of detailed records of incoming and outgoing referrals.
• 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.
• Communicate with the patient(s) on all aspects of the referral process per the treating provider. This may include counseling of the patient regarding the cost of a referral and financial resources that are available.
• Maintenance of an accurate list of the specialist and providers, as approved by the acting Medical Director.
• 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.
• Provide and/or assist in training of support staff.
• Knowledge and Skills
• Associate’s degree (preferred)
• High School Diploma or GED (required)
• Strong computer and phone skills.
• Knowledge of Medical Terminology
• 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.

Benefits

LRCHC has a robust benefit package that includes 100% health, vision, life and dental insurance coverage for the employee with options to purchase other insurance benefits such as additional life and short/long-term disability, and insurance for family members all at an extremely affordable rate. In addition, LRCHC offers up to 6% match on a 401K or Roth IRA retirement plan. Upon hire, employee is eligible to have 12 paid holidays, funeral/bereavement leave, traditional leave, and jury duty leave. LRCHC also offers prorated vacation and sick leave available 90 days after hire.

LRCHC reserves the right to make a hiring decision or close this recruitment at any time after February 20, 2025. If interested, please submit application and other materials as soon as possible. Incomplete applications will not be considered. Resumes are greatly appreciated but will not be accepted in lieu of a completed application.