Referral Coordinator

The Quinault Indian Nation is a federally recognized Indian tribe. Preference in filling vacancies is given to qualified Indian candidates in accordance with the Indian Reorganization Act of 1934 and other U.S. laws. Consideration may be given to non-Indian applicants if there are no qualified Indian Preference eligible.

We are located on the beautiful Olympic Peninsula, surrounded by the great outdoors. Locally we have many city, county, state, and federal parks. We are surrounded by an extravagant number of outdoor activities including hiking, camping, hunting, fishing, ocean beaches, lakes, rivers, bird watching and much more.

The Quinault Wellness Center offers our employees a wonderful benefits plan. All full-time employees are eligible for Medical, Prescription, Vision and Dental. If your plan is employee only, we will cover 100% of the premiums, you will also have the option to add dependents at an additional cost. Depending on the location and the position we may be able to offer relocation assistance up to $10,000. The Quinault Wellness Center pays 100% of the premiums for our full-time employees for both short-term and long-term disability plans. We also have a gracious employee leave program that includes 14 holidays, paid vacation leave and paid sick leave.

The Referral Coordinator is responsible for ensuring the smooth and efficient flow of patient referrals within our organization. They will work closely with our medical and dental departments, patients, and other healthcare professionals to coordinate specialist consultations, testing's, and other necessary services. Specific duties and day-to-day tasks of the Referral Coordinator are prompted by assignments, and by requirements to fulfill responsibilities established by the Supervisor. These duties include, but are not limited to, the following:

• Process incoming and outgoing referrals according to established protocols, documenting status, process, notes, approved ROIs, etc. into EHR systems.
• Verify patient demographics and insurance information.
• Gather and organize relevant medical and/or dental records.
• Obtain prior authorizations from patients insurance companies.
• Schedule appointments and communicate details with patients.
• Track the status of referrals and prior authorizations, for your use and others use.
• Maintain accurate documentation and confidentiality for all activities.
• Embraces teamwork as the foundation of the organization, demonstrates good interpersonal skills, treats all team members with dignity and respect, actively supports others, and maintains a high level of personal integrity.
• Promotes positive corporate culture and maintains confidentiality of all Quinault Wellness Center information.
• Establish and maintain an effective system of communication within the Quinault Wellness Center, and establish and maintain an effective working relationship with others.
• Prioritizes and plans work activities; uses time efficiently.
• Adhere to all QWC Personnel Manual, Title 97 and TERO Policies
• Perform other duties as required or assigned.

Required:

• Associates degree and at least 1 year of experience working in a healthcare setting; or at least 4 years working in a healthcare setting. (Healthcare experience must be directly related to healthcare terminology, EHR entries, healthcare administrative role, etc.)
• Experience using medical and/or dental terminology and working with insurance companies.
• Excellent organizational and time management skills.
• Excellent telephone and electronic communication skills.
• Must be proficient in Microsoft Office (Word and Excel).
• Strong communication and interpersonal skills.
• Knowledge and adherence to state (RCW, WAC) and federal confidentiality regulations (42 CFR part 2). Applicants must always conduct self ethically and professionally.
• Knowledge of HIPAA and PHI requirements.
• Knowledge of common office and administrative procedures.
• Skills in the operation of a personal computer and standard office programs and equipment.
• Ability to present strong public speaking and presentation skills.

Preferred:

• Previous experience with an Electronic Health Records system.
• Previous Medical Coding and/or Billing experience.