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.
• 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/BLS Certificate.
  * Will allow six (6) month to obtain.
• Negative TB Skin Test or chest x-ray.
• HIPAA certification upon hire.
• Must abide by departments vaccination policy and will need to provide up-to-date immunization records as part of the credentialing process.
• Employment is contingent upon successful completion of a pre-employment background check.

TERMS OF EMPLOYMENT: This is a regular Full-Time position.