Patient Referral Clerk

Coordinates all patient referrals at the request of the Providers.  Sends patient case information to outside providers for approval. Follows up with patient and outside provider(s) by tracking the referral until completed. Enters all referrals into the eClinical Works (eCW) system. Will track and record reports as they are received. Coordinates with Continued Quality Improvement (CQI) to comply with Accreditation Association for Ambulatory Health Care (AAAHC) standards.  Shall work with the PRC (Purchased Referred Care) Department and eCW management.

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1. Coordinates all patient referrals at the request of the providers.
2. Coordinates with outside providers and insurance agencies to ensure coverage, co-pays, and prior authorizations.
3. Enters all referrals into the eCW system.
4. Tracks and record reports in the eCW system as they are received.
5. Scans all orders and outside reports in patient Electronic Health Record (EHR).
6. Follows up with patient and outside provider to ensure referral is completed.
7. Assists in Fax Logic when needed.
8. Adheres to Tribe's and Program's confidentiality and personnel policies.
9. Be available for local and out of the area travel as required for job related training and various activities.
10. Attends all required meetings, trainings and functions.
11. Be polite and maintain a priority system in accepting other job-related duties, as assigned.

5. Demonstrates ability to use a variety of computer programs and in particular understand, and when necessary, operates software such as Windows 10 and MS Office Suite applications.
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6. Demonstrates strong organizational skills, be able to prioritize duties and ensure timely completion of tasks.

1. Have a High School Diploma or GED.
2. Working knowledge of medical terminology.  
3. Knowledge and experience with the eCW.
4. Possess basic computer skills including word processing and a basic knowledge of office procedures and business machines.
5. Have strong communication skills (verbal and written).
6. Have the ability to address sensitive issues in a confidential manner.
7. Adhere to the confidentiality policy.
8. Become certified and remain current in infant, child, and adult BLS (Basic Life Support) CPR (Cardiopulmonary resuscitation) and First Aid
9. Must provide proper documentation of immunity/immunizations (measles, rubella MMR, HEP B,) or become vaccinated. Annual Influenza Immunization & Tuberculosis (TB) testing required per Center for Disease Control (CDC) guidelines. Exemptions will be reviewed as necessary.
10. Must be a self-starter, well organized, and willing to learn new skills.
11. Must possess valid driver's license, good driving record, and be insurable by the Tribe's insurance carrier.
12. Must successfully pass a pre-employment drug screening test.
13. Must adhere to required pre-employment background check, crim check and FBI fingerprints. Additionally, (IF applicable): Investigation of character as required by the Indian Child Protection and Family Violence Act (ICPFVP). The minimum standards require an investigation that shall include: a check of fingerprint files of the Federal Bureau of Investigation (FBI) and to appropriate local law enforcement agencies. The applicant must not have been found guilty of, or entered a plea of no contender or guilty plea to any felonious offenses or two or more misdemeanor offense under Federal, State, or Tribal law involving crimes of violence; sexual assault, molestation, exploitation, contact or prostitution; crimes against persons; an offense committed against children.