PRC Referral Technician

This position is located within the Absentee Shawnee Tribe's Health Programs at the Little Axe Location. This position serves as a PRC Referral Tech assisting PRC Referral Specialist. Will be responsible in ensuring all steps are taken in regards to referrals, address communications between the patients and PRC Referral Specialist to whom/what the patients have been referred. Assisting in problem solving on issues regarding referrals. Closing the loop on referrals. The incumbent is under the administrative supervision of PRC Director.

Responsibilities & Duties

• Works closely with Referral Specialist in assisting with processed and submitted referrals, assigned to the Specialist.
• Responds to PRC inquiries and requests for PRC assistance. Such responses are through telephone, correspondence, and personal visits with customers/patients.
• Communication with other interdepartmental PRC staff regarding referrals.
• Develops and maintains a positive working relationship and supports the overall team effort of the Absentee Shawnee Tribal Health program providers including clinics, physicians, community outreach programs, third party resources, community health care nurses, home health care nurses, diabetes initiative, behavioral health, billing office, health board and PRC review committee.
• Documentation, processing and auditing of provider driven referrals.
• Utilizing Indian Health Services (IHS), Private Insurance, Medicaid/Medicare, and Tribal Health Programs.
• Enters client data into the appropriate database; maintains accurate files, and organizes data.
• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
• Performs other related duties as assigned.

Education requirements and qualifications

• High School graduate
• Knowledge of computers preferred.

Knowledge, Skills and Abilities

• Must be familiar with HIPAA.
• Incumbent must possess the ability to interact with a wide variety of individuals and handle several complex situations simultaneously. It also requires impeccable communication and negotiation skills, written, verbal, and excellent computer and typing skills.
• Must be able to provide quality customer service.
• Must be able to apply critical thinking through the ever changing work environment. Knowledge of software to access and interpret patient data.

Posted Date: 11 hours 52 min ago

Closing Date: Wednesday, January 15, 2025

Tribal Preference/Native American Preference/EEO/Smoke Free/Drug Free Workplace. Indian preference applies to all positions, but all resumes will be accepted.

Forward Completed Absentee Shawnee Tribe applications with resume to:
Absentee Shawnee Tribe
Human Resources Department
2025 South Gordon Cooper Dr.
Shawnee, OK 74801
Fax: 405-273-2710
Email: [email protected]