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Indigenous Pact PBC, Inc.Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in referral coordination and prior authorization processes, ensuring effective communication and collaboration among patients, providers, and external partners to enhance patient access to care. Proficient in managing referral workflows and maintaining accurate documentation while adhering to HIPAA requirements.
Highest-signal resume keywords
Referral CoordinationPrior Authorization ManagementElectronic Health RecordsInsurance Eligibility VerificationHealthcare Documentation Standards
About the role
Key responsibilities & impact- Support Tribal Care and/or Purchased/Referred Care (PRC) referral processing, including referral documentation, authorization status, specialist scheduling, follow-up, and communication with clinic teams and external partners
- Manage referral workflows from intake through closure
- Coordinate the full prior authorization lifecycle, including submission, tracking, follow-up, appeals coordination, and communication of authorization status
- Facilitate patient scheduling and care coordination across providers, clinics, specialists, payers, and support services
- Maintain complete and accurate referral records, communication logs, and supporting documentation
- Monitor referral status and follow-up activities to reduce delays and improve patient access to care
- Support pre-visit, post-visit, and referral-out activities to ensure continuity of care and successful care transitions
- Collaborate with patients, providers, clinic staff, and external partners to remove barriers to care and improve the patient experience
Requirements
What you’ll need- High school diploma or equivalent
- Minimum two years of experience in referral coordination, patient navigation, medical office administration, prior authorization, or a related healthcare support role
- Knowledge of insurance eligibility verification, prior authorization processes, HIPAA requirements, and healthcare documentation standards
- Experience working with electronic health records, referral tracking systems, and payer portals
- Strong organizational, communication, problem-solving, and time-management skills
- Ability to remain seated and use a computer for extended periods of time
- Must communicate effectively through phone, video, and electronic communication methods
- Ability to maintain confidentiality of protected health information and manage competing priorities in a fast-paced environment
Benefits
Comp & perks- PTO policy including vacation, wellness and 11+ company-paid holidays
- 401(k)
- Medical insurance
- Dental insurance
- Vision insurance
- Open, transparent lines of communication with leadership
- Development-focused environment with autonomy to drive your career path
- Commitment to improving communities and environmental impact
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Referral ProcessingAuthorization Status TrackingPatient SchedulingCare CoordinationDocumentation Maintenance
Soft Skills
Organizational SkillsCommunication SkillsProblem-Solving SkillsTime-Management Skills
Tools & Technologies
Referral Tracking SystemsPayer Portals
Industry Keywords
HIPAA RequirementsHealthcare SupportPatient NavigationMedical Office Administration