Referral Clerk

Coho Integrated Solutions is seeking a highly organized Referral Clerk to support the Referral Management Center (RMC) at Marine Corps Base Camp Lejeune. This position is responsible for processing, tracking, and coordinating medical referrals, ensuring compliance with Military Treatment Facility (MTF) policies, procedures, and timelines. The Referral Clerk will work closely with patients, providers, case managers, and leadership to facilitate specialty care, maintain accurate records, and produce required reports.

Responsibilities (include but are not limited to):

• Review referrals for administrative completeness and confirm covered benefits prior to processing.


• Verify patient eligibility and schedule medical appointments for referred care.


• Provide instructions to patients and MTF personnel regarding referral procedures.


• Ensure referral results are returned to the referring provider and entered into the medical record within required timelines, following up as needed.


• Utilize referral tracking tools to collect data, calculate metrics, and compile monthly reports as directed.


• Participate in the Referral Management Program per Standard Operating Procedures (SOP), ensuring adherence to established processes and timing requirements.


• Identify and track eligible beneficiaries authorized for specialty care outside MTF capabilities; enter accurate patient data into approved databases and EMRs.


• Generate and submit weekly reports, including:
  
  
  
  • NMCCL referrals not activated
  
  
  • Pending appointments
  
  
  • No-show reports
  
  
  
  


• Maintain liaison with case managers to ensure coordinated communication and avoid duplication of efforts.


• Process Right of First Refusal (ROFR) network referrals in accordance with SOP guidelines, including provider research, patient data updates, specialty consult entry, and CLR processing.


• Attend weekly Referral Management leadership meetings to receive updates and address departmental issues.


• Monitor clinic queues to ensure referrals are closed at 120 days or, for deferred network cases, at 180 days.

Essential Job Qualifications and Requirements:

• Education:
  
  
  
  • High School Diploma or General Educational Development (GED) equivalency.
  
  
  
  

• Certifications:
  
  
  
  • Current Basic Life Support (BLS) certification.
  
  
  
  

About Copper River & The Native Village of Eyak:

Owned by the Native Village of Eyak (NVE), a federally recognized Alaska Native Tribe, the Copper River Family of Companies are a collection of entities that deliver a complementary set of solutions and services to support the diverse missions and requirements of our clients. Proud participants of the Small Business Administration’s (SBA) 8(a) Business Development Program since 2006, our companies consist of both current and graduation SBA 8(a) entities. It is our collective purpose to support the Tribe and diversify the NVE’s ability to facilitate economic advancement.

The income generated from our companies helps the Native Village of Eyak fund health and social services, economic development, natural resource/environmental education, jobs, job training, and other benefits to the NVE in a manner that is consistent with Alaskan Native cultural values and traditions.

Copper River’s Culture

The Copper River Family of Companies has a positive, supportive, and thriving culture. At the foundation of our culture is a focus on collaboration. No matter your role or which operating company you work for, we are ONE TEAM working toward the same goals for our customers and for our collective owner- The Native Village of Eyak. How we treat each other is just as important as the work we deliver.

Benefits

• Comprehensive medical, dental, and vision coverage


• Flexible Spending Account - healthcare and dependent care


• Health Savings Account - high deductible medical plan


• Retirement 401(k) with employer match


• Open leave policy and paid holidays


• Additional benefits including tuition reimbursement, transportation expense account, employee assistance program, and more! 

Note: These benefits are only applicable to full time, regular associates at Copper River.

Disclaimer:

The Copper River Family of Companies provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.