Referral Navigator

About This Role

Process referrals from primary care providers for specialist care by internal and external specialty providers. This role involves building, submitting, processing, and scheduling referrals, ensuring all necessary documentation is present.

Responsibilities

• Building new referrals from network providers
• Reviewing to ensure all necessary documents and information has been provided
• Sending back documents for additional information
• Canceling those that do not meet criteria or do not have necessary information required within a specified time frame, forwarding to MD review if questionable
• Accepting referrals and determining if meets outsource or overflow criteria
• Handling paperwork, faxing, and scanning
• Managing multiple telephone calls

Requirements

• High School Diploma/GED (or higher)
• CPR certification (or ability to obtain within 30 days)
• 2+ years of experience in a health-related field
• 2+ years of experience with EMR and/or Practice Management Software systems

Qualifications

• High School Diploma/GED (or higher)
• 2+ years of experience working in a health-related field and with Electronic Medical Records (EMR) and/or Practice Management Software systems

Nice to Have

• 1+ year of experience and/or training as a Medical Assistant
• Bilingual in English/Spanish

Skills

* Required skills

Benefits

Certifications