Adult - Referral Navigator (Bilingual)

HOPE Clinic•Houston, TX

9d•Onsite

About The Position

Working with medical and clinical providers, the Referral Navigator will coordinate patient referrals to patients of Asian American Health Coalition (AAHC) DBA HOPE Clinic with outside providers and insurance companies. Works hand-in-hand with patients, peer referral specialists and clinical staff to provide quality referral experience to outside providers.

Requirements

Minimum of one year experience in coordinating referrals to outside providers or relevant experience with an insurance company
Microsoft Office
Must be able to utilize the Internet
Strong written and oral communication skills
Strong customer service skills
Must be detailed oriented and able to handle multi-tasks
Office equipment (e.g., computer, copier)
Detail oriented
Able to handle multiple tasks, complexity, and diversity of patients
Fluently bilingual in another language served by HOPE Clinic as well as English is required
Above average skills in language ability as well as public speaking and writing
Must have good transportation and a valid Texas Driver’s license

Nice To Haves

Associate degree preferred
2 years or more in healthcare preferred
Insurance and medical experience preferred
Associates Degree is preferred
Experience in the medical field and referral/health insurance is preferred

Responsibilities

Provide referral details and appointment arrangements to patients needing specialist or external medical visits
Organize follow-up activities for patients to assure that patient visits with specialists are complete and referral notes are obtained from external providers
Stay up to date with external referral sources and provides appropriate referral options for patients based on services needed
Schedule appropriate outgoing appointments and referrals as per request of providers
Follow-up on patient appointments, results, and concerns
Initiate pre-authorization or pre-certification for procedures and operations
Verify patient insurance and information is acceptable by partnering institutions
Service and respond to customer and patient questions, issues and/or concerns
Securely and accurately document all patient information
Submit Agency forms and documentation in a timely manner. (Improvement activities, response to memorandums, travel reconciliation, supply requests, leave requests, monthly in-service)
Positively contribute to staff morale and corporate culture
Ensure that work assignments and information gathered from day to day work is not shared with anyone and protects all patient and agency information. Is knowledgeable of and maintains HIPAA standards of privacy and confidentiality
Ensure that all patients receive the best possible care
Attend on-site/off-site community engagement activities and on-site/off-site clinic events as needed
Perform other duties as assigned to support HOPE Clinic’s Mission, Vision and Values