Temporary Referral Navigator

Marin Community Clinics•Novato, CA

About The Position

Marin Community Clinics is a multi-clinic Federally Qualified Health Center providing integrated primary care, dental, behavioral, specialty, and referral services in Marin County. Under the general supervision of the Manager of Specialty Referrals, the Temporary Referral Navigator manages, processes, tracks, and closes medical and dental referrals for clinic patients. The role coordinates appointments for urgent cases, advocates for patients when needed, seeks guidance from dental and medical providers regarding clinical resources, and provides extensive support to providers and patients. The temporary assignment is anticipated to last six months.

Requirements

High school diploma or equivalent.
At least two years of related medical or dental experience.
Bilingual in English and Spanish.
Strong technical knowledge and understanding of data elements.
Strong analytical and problem-solving skills and attention to detail.
Ability to produce analysis of basic quality measure reporting.
Excellent written and verbal communication skills.
Ability to work with patients and representatives of other organizations by phone and in person.
Sensitivity to multicultural and multiethnic issues.
Fulfill immunization and fit-for-duty regulatory requirements.

Nice To Haves

EPIC or Dentrix experience preferred.
Knowledge of dental and medical terminology preferred.

Responsibilities

Monitor and schedule patients through the Oral Surgery program.
Maintain patient confidentiality in accordance with department policy and HIPAA guidelines.
Attend regularly scheduled referral and All Staff meetings as scheduled by the Referral Department Manager.
Respond to communications sent to the Referral Department by clinic staff and outside facilities.
Complete applications for organizations such as Operation Access and Lions Eye Foundation, as well as other organizations.
Request prior authorizations for specialty services through Partnership Health Plan, Medi-Cal, Covered California plans, and other insurers.
Track and follow up on pending authorizations, appointments, applications, insurance eligibility, and referrals.
Process medical and dental referrals, follow up and close referrals, and schedule timely appointments with specialists.
Inform providers of unusual delays.
Assist patients by making appointments or explaining referral processes, services, or resources, while providing excellent customer service.
Fax or email medical records, demographic information, and insurance eligibility information to specialist offices.
Close previously processed referrals by requesting medical records from the offices and facilities where patients received services.
Maintain professional relationships by following protocols, providing patient information promptly, and demonstrating a customer-service-oriented professional attitude.
Perform other duties as assigned.