Referral Navigator

UnitedHealth Group • Las Vegas, NV

2d • Onsite

About The Position

The Referral Navigator processes referrals from primary care providers, both internal and external/network, to help patients obtain care from internal and external/network specialty providers. The role builds, submits, processes, and schedules referrals; checks that required documents and information are included; requests missing information; cancels referrals that do not meet criteria or remain incomplete beyond the specified timeframe; forwards questionable referrals for physician review; and determines whether referrals meet outsource or overflow criteria. The work is primarily computer-based, with substantial paperwork handling, faxing, scanning, and telephone calls. It is a primarily sedentary desk job, with more than 90% of the time spent working on a computer and handling the telephone. Other duties may be assigned.

The schedule is Monday through Friday, 8:00 a.m. to 5:00 p.m. The position is located at 2720 N Tenaya Drive, Las Vegas, Nevada 89128. The hourly pay range is $18–$32, based on factors including local labor markets, education, work experience, and certifications.

Requirements

• High school diploma or GED.
• CPR certification, or ability to obtain certification within 30 days of employment.
• At least 2 years of experience working in a health-related field.
• At least 2 years of experience working with Electronic Medical Records (EMR) and/or Practice Management Software systems.
• Excellent communication skills and telephone etiquette.

Nice To Haves

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

Responsibilities

• Build new referrals from network providers.
• Review referrals to ensure all necessary documents and information have been provided.
• Send documents back to request additional information.
• Cancel referrals that do not meet criteria or lack required information within the specified timeframe.
• Forward questionable referrals for physician review.
• Accept referrals and determine whether they meet outsource or overflow criteria.
• Handle paperwork, faxing, scanning, and telephone calls while processing referrals.
• Perform other assigned duties.

Benefits

• Paid time off accrued starting with the first pay period.
• Eight paid holidays.
• Medical plan options.
• Health Spending Account or Health Savings Account participation.
• Dental insurance.
• Vision insurance.
• Life and AD&D insurance.
• Short-term disability coverage.
• Long-term disability coverage.
• 401(k) savings plan.
• Employee Stock Purchase Plan.
• Education reimbursement.
• Employee discounts.
• Employee Assistance Program.
• Employee Referral Bonus Program.
• Voluntary benefits, including pet insurance, legal insurance, and long-term care insurance.
• Performance rewards and incentive and recognition programs.
• Equity stock purchase and 401(k) contribution, subject to eligibility requirements.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED