Referral Navigator
About The Position
The Referral Navigator processes referrals from internal and external/network Primary Care Providers so patients can obtain care from internal and external/network specialty providers. The role builds, submits, processes, and schedules referrals; verifies that required documents and information are present; requests missing information; and cancels referrals that do not meet criteria or remain incomplete within the specified timeframe. Questionable referrals are forwarded for physician review, and accepted referrals are assessed for outsource or overflow criteria. The work is primarily computer-based and involves extensive paperwork handling, faxing, scanning, and telephone calls. It is primarily a sedentary desk job, with more than 90% of time spent working on a computer and handling the telephone. The schedule is Monday through Friday, 8:00 a.m. to 5:00 p.m., at 2720 Tenaya Drive, Las Vegas, Nevada 89128. Other duties may be assigned.
Requirements
- High school diploma or GED.
- 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 phone 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 for 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, computer work, and telephone calls related to referrals.
- Perform other duties as assigned.
Benefits
- Paid Time Off accruing from the first pay period.
- 8 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.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
