Referral Navigator

UnitedHealth Group • Las Vegas, NV

5d • Onsite

About The Position

The Referral Navigator is responsible for processing referrals from Primary Care Providers (both internal and external/network) for the purposes of obtaining specialist care by our internal / network specialty Providers. Responsible for building, submitting, processing, and scheduling referrals from primary care providers for the purposes of obtaining specialist care by our internal and external/network specialty providers. This includes but is not limited to confirming all necessary documents and information has been provided, sending back for additional information, cancelling 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 the referral meets outsource or overflow criteria. While most of the work is computer-based, there is a lot of paperwork handling, faxing, scanning, and multiple telephone calls. This position has direct face to face contact with multiple patients.

Requirements

• High School Diploma/GED (or higher)
• CPR certified or able to obtain certification within 30 days of employment
• 2+ years of experience working in a health-related field
• 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

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

Responsibilities

• Building new referrals from network providers
• Reviewing to ensure all necessary documents and information have 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
• While most of the work is computer-based, there is a lot of paperwork handling, faxing, and scanning in addition to multiple telephone calls
• This is primarily a sedentary desk job which will consist of >90%25 of time spent working on a computer and handling the telephone
• Perform all other duties assigned

Benefits

• Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
• Medical Plan options along with participation in a Health Spending Account or a Health Saving account
• Dental, Vision, Life& AD&D Insurance along with Short-term disability and 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 (pet insurance, legal insurance, LTC Insurance, etc.)

What This Job Offers

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