Temporary Referral Navigator

Marin Community Clinics•Novato, CA

1d•$25 - $29

About The Position

Marin Community Clinics is a multi-clinic network providing integrated primary care, dental, behavioral, specialty, and referral services to patients in Marin County. Under the general supervision of the Manager of Specialty Referrals, the Referral Navigator manages, processes, tracks, and closes medical and dental referrals. The role coordinates appointments for urgent cases, advocates for patients when needed, seeks guidance from dental and medical providers on clinical resources, and provides extensive support to providers and patients. This is a temporary assignment with an anticipated duration of six months. The position monitors and schedules patients in the Oral Surgery program, coordinates specialist appointments, follows referrals through completion, and communicates with patients, clinic staff, insurers, and outside facilities. It also handles authorization requests, applications for community organizations, patient records, and referral-related follow-up while maintaining confidentiality and professional relationships.

Requirements

High school diploma or equivalent.
At least two years of related medical or dental experience.
Bilingual English-Spanish ability is required.
Strong technical knowledge and understanding of data elements.
Strong analytical and problem-solving skills and close 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.
Prolonged periods of sitting at a desk and working on a computer.
Ability to lift up to 15 pounds at times.

Nice To Haves

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

Responsibilities

Monitor and schedule patients through the Oral Surgery program.
Maintain patient confidentiality according to 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 from 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, close referrals, and schedule timely appointments with specialists.
Inform providers when there is an unusual delay.
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 offices and facilities where patients received care.
Maintain professional relationships by following protocols, providing patient information in a timely manner, and demonstrating a customer-service-oriented professional attitude.
Perform other duties as assigned.