Referral Navigator
SUMMARY: The Referral Navigator works closely with patients, families, and the care team to ensure timely access to specialty and diagnostic imaging referrals.
QUALIFICATIONS:
- High school diploma or equivalent and have strong organizational skills with demonstrated proficiency in computer applications (Microsoft Office).
- Epic Ambulatory experience is a plus.
- Graduate of a medical secretary program preferred.
- Excellent communication skills (written and oral) professional demeanor, good problem solving skills, organized and detail-oriented.
- Understanding of Medicare, Medicaid and managed health care plans are necessary qualifications for this position.
- English / Spanish bilingual ability is preferred.
EXPERIENCE:
- Previous experience working in a medical office, clinic or hospital with demonstrated attention to detail, preferred.
- Equivalent experience in the field of social services a plus
DUTIES AND RESPONSIBILITIES:
- Maintain ongoing tracking and appropriate documentation on referrals to promote team awareness and ensure patient safety.
- Ensure complete and accurate registration, including patient demographic and current insurance information.
- Assemble information concerning patient's clinical background and referral needs.
- Per referral guidelines, provide appropriate clinical information to specialist.
- Contact review organizations and insurance companies to ensure prior approval requirements are met.
- Present necessary medical information such as history, diagnosis and prognosis.
- Review details and expectations about the referral with patients.