Referral Navigator

About the Role

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
• 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
• 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 is a plus

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