Referral Navigator
Optum · Las Vegas, NV · 2 wk ago
Information Technology$18–$32/hrFull-time
About the role
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.
Responsibilities
- Building new referrals from network providers
- Reviewing to ensure all necessary documents and information have been provided
- Sending back documents 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 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% of time spent working on a computer and handling the telephone
- Perform all other duties assigned
Requirements
- High School Diploma/GED
- 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
Preferred Qualifications
- 1+ years of experience and/or training as a Medical Assistant
- Bilingual in English/Spanish
Soft Skills
- Excellent communication skills and phone etiquette
Pay
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).
Benefits
Our mission of helping people live healthier lives extends to our team members. Learn more about our range of benefits designed to help you live well.
Life
- Resources and support to focus on what matters most to you, in every facet of your life.
Emotional
- Education, tools and resources to help you reduce and manage stress, build resilience and more.
Physical
- Health plans and other coverage to support wellness for you and your loved ones.
Financial
- Benefits for today and to help you plan for the future, including your retirement.