Referral Navigator

Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities.

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. This includes building, submitting, processing, and scheduling referrals, confirming all necessary documents and information, sending back for additional information, canceling those that do not meet criteria, forwarding to MD review if questionable, and determining if the referral meets outsource or overflow criteria. While most of the work is computer-based, there is significant paperwork handling, faxing, scanning, and multiple telephone calls. This position has direct face-to-face contact with multiple patients and is primarily a sedentary desk job consisting of over 90% of time spent working on a computer and handling telephone calls.

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 referrals that do not meet criteria or lack necessary information within a specified time frame
• Forwarding questionable referrals to MD review
• Accepting referrals and determining if they meet outsource or overflow criteria
• Handling paperwork, faxing, and scanning
• Performing multiple telephone calls
• Performing all other duties assigned

Requirements

• High School Diploma/GED
• 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

Skills

• Excellent communication skills and phone etiquette

Benefits

• Paid Time Off (accrued from first pay period) plus 8 paid holidays
• Medical plan options, Health Spending Account, or Health Savings Account
• Dental, Vision, Life & AD&D Insurance
• Short-term 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.)

Pay

The hourly pay for this role will range from $18.00 to $32.00 per hour based on full-time employment.

Schedule

Monday to Friday from 8:00 am to 5:00 pm

Location: 2720 Tenaya Drive, Las Vegas, NV 89128