Specialty Navigator I
About the role
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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Reporting to and working under the general direction of the Supervisor(s) and Manager of the department, the Specialty Navigator II processes referrals and authorizations for Atrius Health patients. Receives inbound requests (calls, emails, faxes, etc.) as well as from within the work queues. Maintains patient records and continually provides information to patients and specialists.
Responsibilities
- Manage the referral process, processing incoming and outgoing referrals and prior authorizations, including intake, notification and census roles
- Handle resolution/inquiries from members and/or providers
- Answers and replies to a large volume of telephone calls, faxes and internet queries, utilizing and adhering to department scripts and guidelines
- Reviews patient record.