Temporary Referral Navigator

About the role

Marin Community Clinics, founded in 1972, is a multi‑clinic network providing integrated primary care, dental, behavioral, specialty and referral services. As a Federally Qualified Health Center (FQHC), the organization serves nearly 40,000 individuals annually in Marin County and has received national HRSA awards. The mission is to promote health and wellness through excellent, compassionate care for all.

Under general supervision of the Manager of Specialty Referrals, the Referral Navigator manages, processes, tracks, and closes medical and dental referrals for patients. The role coordinates appointments for urgent cases, advocates on behalf of patients, and seeks guidance from dental and medical providers for clinical resources. This position provides extensive support to both providers and patients.

This is a temporary assignment with an anticipated duration of six (6) months.

Responsibilities

• Monitors and schedules patients through the Oral Surgery program
• Maintains patient confidentiality in accordance with department policy and HIPAA guidelines
• Attends regularly scheduled referral and All Staff meetings as scheduled by the Referral Department Manager
• Responds to communications sent to the Referral Department by clinic staff and outside facilities
• Completes applications for organizations such as Operation Access, Lions Eye Foundation, and others
• Requests prior authorizations for specialty services (Partnership Health Plan, Medi‑Cal, Covered CA plans, and other insurances)
• Tracks and follows up on status of all pending authorizations, appointments, applications, insurance eligibility, and referrals
• Processes medical and dental referrals, follows up, and closes referrals; schedules appointments with specialists in a timely manner
• Informs providers of any unusual delays
• Assists patients by making appointments or explaining the referral process, services, or resources with excellent customer service
• Faxes or emails medical records, demographic information, and insurance eligibility to specialist offices
• Closes previously processed referrals by requesting medical records from offices and facilities where patients were served
• Maintains professional relationships by following protocols, providing patient information promptly, and displaying a customer‑service‑oriented attitude
• Performs other duties as assigned

Qualifications

Education and Experience

• High school diploma or equivalent
• Minimum of two years related medical/dental experience
• EPIC or Dentrix experience preferred

Required Skills and Abilities

• Bilingual in English‑Spanish (required)
• Strong technical knowledge and understanding of data elements
• Strong analytical and problem‑solving skills with strong attention to detail
• Ability to produce analysis of basic quality measure reporting
• Excellent written and verbal communication skills
• Ability to work with patients and representatives of other organizations by phone and in person
• Sensitivity to multi‑cultural, multi‑ethnic issues
• Knowledge of dental and medical terminology preferred

Physical Requirements and Working Conditions

• Must fulfill immunization and fit‑for‑duty regulatory requirements
• Prolonged periods of sitting at a desk and working on a computer
• Must be able to lift up to 15 pounds at times

Benefits

• Affordable health insurance and Health Reimbursement Accounts (HRA)
• Dental and Vision Insurance
• Educational and Continuing Education Benefits
• Student Loan Repayment and Loan Forgiveness
• Retirement Plan
• Group Life and AD&D Insurance
• Short‑term and Long‑term Disability benefits
• Professional Fee Reimbursement
• Mileage and Cell Phone Reimbursement
• Scrubs Reimbursement
• Loupes Reimbursement
• Employee Assistance Programs
• Paid Holidays
• Personal Days of Celebration
• Paid time off
• Extended Illness Benefits

Pay

Hourly range: $25.03 – $29.38 per hour.