Referral Navigator

Overview

Marin Community Clinics, founded in 1972, is today, a multi-clinic network with a wide array of integrated primary care, dental, behavioral, specialty and referral services. As a Federally Qualified Health Center (FQHC), we provide vital health services to almost 40,000 individuals annually in Marin County. The Clinics regularly receive national awards from the Health Resources and Services Administrations (HRSA). Our Mission is to promote health and wellness through excellent, compassionate care for all.

Under general supervision of the Manager of Specialty Referrals, manages, processes, tracks, and closes medical and dental referrals for Marin Community Clinic patients.

The Referral Navigator is responsible for coordinating appointments for urgent cases, and advocate on behalf of patients when needed. The Referral Navigator seeks guidance from dentist and medical providers as needed for clinical resources. This position provides extensive support to providers and patients.

Responsibilities

• Monitors and schedules patients through our Oral Surgery program
• Maintain patient confidentiality in accordance to department policy and HIPPA guidelines.
• Attends to regularly scheduled referral and All Staff meetings as scheduled by the Referral Department Manager.
• Responds to communications sent to the Referral Department by the clinics’ staff and outside facilities.
• Completes applications for organizations such as Operation Access, Lions Eye Foundation, and including other organizations.
• Requests prior authorizations for specialty services: Partnership Health Plan, Medi-Cal, Covered CA plans among with other insurances.
• Tracks and follows up on status of all pending authorizations, appointments, applications, insurance eligibility and referrals.
• Process medical and dental referrals and follow-up and close referrals, schedules appointments with specialists within a timely manner. Informs providers if there is an unusual delay.
• Assist patients by making appointments or explaining process of referrals, services or resources. Displays excellent customer service when doing so.
• Faxes or emails medical records, demographic information, and insurance eligibility to different specialist offices.
• Closes referrals previously processed by requesting medical records from the offices and facilities where the patients where served.
• Maintains relationships by working in a professional manner, following protocols, and provides patient information in a timely manner and displaying a customer service and professional attitude.
• Other duties as assigned.

Qualifications

Education and Experience:

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

Required Skills and Abilities

• Must have strong technical knowledge and an understanding of data elements.
• Must have strong analytical and problem solving skills and a strong attention to detail.
• Must have the 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 on the phone and in person.
• Bilingual: English-Spanish required.
• Must be sensitive to multi-cultural, multi-ethnic issues.
• Knowledge of dental and medical terminology preferred.

Physical Requirements and working conditions

• Full 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: Our benefits program is designed to protect your health, family and way of life. We offer a competitive Benefits Program that includes 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, and Extended Illness Benefits.

Marin Community Clinics is an Equal Employment Opportunity Employer

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