Referral Navigator

Job Description

Job Description

Referral Navigator

SUMMARY:  The Referral Navigator works closely with patients, families, and the care team to ensure timely access to specialty and diagnostic imaging referrals.

QUALIFICATIONS:

• High school diploma or equivalent and have strong organizational skills with demonstrated proficiency in computer applications (Microsoft Office). 
• Epic Ambulatory experience is a plus.
• Graduate of a medical secretary program preferred.
• Excellent communication skills (written and oral) professional demeanor, good problem solving skills, organized and detail-oriented.
• Understanding of Medicare, Medicaid and managed health care plans are necessary qualifications for this position. 
• English / Spanish bilingual ability is preferred.

EXPERIENCE:

• Previous experience working in a medical office, clinic or hospital with demonstrated attention to detail, preferred.
• Equivalent experience in the field of social services a plus

DUTIES AND RESPONSIBILITIES:

• Maintain ongoing tracking and appropriate documentation on referrals to promote team awareness and ensure patient safety.
• Ensure complete and accurate registration, including patient demographic and current insurance information.
• Assemble information concerning patient's clinical background and referral needs.
• Per referral guidelines, provide appropriate clinical information to specialist.
• Contact review organizations and insurance companies to ensure prior approval requirements are met.
• Present necessary medical information such as history, diagnosis and prognosis. 
• Review details and expectations about the referral with patients.