SUMMARY: The Referral Navigator works closely with patients, families, and the care team to ensure timely access to specialty and diagnostic imaging referrals.
QUALIFICATIONS:
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High school diploma or equivalent and have strong organizational skills with demonstrated proficiency in computer applications (Microsoft Office).
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Epic Ambulatory experience is a plus.
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Graduate of a medical secretary program preferred.
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Excellent communication skills (written and oral) professional demeanor, good problem solving skills, organized and detail-oriented.
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Understanding of Medicare, Medicaid and managed health care plans are necessary qualifications for this position.
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English / Spanish bilingual ability is preferred.
EXPERIENCE:
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Previous experience working in a medical office, clinic or hospital with demonstrated attention to detail, preferred.
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Equivalent experience in the field of social services a plus
DUTIES AND RESPONSIBILITIES:
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Maintain ongoing tracking and appropriate documentation on referrals to promote team awareness and ensure patient safety.
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Ensure complete and accurate registration, including patient demographic and current insurance information.
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Assemble information concerning patient's clinical background and referral needs.
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Per referral guidelines, provide appropriate clinical information to specialist.
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Contact review organizations and insurance companies to ensure prior approval requirements are met.
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Present necessary medical information such as history, diagnosis and prognosis.
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Review details and expectations about the referral with patients.
