Care Referral Specialist: Health Access & Scheduling

Optum; Nellis Air Force Base Census-Designated Place (NV); On-site; USD 25,000 - 44,000; Full time

Benefits offered by this job

Paid Time Off

Medical Plan options

Dental, Vision, Life & AD&D Insurance

Short-term disability

Long-Term Disability

401(k) Savings Plan

Education Reimbursement

Employee Discounts

Employee Assistance Program

Employee Referral Bonus Program

Voluntary Benefits

Job summary

Optum is seeking a Referral Navigator to process referrals from Primary Care Providers for access to specialist care from internal and network providers. The role involves building, submitting, and scheduling referrals, confirming required documents, and coordinating with the care team.

It is mostly computer-based with substantial paperwork, faxing, and phone calls. Schedule is Monday to Friday, 8:00 am–5:00 pm at the Las Vegas, NV location.

Qualifications

• Requires High School Diploma or GED.
• CPR certification or able to obtain within 30 days of employment.
• 2+ years of experience in a health-related field.
• 2+ years of experience with EMR and/or Practice Management Software systems.

Responsibilities

• Build new referrals from network providers and internal PCPs.
• Review documents to ensure all information is provided.
• Return documents for additional information when missing.
• Cancel referrals that do not meet criteria within defined time frames and forward for MD review if needed.
• Accept referrals and determine if they meet outsource or overflow criteria.
• Perform duties that include paperwork handling, faxing, scanning, and multiple phone calls.

Skills

Communication

Phone etiquette

Education

High School Diploma/GED

Tools

EMR systems

Practice Management Software

Job description

Optum is seeking a Referral Navigator to process referrals from Primary Care Providers for access to specialist care from internal and network providers. The role involves building, submitting, and scheduling referrals, confirming required documents, and coordinating with the care team.

It is mostly computer-based with substantial paperwork, faxing, and phone calls. Schedule is Monday to Friday, 8:00 am–5:00 pm at the Las Vegas, NV location.