Healthcare Referral Navigator

Trinity Health Corp.; Boise (ID); On-site; USD 42,000 - 52,000; Full time

Job summary

Saint Alphonsus Health System in Boise, ID is seeking a Referral Coordinator within SAMG to coordinate specialty referrals, verify coverage, and manage documentation in the EMR.

You will liaise with providers, patients, and insurance companies, ensure timely referrals, and maintain accurate records across multiple work queues.

This role offers competitive compensation, benefits and opportunities for growth within SAHS and Trinity Health.

Qualifications

• High school diploma or equivalent; Associate degree preferred.
• 1 year of healthcare related referral experience required; 3 years preferred.

Responsibilities

• Knows, understands, incorporates, and demonstrates the Organization's Mission, Vision, and Values in behaviors, practices, and decisions.
• Serves as a specialist in processing and approving selected specialists referrals according to policy and procedure established by the Network in general and SAMG specifically.
• Obtains referral request documentation.
• Maintains ongoing tracking through an EMR system and appropriate documentation on referrals within the three work queues that are assigned and closing the loop.
• Demonstrates a high degree of accuracy and timeliness in completing referral authorizations.
• Compiles all pertinent medical data and supporting documentation and faxes or mails to appropriate receiver.
• Directly communicates with referring provider offices to request missing documentation and/or updates regarding delays in contacting the patient.
• Verifies eligibility, benefits and contractual appropriateness. Verifies all documentation is received from referring provider office.
• Acts as liaison between practice, patients, referral sources, and health insurance companies to resolve complaints and problems.
• Schedules diagnostic tests prescribed by Specialist and ensures prior approval requirements are met.

Skills

High school diploma

Referral experience

Education

Associate degree preferred

Job description

Saint Alphonsus Health System in Boise, ID is seeking a Referral Coordinator within SAMG to coordinate specialty referrals, verify coverage, and manage documentation in the EMR.

You will liaise with providers, patients, and insurance companies, ensure timely referrals, and maintain accurate records across multiple work queues.

This role offers competitive compensation, benefits and opportunities for growth within SAHS and Trinity Health.