Healthcare Referral Specialist

Jobtome; Paradise (NV); On-site; USD 25,000 - 44,000; Full time

Benefits offered by this job

Paid Time Off and 8 paid holidays

Medical, dental, vision, life, and AD&

Job summary

UnitedHealth Group is seeking a Referral Navigator in Las Vegas, NV. You will process referrals from primary care providers to obtain specialist care, ensure all documents are complete, and route referrals to the appropriate network or outsource providers.

Role involves extensive computer work, paperwork, faxing, scanning, and multiple outbound and inbound calls. A strong emphasis is placed on accuracy, timeliness, and clear communication. Competitive benefits are offered.

Qualifications

• High school diploma or GED required.
• CPR certification or ability to obtain within 30 days of employment.
• 2+ years in a health-related field.

Responsibilities

• Build new referrals from network providers.
• Review documents to ensure completeness.
• Request additional information as needed.
• Forward to MD review if questioned.
• Accept referrals and determine outsourcing/overflow criteria.
• Communicate via phone, fax, and email; handle paperwork.

Skills

Excellent communication

Phone etiquette

Bilingual English/Spanish

Education

High School Diploma/GED

CPR certification

Tools

Electronic Medical Records (EMR)

Practice Management Software

Job description

UnitedHealth Group is seeking a Referral Navigator in Las Vegas, NV. You will process referrals from primary care providers to obtain specialist care, ensure all documents are complete, and route referrals to the appropriate network or outsource providers.

Role involves extensive computer work, paperwork, faxing, scanning, and multiple outbound and inbound calls. A strong emphasis is placed on accuracy, timeliness, and clear communication. Competitive benefits are offered.