Patient Referral Navigator

Nmpca

Espanola (NM)

On-site

USD 38,000 - 52,000

Full time

45 hours ago
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Benefits offered by this job

401 k Retirement
7 Paid Holidays
Medical, Dental, Vision Insurance
100% Employer Paid Basic Life
Employee Voluntary Supplemental Benefi
Employee Assistance Program
Flexible Spending Account (FSA)

Job summary

El Centro Family Health in Northern New Mexico is seeking a Referral Coordinator to support patients and providers in the referral process for specialty care. You will ensure continuity of care by following health-plan protocols and may provide psychosocial support as needed.

Responsibilities include submitting pre-authorizations, updating the EMR (eCW), and coordinating communication between patients, clinics, and outside providers.

Qualifications

  • High school diploma or GED required.
  • Associate or bachelor's degree in healthcare preferred.
  • Bilingual English/Spanish is preferred.

Responsibilities

  • Complete, verify, and submit records and pre-authorizations on time.
  • Follow HIPAA and patient privacy rules.
  • Answer questions, schedule appointments, and give clear instructions.
  • Use eClinicalWorks EMR to update provider lists and log referrals.
  • Send medical data to outside clinics and transfer calls to the right provider.
  • Monitor referrals to ensure attendance and return of outside records.
  • Contact patients who miss appointments and document reasons.
  • Assist with other duties and travel as required.

Education

Associate or Bachelor's degree in health care field
High school diploma or GED
Bilingual English/Spanish
HIPAA compliance
EMR systems
Record submission

Tools

eClinicalWorks

Job description

El Centro Family Health in Northern New Mexico is seeking a Referral Coordinator to support patients and providers in the referral process for specialty care. You will ensure continuity of care by following health-plan protocols and may provide psychosocial support as needed.

Responsibilities include submitting pre-authorizations, updating the EMR (eCW), and coordinating communication between patients, clinics, and outside providers.

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