Referral & Care Coordination Specialist

Jobtome; Georgia; On-site; USD 25,000 - 44,000; Full time

Benefits offered by this job

Paid time off

Medical/Dental/Vision insurance

401(k)

Education reimbursement

Job summary

UnitedHealth Group in Las Vegas, NV is seeking a Referral Navigator to manage referrals from primary care providers for specialist care. The role involves documentation checks, communicating with providers, and supporting MD review as needed.

This desk-based position requires extensive computer use, calls, and coordination with internal and external networks. CPR certification and EMR experience are important assets for success.

Qualifications

• High School Diploma or GED required.
• CPR certification or ability to obtain within 30 days.
• 2+ years in health-related field.
• 2+ years with EMR/Practice Management Software.

Responsibilities

• Build new referrals from network providers.
• Review documents for completeness.
• Return documents for missing information.
• Cancel referrals not meeting criteria or time frames; forward to MD review if needed.
• Accept referrals and determine outsource/overflow criteria.
• Heavy computer work with substantial phone, fax, and scanning tasks.
• Other duties as assigned.

Skills

Communication

Phone etiquette

Bilingual English/Spanish

EMR experience

Education

High School Diploma/GED

Tools

EMR/Practice Management Software

Job description

UnitedHealth Group in Las Vegas, NV is seeking a Referral Navigator to manage referrals from primary care providers for specialist care. The role involves documentation checks, communicating with providers, and supporting MD review as needed.

This desk-based position requires extensive computer use, calls, and coordination with internal and external networks. CPR certification and EMR experience are important assets for success.