Referral Navigator

Optum; Blue Diamond (KY); On-site; USD 25,000 - 44,000; Full time

Benefits offered by this job

Paid Time Off

Medical Plan options

Dental Insurance

Vision Insurance

Life/AD&D Insurance

401(k) Savings Plan

Education Reimbursement

Employee Discounts

Employee Referral Bonus Program

Voluntary Benefits

Job summary

UnitedHealth Group is seeking a Referral Navigator to process referrals from Primary Care Providers for specialist care, coordinating with internal and external networks. The role involves building, reviewing, and routing referrals, verifying documents, and contacting providers as needed.

Schedule: Monday–Friday, 8:00 am–5:00 pm, located at 2720 N Tenaya Drive, Las Vegas, NV 89128. This desk-based role is primarily computer work with phone calls, and offers a comprehensive benefits package and

Qualifications

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

Responsibilities

• Build new referrals from network providers.
• Review to ensure documents are complete.
• Send back documents for additional information.
• Cancel referrals not meeting criteria within set time frame and forward for MD review.
• Accept referrals and determine outsourcing or overflow eligibility.
• Desktop work with heavy phone use and paperwork.

Skills

Excellent communication

Phone etiquette

Education

High School Diploma/GED

Tools

EMR systems

Practice Management Software

Job description

Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to startCaring. Connecting. Growing together.

TheReferral Navigatoris responsible for processing referrals from Primary Care Providers (both internal and external/network) for the purposes of obtaining specialist care by our internal / network specialty Providers.

Responsible for building, submitting, processing, and scheduling referrals from primary care providers for the purposes of obtaining specialist care by our internal and external/network specialty providers. This includes but is not limited to confirming all necessary documents and information has been provided, sending back for additional information, cancelling those that do not meet criteria or do not have necessary information required within a specified time frame, forwarding to MD review if questionable, accepting referrals and determining if the referral meets outsource or overflow criteria. While most of the work is computer-based, there is a lot of paperwork handling, faxing, scanning, and multiple telephone calls.

Schedule:Monday to Friday from 8:00 am to 5:00 pm

Location: 2720 N Tenaya Drive, Las Vegas, NV 89128

Primary Responsibilities:

• Building new referrals from network providers
• Reviewing to ensure all necessary documents and information have been provided
• Sending back documents for additional information
• Canceling those that do not meet criteria or do not have necessary information required within a specified time frame, forwarding to MD review if questionable
• Accepting referrals and determining if meets outsource or overflow criteria
• While most of the work is computer-based, there is a lot of paperwork handling, faxing, and scanning in addition to multiple telephone calls
• This is primarily a sedentary desk job which will consist of >90% of time spent working on a computer and handling the telephone
• Perform all other duties assigned

What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success.Some of our offerings include:

• Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
• Medical Plan options along with participation in a Health Spending Account or a Health Saving account
• Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
• 401(k) Savings Plan, Employee Stock Purchase Plan
• Education Reimbursement
• Employee Discounts
• Employee Assistance Program
• Employee Referral Bonus Program
• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• High School Diploma/GED
• CPR certified or able to obtain certification within 30 days of employment
• 2+ years of experience working in a health-related field
• 2+ yearsof experience working with Electronic Medical Records (EMR) and/or Practice Management Software systems

Preferred Qualifications:

• 1+ years of experience and/or training as a Medical Assistant
• Bilingual in English/Spanish

Soft Skills:

• Excellent communication skills and phone etiquette

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $18 - $32 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteriistic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Groupis a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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