Referral Navigator: Patient Access & Care Coordinator

Marin Community Clinics; Ignacio (CA); On-site; USD 34,000 - 40,000; Full time

Job summary

Marin Community Clinics is seeking a Referral Navigator to manage, process, track, and close medical and dental referrals for our patients. Under supervision, you will coordinate urgent referrals, assist patients with scheduling, and advocate for timely access to services.

The ideal candidate has at least two years of related medical or dental experience, strong communication skills, and bilingual English-Spanish abilities.

Qualifications

• High school diploma or equivalent.
• A minimum of two years related medical / dental experience.
• EPIC or Dentrix experience preferred.

Responsibilities

• Monitors and schedules patients through our Oral Surgery program.
• Maintain patient confidentiality in accordance to department policy and HIPPA guidelines.
• Attends to regularly scheduled referral and All Staff meetings as scheduled by the Referral Department Manager.
• Responds to communications sent to the Referral Department by the clinics’ staff and outside facilities.
• Completes applications for organizations such as Operation Access, Lions Eye Foundation, and including other organizations.
• Requests prior authorizations for specialty services: Partnership Health Plan, Medi-Cal, Covered CA plans among with other insurances.
• Tracks and follows up on status of all pending authorizations, appointments, applications, insurance eligibility and referrals.
• Process medical and dental referrals and follow-up and close referrals, schedules appointments with specialists within a timely manner. Informs providers if there is an unusual delay.
• Assist patients by making appointments or explaining process of referrals, services or resources. Displays excellent customer service when doing so.
• Faxes or emails medical records, demographic information, and insurance eligibility to different specialist offices.
• Closes referrals previously processed by requesting medical records from the offices and facilities where the patients where served.
• Maintains relationships by working in a professional manner, following protocols, and provides patient information in a timely manner and displaying a customer service and professional attitude.
• Other duties as assigned.

Skills

Bilingual English-Spanish

Strong communication

Analytical skills

Attention to detail

Customer service

Education

High school diploma

Tools

EPIC

Dentrix

Job description

Marin Community Clinics is seeking a Referral Navigator to manage, process, track, and close medical and dental referrals for our patients. Under supervision, you will coordinate urgent referrals, assist patients with scheduling, and advocate for timely access to services.

The ideal candidate has at least two years of related medical or dental experience, strong communication skills, and bilingual English-Spanish abilities.