Referrals Navigator

Job Summary:

Job Description:

Job Description: As a Healthcare Referral Coordinator you will play a crucial role in navigating the healthcare referral process for our patients. Your primary responsibility will be to support patients in getting their individual healthcare needs met by processing referrals based on referral information obtained and medical staff-driven algorithms. Additionally you will act as a liaison between referral sources patients and medical staff to ensure a seamless referral process. Your duties will include but are not limited to:

• Processing referrals based on referral information obtained and medical staff-driven algorithms.
• Navigating department-specific referral algorithms to ensure patients receive the right service at the right time.
• Acting as a liaison between referral sources patients and medical staff to ensure accurate and complete documentation.
• Initiating authorization requests in accordance with prior authorization requirements and other applicable laws/regulations.
• Collecting data on all referral processes and analyzing it with leadership to identify areas for improvement in patient experience access and efficiency.

Qualifications:

• Prior experience in healthcare referral coordination or a related role.
• Strong understanding of medical terminology and the insurance environment.
• Excellent communication and interpersonal skills.
• Ability to work collaboratively with multidisciplinary teams.
• Detail-oriented with strong organizational skills.
• Proficiency in data collection and analysis.

Scheduled Weekly Hours:

Scheduled Work Shift:

Job Exempt:

Benefits:

Supporting all aspects of our employees wellness physical emotional and financial is a critical component of being a great place to work. With the wide range of benefits and programs available employees have the resources they need to be well at every stage of life and plan for the future.

Physical Wellness:

• We offer quality health dental and vision benefits and wellness programs and resources to provide employees access to resources for a healthy lifestyle and help manage health care costs.
• Employees have access to industry-leading leave for new parents.
• A generous earned time plan is offered to all employees - We believe employees need and deserve time away from work to observe holidays be with family go on vacation or simply take care of themselves.

Emotional Wellness:

When life gets challenging employees have access to our Employee Assistance Program for employees and anyone in their household.

Financial Wellness:

• An employee discount program is available to all employees for services provided by MaineGeneral Medical Center.
• Tuition Reimbursement is available to all employees to further develop skills and career.
• We offer eligible employees up to 2% of eligible pay in 403(b) company-matching contributions plus another 2% in the 401(a) retirement income plan.
• Three insurance plans are available to protect your family from the sudden loss of income in the event of your death terminal illness or serious injury from accident.
• We offer both short-term and long-term disability insurance to replace a portion of your income if you become disabled and cannot work for a period of time.

Career Mobility:

Helping our employees develop their skills and grow their careers is critical to how we retain our talent and sustain our business. We do this by offering our teammates a variety of leadership-supported programs and learning and development resources for every stage of their professional development. We know that our employees are our most valuable resource theyre how we grow our business and care for our community.

Equal Opportunity Employer M/F/Vet/Disability Assistive technologies are available. Application assistance for those requesting reasonable accommodation to the career site is available by contacting HR at .