Referrals Navigator - 2

Job Summary:

Job Description:

Key Responsibilities:

• Navigate multiple department-specific referral algorithms to ensure patients receive the correct service in a timely manner.

• Collaborate with department leadership and medical staff to support schedule utilization efficiency and overall patient access.

• Verify that documentation is complete for services resulting from processed referrals.

• Act as a liaison between referral sources patients and medical staff to ensure referrals are processed accurately and include all necessary information such as imaging medical records and diagnostic testing.

• Process referral authorizations and pre-certifications accurately by working closely with clinical staff administrative teams patients and insurance payers.

• Initiate authorization requests in accordance with prior authorization requirements applying knowledge of medical terminology and insurance processes.

• Collect and analyze data related to referral workflows and partner with leadership to identify opportunities for improving patient experience access and operational efficiency.

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 .