SUMMARY: The Referral Navigator works closely with patients, families, and the care team to ensure timely access to specialty and diagnostic imaging referrals.
QUALIFICATIONS:
- High school diploma or equivalent and have strong organizational skills with demonstrated proficiency in computer applications (Microsoft Office).
- Epic Ambulatory experience is a plus.
- Graduate of a medical secretary program preferred.
- Excellent communication skills (written and oral) professional demeanor, good problem solving skills, organized and detail-oriented.
- Understanding of Medicare, Medicaid and managed health care plans are necessary qualifications for this position.
- English / Spanish bilingual ability is preferred.
EXPERIENCE:
- Previous experience working in a medical office, clinic or hospital with demonstrated attention to detail, preferred.
- Equivalent experience in the field of social services a plus
DUTIES AND RESPONSIBILITIES:
- Maintain ongoing tracking and appropriate documentation on referrals to promote team awareness and ensure patient safety.
- Ensure complete and accurate registration, including patient demographic and current insurance information.
- Assemble information concerning patient's clinical background and referral needs.
- Per referral guidelines, provide appropriate clinical information to specialist.
- Contact review organizations and insurance companies to ensure prior approval requirements are met.
- Present necessary medical information such as history, diagnosis and prognosis.
- Review details and expectations about the referral with patients.
Skills Required
- High school diploma or equivalent
- Strong organizational skills
- Proficiency with computer applications, including Microsoft Office
- Excellent written and oral communication skills
- Professional demeanor, problem-solving ability, organization, and attention to detail
- Understanding of Medicare, Medicaid, and managed health care plans
- Graduate of a medical secretary program
- Epic Ambulatory experience
- English and Spanish bilingual ability
- Previous experience in a medical office, clinic, or hospital
- Equivalent experience in social services
What We Do
Lynn Community Health Center is the largest provider of primary care, behavioral health, eye care, and dental services in one of the most medically underserved communities in Massachusetts. Established in 1971 as a small storefront mental health clinic, we now have more than 550 employees at multiple sites throughout the City of Lynn. We serve more than 46,000 individuals annually—40% of all Lynn residents and children under 18. Our mission is to provide comprehensive health care for everyone in our diverse community, regardless of ability to pay. Our target populations are those with the greatest barriers to care: the poor, minorities, non-English speaking, children, teens and the frail elderly. A significant percentage of our patients have behavioral health needs. To best achieve our mission, we have developed an innovative model of Integrated Care in which primary care and behavioral health providers practice together as a team, co-managing patient care. This has significantly improved access and reduced stigma for those in need of behavioral health care. Our teams are distinguished by a fierce dedication to empowering disenfranchised communities. It is an incredible learning environment for every employee, in which there exist opportunities for both providing and receiving mentoring and coaching, participating in innovative pilot projects, and the satisfaction of a job well done.
