Clinical Referral and Authorization Navigator

Job description

Job DetailsJob Location: Genesee County - Flint, MI 48502Position Type: Full TimeEducation Level: High SchoolJob Shift: DayJob Category: Health CarePosition Summary This position is responsible for performing duties associated with patients being referred by their Hamilton Community Health Network primary care physicians to specialists or institutions for additional health care. Employee understands that employment is contingent upon adherence to HCHN policies and procedures, the mission of the organization, Joint Commission requirements and procedures, OSHA standards, and all other safety and health codes and laws. Duties & Responsibilities: Performs duties to execute the scheduling of complex procedures and timely resolution of patient referrals, including those that require authorization and/or pre-certification from payors. Ensures referrals that are made for patients are prepared for processing withing 24 hours of receipt from the provider. Researches the patient's insurance plan(s) to ensure that the referral is made to the proper provider within the patient’s network. Responsible for following the guidelines as determined by each managed care plan specific to their referral...