Coordinator, Appointments & Referrals

East Boston Neighborhood Health Center Corporation•Revere, MA

About The Position

Thank you for your interest in a career at NeighborHealth, formerly East Boston Neighborhood Health Center! As one of the largest community health centers in the country, NeighborHealth is proud to serve the greater Boston area with a strong commitment to the health and well-being of our patients and communities. Whether you're a nurse or physician providing direct care, a manager leading dedicated teams, or part of the essential support staff who keep our operations running smoothly — every role at NeighborHealth is vital. Together, we’re advancing medicine and delivering the best care experience for our patients and community! Interested in this position? Apply online and create a personal candidate account! Current Employees of NeighborHealth - Please use our internal careers portal to apply for positions. To learn more about working at NeighborHealth and our benefits, please visit out our Careers Page . Time Type: Full time Department: Referrals All Locations: 300 Ocean Avenue – Revere Position Summary: As an integral part of our patient service team, the Appointment and Referrals Coordinator will be primarily responsible for gathering information concerning patient’s medical needs in order to schedule appointments and securing verification from insurance companies for referral approvals. Will also the system navigator and point of contact for patients and families having direct access for asking questions and raising concerns. May assume advocate role on the patient’s behalf with the insurance carrier to ensure approval of the necessary services for the patient in a timely fashion. HS Diploma/GED and at least 2 years of experience within a healthcare setting with knowledge of EMR systems required. Must have the ability to understand and interpret various managed care insurance benefits and guidelines. Schedule: Monday-Friday, 8:00AM-5:00PM

Requirements

HS Diploma/GED and at least 2 years of experience within a healthcare setting with knowledge of EMR systems required.
Must have the ability to understand and interpret various managed care insurance benefits and guidelines.
High School diploma and related college degree and/or equivalent work experience.
Experience in a health care setting – at least one year
Ability to understand and interpret various managed care insurance benefits and guidelines.
Working knowledge of the health center’s computer systems for registration, billing, appointment scheduling, and managed care options, and the various managed care plan electronic/on-line authorization technology (NHP NET, NEHENLite, WebMD, Tufts, etc.)
Excellent customer service and interpersonal skills.
The ability to work independently in a fast paced environment.
Ability to communicate with internal and external customers.
Some medical terminology
Exceptional organizational skills

Nice To Haves

Knowledge of, and experience with medical terminology extremely helpful
Fluency in English & Spanish preferred

Responsibilities

Maximize reimbursement to the health center from various managed care payors by scheduling specialty appointments appropriately, and communicating the outcome to the patients and/or the specialist’s office
Establish and maintain professional collaborative relationships with internal and external customers
Educate/communicate with patients about their insurance so that they schedule specialty appointments within their insurance network and/or understand the financial consequences of seeing providers out of network
Provide patients with the highest quality of customer service in accordance with NeighborHealth’s mission and vision
Review and address Epic in-basket messages in a timely manner, taking action within 24-48 hours of receipt. With great attention to detail, schedule all external specialty visits for your assigned Referral workqueue per department guidelines; cover other workqueues as needed.
Exhaust all avenues to achieve the goal on securing the appointment within the requested timeframe.
Follow up with primary care provider if unable to schedule as order specifies to explore alternatives.
Ability to understand and interpret medical terminology in the orders for the purpose of making a relationship between the diagnosis and what accompanying documentation is required, such as recent lab results or other diagnostic test results.
Process 65 referrals or more a day for BMC work queues
Process 40 or more referrals a day for non BMC referrals