Referral Coordinator
About The Position
Edward M. Kennedy Community Health Center is seeking a Referral Coordinator based in Worcester. This role is responsible for processing and facilitating Health Center patient referrals for medical specialty services not available within the Health Center. The position ensures that specialty referrals are processed accurately and in a timely manner, which includes completing insurance referrals and authorizations, documenting all actions, and communicating with the patient, specialty provider, and ordering provider. Additionally, the Referral Coordinator verifies that specialty appointments were attended, results are received, and communicates this information back to the Primary Care Provider. The organization emphasizes an inclusive workplace that fosters teamwork, accountability, and respect, supporting employee growth and development. They are an equal opportunity employer committed to diversity.
Requirements
- Excellent organizational, time management skills.
- Moderate experience with spreadsheets and databases demonstrated with basic-advanced level computer training certificates and/or 1-2 years database/spreadsheet experience.
- Demonstrate an awareness of what needs to be done and plans and organizes work for greatest efficiency; shows self-starting motivation to begin and complete work without prompting.
- Ability to prioritize job related activities in order to take action when needed.
- Minimum 1 year healthcare experience working with scheduling appointments OR 2 years customer service experience.
Responsibilities
- Process and facilitate specialty referrals for patients of the Health Center.
- Communicate with managed care plans and third party payers to obtain approvals for patients to be seen by the specialists.
- Communicate to patients to confirm the appointment time, location, provider name and practice information and educate the patient on what material or documentation to bring to the appointment.
- Collaborate with EMKCHC specialty referral network to ensure specialty providers are familiar with Health Center referral practices and the requirements of managed care plans with which the Health Center contracts.
- Track consultant reports and diagnostic results to ensure patient’s attended their appointments and results were received. Communicate with Primary Care Providers for missed appointments.
- Manage telemedicine referrals, including sending patient data sheet, uploading consults into the patient health record, communicating with Primary Care Provider, booking patient appointment and communicating appointment information to patient.
- Manage and respond to patient portal messages.
- Produce reports and maintain data systems as requested including outstanding referral reports and referral follow up reports.
- Performs other duties as assigned.
Benefits
- Competitive salaries and comprehensive benefits package.
- Company pays 80% of health insurance Premiums. Includes coverage for all employees and most family types.
- Health benefits start on first day of employment.
- Competitive time off packages
- 403b Retirement Plan with company match
- Flexible Spending Accounts
- Employee Assistance Program
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
