Referral Coordinator

SOUTH BOSTON COMMUNITY HEALTH • Boston, MA

7d • Onsite

About The Position

South Boston Community Health Center (SBCHC) is a mission driven, community based health organization committed to providing accessible, high quality, and compassionate care to all patients, regardless of status or ability to pay. We proudly serve a diverse community and strive to advance health equity through primary and preventive care. Our work is rooted in respect, commitment, diversity, competence, education, research, and cost effectiveness.

SBCHC offers a fast paced, collaborative healthcare environment where teamwork, accountability, and respect are highly valued. Employees work closely with interdisciplinary teams to support patient centered operations and a safe, well maintained care environment. We are committed to fostering an inclusive workplace and maintaining facilities that support exceptional care for patients, staff, and visitors.

The Referral Coordinator is responsible for coordinating patient referrals for South Boston Community Health Center to ensure timely, accurate, and seamless access to internal and external specialty care. This role serves as a key liaison between patients, providers, specialists, and insurance companies. The Referral Coordinator supports high-quality patient care by managing referral documentation, authorizations, scheduling, and communication throughout the referral process.

Requirements

• High School Diploma or equivalent required
• Knowledge of referral coordination and prior authorization processes
• Ability to manage multiple tasks and priorities in a fast-paced healthcare environment
• Strong verbal and written communication skills
• Basic computer proficiency and comfort working with electronic medical record systems

Nice To Haves

• Experience working in a community health center or medical office setting
• Familiarity with managed care plans and insurance authorization processes
• Experience working with diverse patient populations
• Bilingual skills a plus

Responsibilities

• Receive and process referral requests for SBCHC providers and outside specialists or diagnostic services
• Determine whether managed care authorization is required for referrals
• Obtain referral authorizations or denials and communicate authorization details to patients and outside specialists
• Serve as the liaison between referring providers and external specialists
• Schedule internal and external specialty and diagnostic appointments
• Notify patients of scheduled appointments and provide education regarding appointment details and preparation
• Interact with insurance companies to obtain prior authorizations, including for high-tech radiology procedures
• Process out-of-network referrals and workers’ compensation cases
• Document all referral-related information, actions taken, and communications in the electronic medical record
• Maintain accurate and timely records in accordance with SBCHC policies and procedures
• Comply with all organizational, state, and federal regulations
• Participate in trainings, staff meetings, and quality improvement initiatives as required
• Perform other duties as assigned

Benefits

• Medical, dental, and vision insurance
• Paid time off, holidays, and sick time
• Retirement plan options
• Professional development and training opportunities
• Employee assistance programs
• Other benefits in accordance with employment status and union agreements

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED