Referral Coordinator - Boston, MA

Gather Health • Boston, MA

22h • $22 - $30 • Hybrid

About The Position

The Referral Coordination Partner will play a vital role in connecting our patients with specialists and other providers outside of Gather Health and ensuring a seamless process. There are many aspects that require coordination that can be confusing to the patients – things such as scheduling a date and time, running insurance verifications, obtaining/sending electronic medical records from/to other clinics/hospitals, etc. – and the Referral Coordination Partner will be the central organizer in all activities related to referrals for our patients.

Requirements

• Minimum of one year experience coordinating referrals in a medical clinic
• High school diploma or G.E.D.
• Minimum of one year experience working with an Electronic Health Record software
• Solid understanding of medical terminology
• Strong interpersonal skills with experience working in settings requiring frequent communication via phone and in-person
• Experience with basic office tools such as email, Outlook calendar, Excel, Slack/Teams, etc.
• Strong verbal, written, and reading comprehension skills in English
• Proven track record of detail orientation and the ability to multi-task in a busy clinic
• Ability to work from 8am to 5pm Monday through Friday
• Ability to work from home for part of the time, with appropriate setup conducive to performing work including phone calls
• Ability to work for any employer in the United States

Nice To Haves

• Experience with CPT and/or ICD coding, or HCPCS
• Experience with seniors, under-served populations, individuals with disabilities or other complex social needs
• Experience working in a primary care clinic setting
• Experience working with Athena

Responsibilities

• Schedules and pre-registers patients for exams and procedures with specialists and providers outside of Gather Health and confirms those scheduled appointments with specialists and providers
• Notifies patients of appointment information, including, date, time, location, etc.
• Communicates with patients with regards to their transportation needs; contacts insurance carriers to verify transportation benefit eligibility, and coordinate accordingly
• Ensures patients’ external missed appointments are rescheduled and communicated to the clinical care team
• Uses Web resource portals such as Availity and OneSource to generate authorizations
• Work through the denials/appeals process with Gather Health providers
• Coordinates authorizations and acquisition of Durable Medical Equipment
• Participates in daily and weekly clinical care team meetings
• Communicates with the clinical care team to ensure patients referral needs are met
• Addresses referral-based phone calls and messages in a timely fashion
• Retrieves consultation notes, test results, and medical records - submits appropriate clinical documents to specialist offices and uploads documents into electronic medical record platform (Athena)
• Provides backup support for front desk duties as necessary
• Performs other related duties as assigned

Benefits

• Comprehensive medical, dental, and vision with day-one eligibility
• Company-paid Life, Short-Term, and Long-Term Disability insurance
• 401(k) with company match and immediate vesting
• Generous PTO that increases with tenure and 11 paid company holidays
• Employee Assistance Program (EAP) and supplemental benefit options

What This Job Offers

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