Referral Coordinator

CMPI Coastal Medical Physicians•East Providence, RI

12d•Onsite

About The Position

The Referral Coordinator centrally manages routine referrals to create a dedicated, trained referral service and better prepare patients for specialist visits. The role processes referrals within 48 hours, directs patients to in-network providers, and helps establish and maintain a preferred provider list and standardized, patient-centered workflows. It also develops payer relationships to facilitate prior authorizations and standardize referral content and attachments. The position supports efforts to reduce duplicate or unnecessary tests, delayed diagnoses or treatment, lost referrals, and access backlogs. The Referral Coordinator manages referrals across primary and specialty care sites, coordinates authorization and appointment details, tracks referral responses, and ensures referral documentation is attached to the medical record and closed when complete. The role is expected to uphold Brown Medicine and Brown University Health values and comply with the organization’s Compliance Program and Code of Conduct. There is no supervisory responsibility.

Requirements

Minimum 3–5 years of experience in a medical office setting.
1–3 years of experience with referrals.

Nice To Haves

E-clinical experience preferred.

Responsibilities

Manage referral records in eCW for all primary and specialty care sites.
Ensure the Referral Request form is completed.
Obtain prior authorization for referrals as needed.
Ensure referrals are received and reviewed, and record whether they are accepted with an appointment confirmation, declined or redirected, or deferred/declined by the patient or the patient cannot be reached when the specialty office is making the appointment.
Schedule referral appointments for patients when scheduling is not handled directly by the specialty office.
Communicate appointment provider, time, location, what to expect, and what to bring to patients.
Track referral responses.
Document secondary referrals when indicated.
Attach or scan consult notes to the medical record.
Close referrals when completed.
Apply Brown Medicine values and act in accordance with the Brown Medicine Compliance Program and Code of Conduct.
Role model Brown University Health’s values of Compassion, Accountability, Respect, and Excellence.