Care Coordination & Referral Specialist

Providence Community Health Centers; Providence (RI); On-site; USD 40,000 - 55,000; Full time

Job summary

Providence Community Health Centers is seeking a Referral Coordinator in Providence, Rhode Island. The role involves collaborating with physicians and insurance companies to coordinate referrals and prior authorizations. Excellent communication and organizational skills are essential.

Applicants should have an Associate's Degree or equivalent medical training, and familiarity with insurance processes and electronic health records is preferred. The position facilitates effective patient transfer of care and supports clinical teams efficiently.

Qualifications

• Excellent communication skills for interacting with community specialists.
• Ability to work independently and in a health care team.
• Basic computer skills required for navigating web portals.

Responsibilities

• Monitor and process requests for referrals and prior authorizations.
• Review referral requests for completeness and accuracy.
• Act as a liaison between insurance companies and care teams.

Skills

Communication skills

Insurance knowledge

Basic computer skills

Medical terminology

Health care teamwork

Education

Associate's Degree or medical training program

Tools

Electronic health record system

Microsoft Excel

Microsoft Word

Microsoft Outlook

Job description

Providence Community Health Centers is seeking a Referral Coordinator in Providence, Rhode Island. The role involves collaborating with physicians and insurance companies to coordinate referrals and prior authorizations. Excellent communication and organizational skills are essential.

Applicants should have an Associate's Degree or equivalent medical training, and familiarity with insurance processes and electronic health records is preferred. The position facilitates effective patient transfer of care and supports clinical teams efficiently.