Coordinator, Appointments & Referrals

NeighborHealth Corporation; Revere (MA); On-site; USD 25,000 - 39,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

401(k) plan

Tuition reimbursement

Paid holidays

Job summary

NeighborHealth Corporation is seeking an Appointment and Referrals Coordinator to support patient services at the Referrals department in Revere. You will gather medical information to schedule visits and secure insurer approvals, acting as a navigator and primary contact for patients and families.

The role requires a HS Diploma/GED with 2+ years in healthcare, EMR experience, and ability to understand managed care benefits. Bilingual English/Spanish is preferred.

Qualifications

• HS Diploma or GED required.
• Minimum 2 years in healthcare setting.
• Knowledge of EMR systems helpful.
• Able to interpret managed care benefits.
• Spanish language ability preferred.

Responsibilities

• Schedule appointments and coordinate referrals with insurers.
• Serve as system navigator for patients and families.
• Explain insurance networks and costs to patients.
• Respond to Epic in-basket messages within 24–48 hours.
• Collaborate with internal/external teams.
• Maintain accuracy in registration and scheduling workflows.

Skills

Customer service

Bilingual English/Spanish

Interpersonal skills

Medical terminology

Organizational skills

Independent work

Education

HS Diploma/GED

College degree or equivalent

Tools

EMR systems

NHP NET

NEHENLite

WebMD

Tufts

Job description

Thank you for your interest in a career at NeighborHealth, formerly East Boston Neighborhood Health Center! As one of the largest community health centers in the country, NeighborHealth is proud to serve the greater Boston area with a strong commitment to the health and well‑being of our patients and communities. Whether you're a nurse or physician providing direct care, a manager leading dedicated teams, or part of the essential support staff who keep our operations running smoothly - every role at NeighborHealth is vital. Together, we’re advancing medicine and delivering the best care experience for our patients and community!

Time Type: Full time Department: Referrals All Locations: 300 Ocean Avenue - Revere

Position Summary

As an integral part of our patient service team, the Appointment and Referrals Coordinator will be primarily responsible for gathering information concerning patient’s medical needs in order to schedule appointments and securing verification from insurance companies for referral approvals. Will also the system navigator and point of contact for patients and families having direct access for asking questions and raising concerns. May assume advocate role on the patient’s behalf with the insurance carrier to ensure approval of the necessary services for the patient in a timely fashion. HS Diploma/GED and at least 2 years of experience within a healthcare setting with knowledge of EMR systems required. Must have the ability to understand and interpret various managed care insurance benefits and guidelines.

Schedule: Monday-Friday, 8:00AM-5:00PM

DUTIES AND RESPONSIBILITIES

• Maximize reimbursement to the health center from various managed care payors by scheduling specialty appointments appropriately, and communicating the outcome to the patients and/or the specialist’s office;
• Establish and maintain professional collaborative relationships with internal and external customers
• Educate/communicate with patients about their insurance so that they schedule specialty appointments within their insurance network and/or understand the financial consequences of seeing providers out of network;
• Provide patients with the highest quality of customer service in accordance with NeighborHealth’s mission and vision;
• Review and address Epic in-basket messages in a timely manner, taking action within 24-48 hours of receipt. With great attention to detail, schedule all external specialty visits for your assigned Referral workqueue per department guidelines; cover other workqueues as needed. Exhaust all avenues to achieve the goal on securing the appointment within the requested timeframe.;
• Follow up with primary care provider if unable to schedule as order specifies to explore alternatives.
• Ability to understand and interpret medical terminology in the orders for the purpose of making a relationship between the diagnosis and what accompanying documentation is required, such as recent lab results or other diagnostic test results.
• Process 65 referrals or more a day for BMC work queues
• Process 40 or more referrals a day for non BMC referrals

EDUCATION

High School diploma and related college degree and/or equivalent work experience.

EXPERIENCE

Experience in a health care setting – at least one year Ability to understand and interpret various managed care insurance benefits and guidelines. Knowledge of, and experience with medical terminology extremely helpful Working knowledge of the health center’s computer systems for registration, billing, appointment scheduling, and managed care options, and the various managed care plan electronic/on-line authorization technology (NHP NET, NEHENLite, WebMD, Tufts, etc.)

SKILLS/ABILITIES

• Excellent customer service and interpersonal skills.
• Fluency in English & Spanish preferred
• The ability to work independently in a fast paced environment.
• Ability to communicate with internal and external customers.
• Some medical terminology
• Exceptional organizational skills

BENEFITS

• Medical, dental, and vision coverage.
• Life and disability insurance.
• 401(k) retirement plan.
• Tuition reimbursement.
• Flexible spending and transportation accounts.
• Paid holidays, vacations, sick, and personal time.
• Generous staff development benefit.
• Excellent malpractice coverage.
• Pet insurance.
• And much more.
• Medical & Dental Coverage Life and Disability Insurance Privileges at Boston Medical Center for Providers
• 401(K) Retirement Plan
• Educational Assistance
• Flexible Spending & Transportation Accounts
• Paid Holidays, Vacations, Sick and Personal Time
• A Generous Staff Development Benefit
• Excellent Malpractice Coverage
• A Designated Medical Staff Office for Physician Support
• Free Parking And Much More...

EEO & Accommodation Statement

NeighborHealth is an equal employment/affirmative action employer. We ensure equal employment opportunities for all, without regard to race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity and/or expression or any other non-job-related characteristic. If you need accommodation for any part of the application process because of a medical condition or disability, please send an e-mail to [e-mail] or call 617-568-4480 to let us know the nature of your request.

Federal Trade Commission Statement

According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website. We do not ask or require downloads of any applications, or \"apps\.\" Job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.

E-Verify Program Participation Statement

NeighborHealth participates in the Electronic Employment Verification Program, E-Verify. As an E-Verify employer, all prospective employees must complete a background check before beginning employment.