Referral & Care Coordination Specialist

edwardmkennedycommunityhealthcenterinc; Worcester (MA); On-site; USD 23,000 - 29,000; Full time

Benefits offered by this job

Comprehensive benefits

Health insurance coverage 80%

403b retirement plan

Flexible spending accounts

Employee assistance program

Paid time off

Job summary

Edward M. Kennedy Community Health Center in Worcester is seeking a Referral Coordinator to process and facilitate Health Center patient referrals for medical specialty services not available onsite.

This role ensures accurate referrals and timely insurance approvals, and coordinates documentation and communication among patients, specialists, and ordering providers. The Referral Coordinator will track appointment attendance, relay results to Primary Care Providers, manage telemedicine

Qualifications

• Excellent organizational and time management skills.
• 1–2 years database/spreadsheet experience with basic-advanced level computer training certificates.
• Self-starting motivation to begin and complete work without prompting.
• Ability to prioritize job-related activities to take action when needed.
• Ability to communicate effectively with team members and patients.

Responsibilities

• Process and facilitate specialty referrals for patients of the Health Center.
• Communicate with managed care plans and third party payers to obtain approvals for patients to be seen by the specialists.
• Inform patients of appointment time, location, provider, and required documents.
• Collaborate with EMKCHC referral network to align with referral practices and payer requirements.
• Track reports and results to ensure appointments are kept and outcomes documented.
• Manage telemedicine referrals, including data sharing and scheduling.
• Respond to patient portal messages and generate required reports.

Job description

Edward M. Kennedy Community Health Center in Worcester is seeking a Referral Coordinator to process and facilitate Health Center patient referrals for medical specialty services not available onsite.

This role ensures accurate referrals and timely insurance approvals, and coordinates documentation and communication among patients, specialists, and ordering providers. The Referral Coordinator will track appointment attendance, relay results to Primary Care Providers, manage telemedicine