Referral Coordinator

CMPI Coastal Medical Physicians, Inc., d/b/a Brown Health Medical Group Primary Care; East Providence (RI); On-site; USD 40,000 - 60,000; Full time

Job summary

Brown University Health in Rhode Island is seeking a Referral Coordinator to centralize and streamline routine referrals, build a trained staff, and ensure timely processing within 48 hours across in-network providers.

You will manage referrals in eCW for all sites, obtain prior authorizations as needed, schedule appointments, inform patients, track responses, and document outcomes while upholding Brown Medicine values.

Qualifications

• Minimum 3–5 years experience in a medical office setting.
• 1–3 years experience with referrals.
• E-clinical experience preferred.

Responsibilities

• ManageReferral beans in eCW for all sites, both Primary and Specialty Care.
• Acquire prior authorization for referrals as needed.
• Ensure Referral is received and reviewed.
• Schedule referral appointment for patient.
• Communicate with patient regarding referral details and what to bring.
• Track referral response.
• Document secondary referrals if indicated.
• Attach/Scan Consult Note(s) to medical record.
• Close referral when completed.

Skills

Medical office experience

Referral management

Prior authorizations

Tools

eCW (eClinicalWorks)

Job description

SUMMARY:

Coordination of Routine Referrals would be managed centrally to develop a dedicated, trained staff to manage referrals. This would better prepare patients for visit with specialist. Processing referrals would occur within 48 hours and health care cost reductions by directing patients in “In-Network” Providers. The position would help establish and maintain a preferred provider list, standardize patient centric workflow. Develops payer relationships to facilitate prior authorizations, standardize referral content and attachments. Position will help to reduce duplicate or unnecessary tests, prevent delayed diagnosis or treatment, minimize lost referrals and the access backlog.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

Consistently applies the Brown Medicine values of patient care priority, dignity, collaboration, integrity and quality in support of the Brown Medicine mission to deliver compassionate, high-quality patient care, research excellence and outstanding physician education. Is responsible for knowing and acting in accordance with the Brown Medicine Compliance Program and Code of Conduct.

Brown University Health employees are expected to successfully role model the organization’s values of Compassion, Accountability, Respect, and Excellence as these guide our everyday actions with patients, customers and one another.

Manage Referral beans in eCW for all sites, both Primary and Specialty Care Ensure Referral Request form is completed Acquire prior authorization for referrals as needed Ensure Referral is received and reviewed

1. Accepted with confirmation of appointment
2. Declined or redirected (not needed, wrong specialty, lack of availability)
3. Patient defers making appointment, declines or cannot be reached (if Specialty is making the appointment)

Schedule referral appointment for patient if not done directly Communicate with patient regarding referral appointment provider, time, location, what to expect and what to bring to appointment. Track referral response Document secondary referrals if indicated Attach/Scan Consult Note(s) to medical record Close referral when completed

EXPERIENCE:

Minimum 3-5 years experience in a medical office setting E-clinical experience preferred "1-3 years experience with referrals"

SUPERVISORY RESPONSIBILITY:

None.

EEO Statement:

Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.

Location:

East Providence-375 Wampanoag Trail - 375 Wampanoag Trail East Providence, Rhode Island 02915

Work Type:

8:30am-5:00pm

Work Shift:

Day

Daily Hours:

8 hours

Driving Required:

No

Company Narrative:

As Rhode Island's largest health system and private employer, Brown University Health is the state's premier provider of health services and includes the only Level I Trauma Center for southeastern New England. Today, more than 20,000 people work at Brown University Health and bring their unique skills, experiences, and compassion to their jobs every day. Formed in 1994, Brown University Health is a not-for-profit health system based in Providence, RI comprising three teaching hospitals of The Warren Alpert Medical School of Brown University: Rhode Island Hospital and its Hasbro Children's; The Miriam Hospital; and Bradley Hospital, the nation’s first psychiatric hospital for children; Newport Hospital, Saint Anne's Hospital and Morton Hospital, community hospitals offering a broad range of health services; Gateway Healthcare, the state’s largest provider of community behavioral health care; and Brown Health Medical Group, the largest multi-specialty practice in Rhode Island.Brown University Health is an equal opportunity employer that values diversity of cultural background, race, gender, age, religion, identity, ability, and perspectives - we are actively committed to a diverse workforce that represents the patients and community that we serve. We are invested in creating a respectful, inclusive, and equitable environment that supports the holistic well-being of our employees and their families. Join us and help build a healthier future for our patients - and for yourself.