Referral Coordinator

CharterCARE of Rhode Island; Providence (RI); On-site; USD 52,000 - 70,000; Full time

Job summary

CharterCARE of Rhode Island Providence, Rhode Island, is seeking a Referral Coordinator to manage the referral workflow, verify demographics, and reflect the provider’s request for specialty referrals. You will collaborate with physicians’ offices to ensure timely, accurate information and obtain necessary authorizations.

The role emphasizes patient‑centered service, effective communication, and maintaining confidentiality while supporting a seamless referral process aligned with system

Qualifications

• High School Diploma or equivalent required; advanced medical degree/certification preferred.
• Bilingual Portuguese/Spanish required or strongly preferred.

Responsibilities

• Review incoming referrals for accuracy and reflect patient demographics and provider request.
• Contact patients to gather additional information and obtain required authorizations.
• Ensure quality control by monitoring referrals for timeliness and accuracy against standards.
• Develop and maintain strong relationships with doctors’ offices and hospitals.
• Provide exemplary customer service to patients and families with compassion and professionalism.
• Support process improvements to enhance referral operations and outcomes.

Skills

EHR management

Athena/Meditech/Infina

Interpersonal skills

Staff leadership

Multitasking

Follow instructions

Communication

Confidentiality

Education

High School Diploma or equivalent

Advanced medical degree/certification

Tools

Athena

Meditech

Infina

Job description

Referral Coordinator

CharterCARE of Rhode Island Providence, Rhode Island, United States

About this position

Position Summary

The Referral Coordinator ensures the quality of the referral process is upheld to departmental and system standards by developing and maintaining a collaborative relationship with the providers and outpatient practices. The Referral Coordinator reviews the incoming referral for information that is accurate and appropriately reflects the patient’s demographics and the providers request for a specialty referral. The Coordinator contacts the patient gathering additional information and obtains all necessary and relevant authorizations.The Referral Coordinator ensures quality control of the referral process is upheld by reviewing the accuracy and timeliness of referrals through daily monitoring ensuring targets are met.

Successful outcomes of this position include developing and maintaining outstanding relationships with doctor's offices and hospitals. Providing exemplary customer service to patients and their family members in a compassionate and competent manner. Enhancing community relationships, program visibility, timely responsiveness and excellent patient satisfaction.

Education: High School Diploma or equivalent required; advanced medical degree/certification preferred. Bilingual Portuguese/Spanish required/strongly preferred.

Experience: Four plus years of relevant work experience in a medical/physician’s office required. Previous knowledge and experience processing online/phone authorizations required. Previous coding/billing experience preferred.

Knowledge / Skills / Abilities

• Knowledge of basic software applications to include Electronic Health Record management.


• Knowledge working with Athena and experience with Meditech and Infina.


• Skill in dealing with interpersonal issues and customer relations.


• Ability to lead multiple staff/disciplines;


• Ability to handle multiple priorities at once with minimal supervision.


• Ability to comprehend and follow written and verbal instructions.


• Ability to organize and communicate clearly.


• Ability to maintain confidentiality of patient and employee information.