Referral Coordinator

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

Salary for this Position: $17.00-21.00/Hour
*All Pay Rates are subject to Experience, License or Certification and Location*
Are you looking for a meaningful career making a difference in our local communities? Are you passionate about health equity? Do you enjoy helping people?

Edward M. Kennedy Community Health Center is one of the largest community health centers in Massachusetts serving Worcester, Framingham, Milford and the surrounding communities. We are a thriving and growing organization, and our team is expanding across sites to support this growth.

We are currently hiring a Referral Coordinator based in Worcester. The Referral Coordinator processes and facilitates Health Center patient referrals for medical specialty services not available by the Health Center. This position ensures specialty referrals are processed accurately in a timely manner, including completion of insurance referrals and authorizations, documentation and communication to the patient, specialty provider and ordering provider. This position ensures that specialty appointments were attended, results received and communication to Primary Care Provider.

As an employer of choice, our inclusive workplace environment fosters teamwork, accountability and respect and supports the growth and development of each employee. We are an equal opportunity employer and embrace the richness of the diversity of our staff and community. You are a good fit for our team if you are passionate about helping people live healthier lives and enjoy working in a supportive, team-based environment.

Essential Functions:

• 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.
• Communicate to patients to confirm the appointment time, location, provider name and practice information and educate the patient on what material or documentation to bring to the appointment.
• Collaborate with EMKCHC specialty referral network to ensure specialty providers are familiar with Health Center referral practices and the requirements of managed care plans with which the Health Center contracts.
• Track consultant reports and diagnostic results to ensure patient’s attended their appointments and results were received. Communicate with Primary Care Providers for missed appointments.
• Manage telemedicine referrals, including sending patient data sheet, uploading consults into the patient health record, communicating with Primary Care Provider, booking patient appointment and communicating appointment information to patient.
• Manage and respond to patient portal messages.
• Produce reports and maintain data systems as requested including outstanding referral reports and referral follow up reports.
• Performs other duties as assigned.

Education and Experience:

• Excellent organizational, time management skills.
• Moderate experience with spreadsheets and databases demonstrated with basic-advanced level computer training certificates and/or 1-2 years database/spreadsheet experience.
• Demonstrate an awareness of what needs to be done and plans and organizes work for greatest efficiency; shows self-starting motivation to begin and complete work without prompting.
• Ability to prioritize job related activities in order to take action when needed.
• Minimum 1yearhealthcare experience working with scheduling appointments OR 2 yearscustomer service experience.

Benefits

• Competitive salaries andcomprehensive benefits package.
• Company pays 80% of health insurance Premiums. Includescoverage for all employees and most family types. Health benefits start on first day of employment.
• Competitive time off packages
• 403b Retirement Plan with company match
• Flexible Spending Accounts
• Employee Assistance Program