Referral Coordinator

Edward M. Kennedy Community Health Center, Inc; Worcester (MA); On-site; USD 23,000 - 29,000; Full time

Benefits offered by this job

Health insurance

403b retirement plan

Flexible spending accounts

Employee assistance program

Competitive compensation

Job summary

Edward M. Kennedy Community Health Center, Inc. in Worcester, MA is hiring a Referral Coordinator to process specialty referrals, coordinate with managed care plans, and guide patients through appointment logistics.

The role includes telemedicine referrals, data reporting, and collaboration with a broad referral network to ensure timely access to care. The successful candidate will have strong organizational skills, experience with scheduling in healthcare, and the ability to manage multiple

Qualifications

• Excellent organizational and time management skills.
• Experience with spreadsheets and databases (basic-advanced training certificates) or 1–2 years database/spreadsheet experience.
• Ability to plan and organize work for efficiency and show self-starting motivation.
• Ability to prioritize activities to take action when needed.
• Minimum 1 year healthcare scheduling experience or 2 years customer service experience.

Responsibilities

• Process and facilitate specialty referrals for patients.
• Communicate with managed care plans and third party payers for approvals.
• Inform patients about appointment time, location, provider name, and required documentation.
• Collaborate with EMKCHC specialty referral network to align with referral practices and payer requirements.
• Track consultant reports and diagnostic results to confirm attendance and communicate results to PCP.
• Manage telemedicine referrals, including data sheets, uploading consults to EHR, and scheduling.
• Manage and respond to patient portal messages.
• Produce reports and maintain data systems including outstanding referral reports.
• Performs other duties as assigned.

Skills

Organizational skills

Time management

Communication

Self-starting

Prioritization

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