Referral Coordinator

Harbor Health Services is an innovative, growing, mission-based organization that lives, serves and collaborates with our community members to achieve our mission to help individuals reach their full potential through access to local, affordable services that promote health. Harbor provides medical, behavioral health, dental, and support services to more than 34,000 patients in Boston, the South Shore, and Cape Cod. Harbor Health also operates two Programs for All-Inclusive Care for the Elderly in Mattapan and Brockton, providing comprehensive healthcare, transportation and social services for more than 450 frail elders who continue to live with dignity and independence in the community and a Woman, Infants and Children (WIC) Nutrition Program. To help further the mission of Harbor, we are looking for an extremely talented Referral Coordinator to join our Team.

We offer an excellent, comprehensive benefits package including Health, Dental, Vision, Life, & Disability insurance, 403b Savings Plan, Generous Paid Time Off plus 11 additional Holidays and much more! 

Role:  

The Referral Coordinator is responsible for processing patient insurance referrals, consultations, and diagnostic procedures relating to patient care which includes knowledge of insurance companies and their covered services. In addition, the Referral Coordinator will act as a Patient Navigator, contacting patients to provide appointment dates and times as well as any necessary testing needs. 

Position will be hybrid with 3 days on-site work required at the Harbor Community Health Center-Hyannis. Hours are 8:00 AM to 4:30 PM Monday through Friday.

Responsibilities: 
  • Processes referrals/authorizations using appropriate method provided by insurance companies.
  • Acts as a liaison between insurance and healthcare providers to ensure required referrals have been processed correctly for medical specialty visits.
  • Documents/updates records to ensure all parties have accurate information.
  • Communicates with patients to ensure follow-through with referrals or other care related needs.
  • Supports care team and patients in synchronizing care with specialist and diagnostics offices.
  • Communicates with specialist offices to ensure medical records are received back in a timely manner.
  • Accurately charts all information in EHR/EMR.
  • Functions as a resource for patients around managed care plans, insurance and referral issues, with an ability to perform electronic insurance verification.
  • Schedules appointments, makes follow up calls and documents appointments; faxes referral information to physician offices and diagnostics centers.
  • Answers phone calls, takes messages and responds to routine patient, physician and client inquiries.
  • Provides support and information to patients and providers to problem solve and manage complex administrative issues.
  • Maintains satisfactory productivity rates and ensures the timeliness of claims reimbursement while maintaining work queue goals.
  • Ensures that the orders are processed within the department’s service levels.
  
Requirements: 
  • High School diploma or GED
  • 2 years of experience working in a professional healthcare environment
  • Understanding of HMO, Managed Care, and other Third-Party Insurers
  • Knowledge of multiple on-line registration insurances websites
• Electronic Medical Records and Electronic Practice Management experience, EPIC/OCHIN desired
  • Knowledge of Medical Terminology required    
  • Excellent verbal and written communication and customer service skills.
  • Intermediate computer literacy with Microsoft Office applications: Word, Outlook, Excel
  • Excellent office machinery skills: faxing, scanning, copying and use of phone system
  • Ability to work independently and as part of a team
  • Ability to prioritize and execute a variety of tasks within a short period of time and work under stressful conditions
  • Must be able to articulate and communicate clearly in English.
• Bilingual English/Vietnamese/Portuguese or Spanish highly desired.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.