Referral Coordinator
7 days ago
At Charles River Community Health, we are committed to delivering comprehensive, integrated, and equitable primary healthcare that matters most to our patients. As a Referral Coordinator, you will play a critical role in ensuring seamless referrals and prior authorizations for specialty visits and services.
Job Summary
The Referral Coordinator is responsible for coordinating all outgoing and incoming referrals, prior authorizations, and appointments. This includes verifying insurance eligibility, submitting referrals and prior authorizations, and documenting appointment information on the Electronic Health Record (EHR). The successful candidate will be detail-oriented, with strong communication and organizational skills, and the ability to work collaboratively with primary care practices, specialty practices, referring physicians, and other stakeholders.
About Us
Charles River Community Health is a comprehensive practice providing medical, pharmacy, dental, behavioral health, optical, and vision services to diverse underserved local communities. We serve over 13,500 patients annually, with 90% being low-income individuals and 70% requiring services in a language other than English. Our mission is to partner with individuals and families so they can thrive and lead healthier lives.
Responsibilities
- Coordinate all outgoing and incoming referrals, prior authorizations, and appointments
- Verify insurance eligibility and submit referrals and prior authorizations
- Document appointment information on EHR
- Collaborate with primary care providers to resolve issues related to specialist availability and patient needs
- Maintain up-to-date knowledge of insurance company requirements and accepted locations
- Function as a resource for information and problem-solving for patients, primary care providers, referral management program staff, specialists, and Health Center staff
Requirements
- High school diploma or GED required
- Previous experience in a healthcare setting preferred
- Detail-oriented with strong communication and organizational skills
- Familiarity with referral management plans and computer skills preferred
- Team-oriented with a strong commitment to helping others
What We Offer
We offer a competitive salary of $22-$28 per hour, depending on experience, as well as benefits including medical and dental insurance, short- and long-term disability insurance, paid time off, flexible spending account, employee assistance program, tickets at work, health reimbursement arrangement, travel reimbursement, and professional development opportunities.
Culture
We value caring for everyone with dignity, respect, and compassion, reducing cultural, financial, and other barriers to care, and eliminating healthcare disparities for our patients. We advocate for the needs of our patients, the community, and public health causes.
-
Care Coordination Manager
2 weeks ago
Brighton, United States BAYADA Home Health Care Full timeCareer Overview: BAYADA Home Health Care is seeking a skilled Client Services Coordinator to join our team in Charlestown, MA. As a key member of our Assistive Care Office, you will have the opportunity to deliver exceptional customer service and quality home care to our clients while growing your career in a dynamic and entrepreneurial...
-
Home Health Coordinator
6 days ago
Brighton, United States BAYADA Home Health Care Full timeAbout the Role: We are seeking a skilled Client Services Coordinator to join our team in Charlestown, MA. As a key member of our Assistive Care Office, you will play a vital role in delivering exceptional customer service and quality home care to our clients.Responsibilities:Provide superior customer service and quality home careFocus on managing...
-
Medical Coordinator Specialist
6 days ago
Brighton, Colorado, United States Optum Full timeAt Optum, a global leader in healthcare services, we are committed to delivering high-quality care to millions of people worldwide. Our team is dedicated to improving health outcomes by connecting individuals with the care, pharmacy benefits, data, and resources they need to live healthier lives.The Patient Care Coordinator plays a critical role in this...
-
Resident Services Coordinator Position
5 days ago
Brighton, United States Barkan Management Company Full timeJob OverviewBarkan Management Company is a dynamic organization seeking a highly skilled Resident Services Coordinator to join our team.The ideal candidate will possess excellent communication and interpersonal skills, with the ability to build strong relationships with residents, staff, and community partners.Responsibilities will include:Evaluating...
-
ADON - Wellness Coordinator LPN / RN
3 weeks ago
Brighton, United States Brookdale Senior Living Full timeADON - Wellness Coordinator LPN / RN Overview Wednesday- Sunday Early Access to Paycheck with Earned Wage Access is available for Hourly Associates Make Lives Better Including Your Own. If you want to work in an environment where you can become your best possible self, join us! You'll earn more than a paycheck; you can find opportunities to grow your...
-
Medical Care Professional
4 weeks ago
Brighton, United States IASIS Healthcare Full timeAbout the RoleWe are seeking a highly skilled Medical Care Professional to join our team at Steward Health Care. In this role, you will be responsible for coordinating patient care and providing exceptional customer service.Job ResponsibilitiesCoordinates patient care and arranges referrals as directed by the primary care providerProvides self-care...
-
Client Services Specialist
2 weeks ago
Brighton, United States BAYADA Home Health Care Full timeAbout the Job: As a Client Services Coordinator at BAYADA Home Health Care, you will be responsible for providing exceptional customer service and quality home care to our clients. This role involves managing coordination of client services and emergent scheduling issues, as well as maintaining effective fiscal management of your caseload.Key...
-
Nursing Care Coordination Specialist
6 days ago
Brighton, MA, United States Mass General Brigham Full timeAbout the RoleThe Case Management Associate at Mass General Brigham will be responsible for coordinating routine and regulatory clinical and administrative functions, ensuring efficient discharge processes, and communicating effectively with patients, families, and healthcare teams. This role requires strong organizational skills, attention to detail, and...
-
Brighton, United States Enterprise Medical Recruiting Full timeCompany OverviewWe are a comprehensive practice providing medical, dental, behavioral health, optical, and vision services to diverse underserved populations in the Boston area.Estimated Salary$200,000 - $250,000 per year, based on experience and qualifications.Job DescriptionAn Internal Medicine physician is sought to join our dynamic team. As a member of...
-
Medical Care Specialist
2 weeks ago
Brighton, Michigan, United States Mass General Brigham Full timeMass General Brigham is seeking a highly skilled Registered Nurse (RN) for a part-time nursing position in Brighton, MA. Estimated salary for this role is between $60,000 to $90,000 annually.About the JobWe are looking for a compassionate and empathetic individual to join our team at the Sexual Health Clinic (SHC). The successful candidate will work...
-
Patient Care Specialist
4 weeks ago
Brighton, Illinois, United States Mass General Brigham Full timeJob SummaryWe are seeking a skilled Registered Nurse to join our Home Hospital team at Mass General Brigham. As a Patient Care Specialist, you will provide high-quality clinical services to patients in their homes, delivering comprehensive care and support to ensure optimal outcomes.About the RoleThis is a full-time position working 12-hour shifts, with...
-
Procurement Specialist
4 weeks ago
Brighton, Colorado, United States Air Squared Manufacturing Inc Full timeCompany Overview:Air Squared Manufacturing Inc is a leading OEM manufacturer of scroll type compressors, vacuum pumps and expanders for the medical, aerospace, fuel cell and power generation industries. With a strong focus on innovation and quality, we offer exciting career opportunities working on cutting-edge projects including NASA MOXIE, Leading Electric...
-
Ambulatory Neurology Specialist
2 weeks ago
Brighton, United States Mass General Brigham Full timeAbout Mass General BrighamMass General Brigham is a leading healthcare organization that offers a range of medical services, including ambulatory care. As an Ambulatory Neurology Specialist, you will work with patients and families to provide high-quality care and support.Job DescriptionThis role involves providing nursing support and care to patients within...
-
Wellness LPN or LVN Nurse
1 month ago
Brighton, United States Brookdale Senior Living Full timeAssist in maintaining a physical, social and psychological environment in the best interest of residents. Monitor and assess residents health and wellbeing while administering treatment plans prescribed by a physician. Coordinate with providers and pharmacies to ensure continuity of care.Nurses also monitor responses to treatment plans and notifies the...
-
Patient Access Registration Specialist PRN
2 days ago
Brighton, United States Intermountain Healthcare Full timeJob Description: Responsible for registering patients in multiple service lines all necessary demographic, financial, and clinical information from the patient or representative. PRN position "As needed" As a Patient Access Associate I / Registration Specialist, you need to know how to: Register patients. Confirm, enter, and/or update all required...
-
Patient Service Representative
1 month ago
Brighton, United States Intermountain Healthcare Full timeJob Description: This position is responsible for billing, follow-up, and resolving issues that delay or prevent payment of the patient's account within Intermountain's policies and procedures. Primary Care 1.Greets patients. Answer phones, takes messages, returns calls and provides neededinformation, while documenting all phone calls accurately and...
-
Neurology Ambulatory Care Specialist
1 month ago
Brighton, United States Mass General Brigham Full timeAbout the OpportunityWe are seeking a highly skilled Neurology Ambulatory Care Specialist to join our team at Mass General Brigham. This role will provide nursing support and care to patients within the Neurology Department, ensuring timely coordination of care and effective communication with referring providers.Key Responsibilities:Provide clinical...
-
Patient Service Representative Lead
4 weeks ago
Brighton, Colorado, United States US Radiology Specialists Full timeSalary Range: $55,000 - $75,000 per year.US Radiology Specialists Overview: As a partnership of leading sub-specialized radiology groups, health systems, and imaging centers, we strive to deliver best-in-class clinical excellence, operations, infrastructure, and state-of-the-art technology. Our mission is to make the best of radiology better, improving lives...
-
Medical Office Support Specialist II
6 days ago
Brighton, Michigan, United States Michigan Institute of Urology Full timeJob SummaryWe are seeking an experienced Medical Office Support Specialist II to join our team at Michigan Institute of Urology. This role will be responsible for providing administrative support and ensuring that patients receive high-quality care.About the PositionThis is a full-time opportunity, Monday through Friday, with 40 hours per week. The salary...
-
Patient Access Registration Specialist
2 weeks ago
Brighton, United States Intermountain Healthcare Full timeJob Description: Responsible for registering patients in multiple service lines all necessary demographic, financial, and clinical information from the patient or representative. Scheduled hours will be Tue-Sat 5:30am to 2pm As a Patient Access Associate I / Registration Specialist, you need to know how to: Register patients. Confirm, enter, and/or update...