Referral Coordinator

4 weeks ago


Quincy, Massachusetts, United States Gather Health Full time
Job Title: Referral Coordinator

We are seeking a highly organized and detail-oriented Referral Coordinator to join our team at Gather Health. As a Referral Coordinator, you will play a vital role in connecting our patients with specialists and other providers outside of Gather Health, ensuring a seamless process.

Key Responsibilities:
  • Schedule and pre-register patients for exams and procedures with specialists and providers outside of Gather Health and confirm those scheduled appointments
  • Notify patients of appointment information, including date, time, location, etc.
  • Communicate with patients regarding their transportation needs and coordinate accordingly
  • Ensure patients' external missed appointments are rescheduled and communicated to the clinical care team
  • Use Web resource portals such as Availity and OneSource to generate authorizations
  • Work through the denials/appeals process with Gather Health providers
  • Coordinate authorizations and acquisition of Durable Medical Equipment
  • Participate in daily and weekly clinical care team meetings
  • Communicate with the clinical care team to ensure patients' referral needs are met
  • Address referral-based phone calls and messages in a timely fashion
  • Retrieve consultation notes, test results, and medical records and submit appropriate clinical documents to specialist offices and upload documents into electronic medical record platform (Athena)
  • Provide backup support for front desk duties as necessary
Requirements:
  • Minimum of one year experience coordinating referrals in a medical clinic
  • High school diploma or G.E.D.
  • Minimum of one year experience working with an Electronic Health Record software
  • Solid understanding of medical terminology
  • Strong interpersonal skills with experience working in settings requiring frequent communication via phone and in-person
  • Experience with basic office tools such as email, Outlook calendar, Excel, Slack/Teams, etc.
  • Strong verbal, written, and reading comprehension skills in English
  • Proven track record of detail orientation and the ability to multi-task in a busy clinic
  • Ability to work from 8am to 5pm Monday through Friday
  • Ability to work from home for part of the time, with appropriate setup conducive to performing work including phone calls
Preferred Requirements:
  • Experience with CPT and/or ICD coding, or HCPCS
  • Experience working with seniors, under-served populations, individuals with disabilities or other complex social needs
  • Experience working in a primary care clinic setting
  • Bilingual in Haitian Creole, Spanish, Mandarin, Cantonese, or Vietnamese
  • Experience working with Athena
What We Offer:
  • Competitive pay and benefits for our Full-Time colleagues
  • Paid Time Off (total of 3 weeks per year PTO that accrues with each pay period)
  • 11 Paid Holidays
  • Medical insurance coverage (health, dental, vision) with no waiting period for enrollment
  • Short and Long-Term disability insurance at no cost to you
  • Basic life insurance coverage at no cost to you
  • 401K plan with 100% employer match up to 4% of income
  • Employee Assistance Program at no cost to you
  • Free onsite parking
  • Supplemental benefits available for discounted prices (legal services, Aflac, hospital indemnity, accidental death & dismemberment, etc.)

We are an Equal Opportunity Employer and welcome applications from diverse candidates. If you are passionate about making a difference in the lives of our patients and have the skills and experience we are looking for, please submit your application.


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