Referral Coordinator

1 month ago

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

At Gather Health, we are seeking a highly organized and detail-oriented Referral Coordinator to join our team. 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.

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, contact insurance carriers to verify transportation benefit eligibility, 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 - 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.
  • Perform other related duties as assigned.

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.
  • Ability to work for any employer in the United States.

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.).

Why Join Gather Health?

  • We are a mission-based organization that is passionate about changing the way seniors experience primary care.
  • Our business model is unique and on the cutting-edge of the primary care industry.
  • Our leadership team is comprised of experienced individuals who are committed to creating not only the best patient experience, but also an amazing employee experience for our colleagues.
  • We are intentionally building a strong company culture and providing a compassionate and joyful work environment.
  • The organization was conceptualized, founded, and launched by experienced co-founders with a track record of success in the healthcare space.

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