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Title

Referral Coordinator - 4th Floor 

EOE StatementWe are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law.
 
About the Organization The mission of Fenway Health is to enhance the wellbeing of the lesbian, gay, bisexual, and transgender (LGBT) community and all people in our neighborhoods and beyond through access to the highest quality health care, education, research, and advocacy. Fenway Health was founded in 1971 and has grown from a less than 10 person operation in the basement of a building near the Boston Fens to one of the largest LGBT-focused organizations in the world. It consists of three main centers:

• Fenway Community Health Center, our clinical arm, which is a federally qualified health center that operates three clinic sites (Fenway:1340, Fenway:South End, and the Sidney Borum, Jr. Health Center) in the Boston area and provides over 30,000 patients with primary and specialty medical care, behavioral health care, optometry care, and dental care;

• The Fenway Institute, our research/training/education/policy development arm, which houses numerous research initiatives as well as the National LGBT Education Project, the LGBT Aging Project, the National Center for Innovation in HIV Care, and the Center for Population Research in LGBT Health; and

• AIDS Action, our HIV/AIDS service organization, which provides nonclinical services (case management, housing and legal assistance, outreach, peer support) to people living with HIV/AIDS and operates numerous programs focusing on HIV/STD prevention/testing/treatment, including the Access (drug user health program), TransCEND (transgender peer support and risk reduction program), and Youth on Fire (drop-in center for homeless and street-involved youth) programs.
 
Position Referral Coordinator - 4th Floor  
Full-Time/Part-Time Full-Time  
Description

Under the supervision of the Directors of Patient Services and the Referral Supervisor, the Referral Coordinator is responsible for the processing of insurance referrals, professional communication with both internal and external clients, the registration and documentation of patients at check in as needed, and the provision of excellent customer service.

Primary responsibilities include: accurately set up referrals for all patients and send to specialists in a timely manner; respond to requests regarding authorization for services; consult with PCPs to make decisions when specialists are unavailable; prepare authorizations; obtain, distribute and document referral authorization numbers; input referral numbers into Medical Records system and monitor cancellations, expirations and changes to referrals; track services provided to managed care patients off-hours and in emergency; educate patients, providers and staff to the various managed care programs and proactive use of managed care companies and referral authorization process; inform providers and /or patients of plan changes; monitor and update managed care member listings and verify membership eligibility; communicate plan updates to coworkers and replace obsolete information; update specialty provider offices regarding changing insurance company requirements; meet with insurance company representatives to learn updates or pertinent referral information; research problems related to billing services for primary care ; proactively process referrals for specialists working at FH sites; assist patients and patient services staff in calling insurance companies to change PCPs to FH or obtain referrals from outside providers to FH; and referral tracking.

Additional responsibilities include: perform registration process for new and existing patients; schedules appointments according to established procedures; make reminder calls to patients as needed; accurately balance grids and cash drawers; participate in quality assessment and improvement activities as requested; and provide excellent customer service.

 
Number of Openings 1  
Position Requirements
  • Minimum of high school graduate or equivalent, BA/BS preferred
  • Knowledge of US healthcare delivery and managed care requirements preferred
  • Computer experience required, especially with electronic medical record software, billing/registration software, and Microsoft Office
  • Able to meet deadlines, follow through on assigned tasks, and attend carefully to details
  • Able to proactively reach out to team members to offer or receive help, ask or answer questions
  • Successful customer service background required; bilingual Spanish/English preferred 
  • Willingness to work with diverse patient population including the GLBTQ community, seniors, students and others 
  • Calm, patient and understanding manner
  • A willingness to accept changes and challenges
  • Ability to work harmoniously with diverse groups of individuals
  • Experience working in an ethnically, culturally, and racially diverse environment preferred
 
Category Customer Service  
Number Filled 0  
Location Patient Services - Ansin Building  
Shift -not applicable-  
Req Number CUS-18-00023  

This position is currently accepting applications.

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