Administrative Referral Coordinator

Location: Mattapan, MA
Schedule: Monday - Friday 8:00 AM - 4:45 PM
Contract-to-Hire Opportunity

We are currently seeking a Referral Coordinator to join a small, dedicated team within a mission-driven healthcare organization. This non-patient-facing role is perfect for someone who thrives in a supportive, detail-oriented environment and enjoys working behind the scenes to ensure patients receive the care they need.

Key Responsibilities

Direct Patient Services

• Ensure accurate and complete referral/admission and patient tracking information by initiating and following up on all internal and external referrals on behalf of the Health Center's patients.
• Serve as an Ombudsman for the Health Center's patients and MCOs/HMOs regarding access to non-primary care services, including coordination of the appeals process for denied services.

Administrative Duties (50%)

• Keep detailed, accurate, and complete records of referral activities to ensure appropriate visit frequencies as required for each payer and discipline.
• Review utilization and referral reports from all payors, identify trends/patterns, and report findings to management.
• Distribute referral reports to appropriate stakeholders.
• Maintain and make available to providers documented referral protocols, policies, and procedures for all contracted MCOs and HMOs.
• Participate in outreach and education activities to attract new members and retain current membership.
• Perform other related responsibilities as assigned.

Team Structure

• You'll work as part of a tight-knit team of three: 2 Referral Coordinators and 1 Manager

Must-Have Qualifications

• 1+ year of experience handling healthcare referrals

Nice-to-Have Skills

• Bilingual (Spanish preferred)
• Experience using EPIC
• Familiarity with FQHC (Federally Qualified Health Center) settings

Soft Skills & Attributes

• Strong customer service orientation
• Team player with a collaborative mindset
• Dependable and punctual
• Able to work independently with minimal supervision
• Professional communication skills
• Comfortable working with clinical providers

Why You'll Love This Role

• Free onsite parking
• Public transportation accessible
• Opportunity to go permanent