East Bay Community Action Program
East Bay Community Action Program is hiring for a full-time Referral Coordinator to manage the patient referral process, including coordination between providers, insurance verification, authorization processing, and scheduling. This position requires experience in EHR systems, strong communication skills, and the ability to navigate complex healthcare processes while providing excellent customer service to patients.
Key Responsibilities
Process and track all incoming and outgoing referrals using NextGen EHR system
Verify insurance coverage and obtain prior authorizations for services
Schedule patient appointments when permitted, and coordinate necessary clinical information transfer
Maintain accurate documentation of all referral activities within NextGen
Follow up on pending referrals to ensure timely completion
Communicate with patients regarding referral status, appointment details, and preparation instructions
Coordinate with specialist offices to confirm referral status, dates of scheduled appointments, and obtain consultant notes for referral completion
Liaise with insurance companies to resolve coverage issues and denials
Review referral reports to identify open referrals, ensure timely completion, and close out expired referrals as needed.
Ensure compliance with HIPAA regulations and organizational policies
Participate in quality improvement initiatives related to the referral process
Qualifications
High school diploma/GED required
1-2 years of professional experience in a healthcare setting and with insurance authorizations
Basic knowledge of healthcare terminology
Strong communication skills, detail oriented with a strong patient service mindset
Benefits Package
Comprehensive medical and dental insurance plans (BCBSRI) with heavy subsidization
Supplemental vision insurance
Voluntary medical and dependent care flexible spending accounts
Up to 3% matching 403(b) retirement plan
Employer-paid life insurance & long-term disability
Generous paid time off including vacation, holidays, personal days, and sick time
Center-paid training/CEUs opportunities
Employee assistance program
We welcome candidates from all backgrounds who are passionate about making a difference in our community.
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Key Responsibilities
Process and track all incoming and outgoing referrals using NextGen EHR system
Verify insurance coverage and obtain prior authorizations for services
Schedule patient appointments when permitted, and coordinate necessary clinical information transfer
Maintain accurate documentation of all referral activities within NextGen
Follow up on pending referrals to ensure timely completion
Communicate with patients regarding referral status, appointment details, and preparation instructions
Coordinate with specialist offices to confirm referral status, dates of scheduled appointments, and obtain consultant notes for referral completion
Liaise with insurance companies to resolve coverage issues and denials
Review referral reports to identify open referrals, ensure timely completion, and close out expired referrals as needed.
Ensure compliance with HIPAA regulations and organizational policies
Participate in quality improvement initiatives related to the referral process
Qualifications
High school diploma/GED required
1-2 years of professional experience in a healthcare setting and with insurance authorizations
Basic knowledge of healthcare terminology
Strong communication skills, detail oriented with a strong patient service mindset
Benefits Package
Comprehensive medical and dental insurance plans (BCBSRI) with heavy subsidization
Supplemental vision insurance
Voluntary medical and dependent care flexible spending accounts
Up to 3% matching 403(b) retirement plan
Employer-paid life insurance & long-term disability
Generous paid time off including vacation, holidays, personal days, and sick time
Center-paid training/CEUs opportunities
Employee assistance program
We welcome candidates from all backgrounds who are passionate about making a difference in our community.
#J-18808-Ljbffr