Referral Coordinator (multiple vacancies Job Barrington area,Rhode Island USA,Healthcare

Position: Referral Coordinator (multiple vacancies)

Referral Coordinator

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 Next Gen 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 Next Gen

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
Knowledge of 42 Code of Federal Regulations (CFR) Part 2 and HIPAA compliance

Benefits

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
Mileage reimbursement
Tuition reimbursement
Center-paid training/CEUs opportunities
Employee assistance program

We welcome candidates from all backgrounds who are passionate about making a difference in our community.

About East Bay Community Action Program

East Bay Community Action Program (EBCAP) is a non-profit 501(c)(3) organization that provides high-quality, comprehensive, and accessible health and human services to people across eastern Rhode Island. Founded as part of President Johnson's War on Poverty in 1965, EBCAP now serves ten communities with over 20 distinct programs — including primary medical and dental care, behavioral health services, early childhood education, and community support programs for children, youth, families, adults, and seniors.

Our 521 employees work across more than ten locations, addressing everything from immediate needs like food and housing to long-term health and wellness. If you are looking to make a meaningful impact on the lives of Rhode Islanders, we encourage you to apply.

Equal Opportunity Employer

East Bay Community Action Program (EBCAP) is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, pregnancy, genetic information, veteran status, or any other characteristic protected by applicable federal, state, or local law. EBCAP is a federal contractor subject to Section 503 of the Rehabilitation Act and the Vietnam Era Veterans' Readjustment Assistance Act (VEVRAA).

We take affirmative action to employ, advance in employment, and otherwise treat qualified individuals with disabilities and protected veterans without discrimination in all employment practices. If you require a reasonable accommodation to participate in the application or interview process, please contact People Operations at people operations x1615.