Lead Referral Coordinator

Company: Charles River Community Health
Location: Brighton
Posted on: February 16, 2026

Job Description:

Job Description Job Description Lead Referral Coordinator CLASSIFICATION/STATUS: Non-Exempt, Full Time, Permanent IMMEDIATE SUPERVISOR : Site Manager SUPERVISORY RESPONSIBILITIES : None FLEXIBLE WORK OPTION : Hybrid (3-4 days on-site, based on managerial discretion) SALARY BAND : Band 2 ($22.00 - $29.00/hour) WHO YOU ARE: YOUR ROLE & IMPACT The mission of Charles River Community Health (CRCH) is to partner with individuals and families so they can thrive and lead healthier lives by delivering the comprehensive, integrated, and equitable primary healthcare that matters most to them. The Lead Referral Coordinator will coordinate collaboratively with primary care practices, specialty practices, referring physicians, primary care physicians, insurance carriers, patients, and other parties to ensure that required referral management referrals and prior authorizations for specified specialty visits and other services are obtained and appropriately recorded in the relevant practice management systems for patient appointments. The Lead Referral Coordinator will assist in resolving errors, partner with leadership to strengthen training effectiveness and improve operational workflows, and coach and assist Referral Representatives to ensure referrals are processed in a timely manner. YOUR RESPONSIBILITIES Assist with the training, education, and coaching of Referral Reps and other internal CRCH staff assigned to the department. Identify and address trends that suggest the need for further education. Serve as a front line lead resource for the referral staff, and retrain employees as necessary. Assist the Site Manager in the development and maintenance of a Referral Representative training program within MedTrainer database. Provide feedback to management regarding training materials, methods, and necessary changes; update training materials as necessary. Strategize with the Site Manager and Chief Operating Officer on workflow and process improvements to increase the productivity of the team. Serve as a backup for managing the Referrals team when Site Manager is unavailable. Coordinate all outgoing/incoming referrals and prior authorizations. Schedule all referral appointments, including urgent requests, radiology exams, procedures and consultations. Verify insurance eligibility and submit insurance referrals and prior authorizations to ensure services are covered. Document appointment information on EHR, notify provider and patient with details, and mail out appointment letter. Prepare documentation, including office notes and labs, and fax to specialist office for upcoming appointment. Collaborate with primary care providers to resolve issues related to specialist availability and patient needs. Maintain and build professional relationships with other clinical and operational teams. Process insurance referrals and prior authorizations received by fax and phone line from patients and hospitals. Scan and drop file insurance referrals in patient charts for easy access to authorization numbers, number of visits, and utilization. Maintain up-to-date knowledge of insurance company requirements and where patient’s insurance is accepted. Maintain up-to-date phone and fax logs. Function as a resource for information and problem solving for patients, primary care providers, referral management program staff, specialists, and Health Center staff. Maintain and follow through closing the loop on all tracked referrals. Maintain strict adherence to HIPAA regulations, ensuring patient privacy, data security, and confidentiality in all interactions and documentation. Understand the mission of the Health Center and strive to work collaboratively with Health Center staff to carry out this mission. Conduct regular 1:1 check-ins with other members of the Referrals team. Run monthly Referrals team meetings. Attend appropriate meetings to maintain up to date knowledge of Health Center activities and, if unable to attend meetings, follow up with supervisor for information. Attend appropriate various external organizational meetings with insurance companies and hospitals to remain up to date on any changes. Work closely with Patient Care Navigators to ensure they are looped in on any updates as they distribute facility information to patients. Maintain documentation to meet audit requirements and participates in audit activities as requested. Must have a willingness to work flexible hours to meet the organization's needs/demands. Perform other duties as assigned by the Site Manager or designee. YOUR QUALIFICATIONS, COMPETENCIES, TRAITS High school diploma or GED required. Must have previous experience in health care setting. Must have familiarity with referral management plans and computer skills. Detail-oriented with strong communication and organizational skills required. Familiarity with referral management plans and computer skills preferred. Team oriented, with a strong commitment to helping others required. Bilingual in Spanish preferred. Must have ability to complete 40 - 50 referrals per week depending on complexity. Must be able to answer high call volumes and have strong attention to detail. Must be able to travel to either Charles River Community Health site (Brighton and Waltham) as needed. Must have excellent communication skills, particularly with people from diverse cultures, with the ability to understand the community, population, and patients we serve. Must believe in the work we do at CRCH, with a strong passion to serve underserved populations in diverse settings. WHO WE ARE & WHAT WE DO Charles River Community Health’s mission is to partner with individuals and families so they can thrive and lead healthier lives by delivering the comprehensive, integrated, and equitable primary healthcare that matters most to them. CRCH is a comprehensive practice providing medical, pharmacy, dental, behavioral health, optical, and vision services to diverse underserved local communities. We serve over 13,500 patients annually, and 90% of those served are low income, while over 70% need services in a language other than English. We are committed to providing patients with timely access to the right care, at the right place and at the right time, collaborating with other organizations to connect patients with a comprehensive range of services and provide continuity of care, and creating new community partnerships to meet the changing needs of patients and the community. We value caring for everyone with dignity, respect, and compassion, reducing cultural, financial and other barriers to care, and eliminating health care disparities for our patients. We also advocate for the needs of our patients, the community, and public health causes. OUR PROMISE If you are passionate about providing access to quality and compassionate care to the underserved, you will find your career rewarding and impactful. As Lead Referral Coordinator , you will be part of a dynamic team and will find a partner in your career path goals and trajectory! OUR BENEFITS & PERKS Medical & Dental Insurance Short & Long-term Disability Insurance Generous Paid Time Off Flexible Spending Account Employee Assistance Program Tickets at Work Health Reimbursement Arrangement Travel Reimbursement Professional Development Opportunities Solid track record of developing and promoting employees internally! Charles River Community Health is strongly committed to diversity and a workplace environment that respects, appreciates and values employee differences and similarities. By providing and supporting a work culture that fosters and builds upon diversity and its strengths, CRCH will better serve our local communities and continue to provide quality patient care and services. CRCH is an employment at-will organization and an equal opportunity employer committed to maintaining a work and learning environment free from discrimination on the basis of sex, race, color, religion, national origin, pregnancy, gender identity, sexual orientation, marital/civil union status, ancestry, place of birth, age, citizenship status, veteran status, political affiliation, genetic information or disability, as defined and required by state and federal laws. Additionally, CRCH prohibits retaliation against an applicant or employee because he or she has engaged in protected activity under the statutes prohibiting discrimination in the workplace.

Keywords: Charles River Community Health, Barnstable Town , Lead Referral Coordinator, Healthcare , Brighton, Massachusetts