Clinical Operations Associate - Referral Coordination

Be a part of the team building the future of health care!

At Firefly Health, we believe primary care needs re-invention to ensure that all Americans have access to the best care. That’s why we’re taking a different approach. Founded by experienced clinicians, technology leaders, and innovators, Firefly Health aims to provide healthcare that’s twice as good at half the cost. We’re building a full benefit offering for employers - a ‘virtual-first Kaiser’ - to be able to direct savings from higher value care back to our patients. We’re bridging the gap between a high-functioning care team, sophisticated technology, and a scalable business model, with the ambition to ensure all people have access to continuous, holistic health care that's catered to their unique needs.

Driven by a passion for bettering healthcare and a belief that there should be an easier way for more people to access it, our team puts people at the center of everything we do. If you share our innovative spirit and desire to change the world of health care, this just might be the place for you.

Your Role

You will be responsible for navigating Firefly’s patients through the complex world of referrals as they leave our virtual walls for specialist visits and diagnostic testing. You will become an expert in Firefly’s unique network of partners and will know the ins and outs of connecting patients by providing a seamless experience. You will understand the various systems and platforms that our partners use so that you can effectively refer, schedule, communicate, and close the loop. You will understand our insurance contracts and how to ensure our members have the prior approvals they need to receive care promptly.

You will:

• Become an expert in Firefly’s network of specialists, lab, radiology, and digital health partners in each geography
• Assist patients when a referral is needed; provide concierge-level white-glove service throughout the referral process
• Partner closely with FIrefly providers to ensure that they are kept up to date and engaged in the referral process as needed
• Ensure that all patients with referrals receive the care needed in the appropriate timeframe and that Firefly clinicians receive results and/or communications back from the partner
• Help to maintain a directory of Firefly’s network across geographies

• Track performance of the referral process according to SLAs

• Assist with:

  • Medical records systems management
  • Billing tasks

• Additional project work to support growth and scalability

You’d be a good fit if have:

• 2+ years in the healthcare industry with knowledge and experience working medical referrals for patients
• Excellent communication skills - you will be working directly with patients on a daily basis
• Fantastic organization skills and are detail-oriented
• Flexibility to help in whatever ways are needed by being a team player

Our office is located in Watertown, Massachusetts, and while this role can be done largely remotely, there are several times a year when staff come together onsite for planning and team building. Accordingly, we do require staff to be fully vaccinated against COVID.

Firefly is an equal opportunity employer. We value diverse backgrounds and perspectives. We're committed to building and sustaining an inclusive workplace culture where individuals are treated with dignity and respect. All employment is decided on the basis of qualifications, merit, and business need.