• Authorization and Referrals

    Beth Israel Lahey Health (Winchester, MA)
    …companies when necessary to proactively validate benefits, eligibility and authorization requirements. Communicates with patients to assure they understand their ... codes. + Verifies Primary Care Physician (PCP) information and ensures appropriate PCP referrals are in place for the provider and service by checking electronic… more
    Beth Israel Lahey Health (08/07/24)
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  • Referral Specialist

    Dana-Farber Cancer Institute (Boston, MA)
    …the Referral/ Authorization Supervisor under direct supervision, the Referral Specialist is responsible for coordinating referral orders for continuation of ... other Harvard Medical School-affiliated hospitals. With direct supervision, the Referral Specialist : + Manages referral and authorization information as assigned… more
    Dana-Farber Cancer Institute (08/21/24)
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  • Harm Reduction Specialist

    Boston Health Care for the Homeless Program (Boston, MA)
    …epidemics of drug overdose, HIV risk, and homelessness, the Harm Reduction Specialist will provide care coordination and case management, behavioral risk reduction ... the successful utilization of these resources. This may include referrals or direct support in housing stabilization though not...the Homeless is at-will. Boston Health Care for the Homeless does not sponsor work authorization visas. Powered by… more
    Boston Health Care for the Homeless Program (07/13/24)
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  • Clinical Support Specialist - Utilization…

    Randstad US (Boston, MA)
    clinical support specialist - utilization mngmt. + boston , massachusetts (remote) + posted 9 days ago **job details** summary + $23 - $25 per hour + temp to perm + ... to ensure provider and member customer satisfaction. + Process authorizations and referrals using desktop procedures and workflows + Outreach providers for needed… more
    Randstad US (09/06/24)
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  • Wood Coatings Specialist

    Parksite (Woburn, MA)
    …more from your hard work! Atlantic Plywood is looking for a full-time Wood Coating Specialist to join our team! The Wood Coating Specialist will be an integral ... Participate in special projects as needed Job Requirements: + Authorization to work in the US + High school...with all team players + Bonus incentives for employee referrals + A stake in your company with our… more
    Parksite (09/15/24)
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  • Patient Placement Specialist

    Tufts Medicine (Boston, MA)
    …entities, or the patients themselves, schedules services for patients, and handles referrals from primary care doctors to ensure patients are scheduled for ... responsible for verifying patient insurance, confirming benefits eligibility, performing pre- authorization , pre-certification, and/or notification as required by third party… more
    Tufts Medicine (09/16/24)
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  • Per-Diem Billing Associate/Managed Care…

    Beth Israel Lahey Health (Boston, MA)
    …pre-billing edits defined by TES. Assists in high-cost drug prior authorization capture process. Assists professional billing service with back-end billing issues, ... physicians, their patients and practices to coordinate and process managed care referrals and / or authorizations for patient care services, complying with BIDCO's… more
    Beth Israel Lahey Health (06/30/24)
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  • P117498 Co-op - OB/GYN Revenue Cycle

    Beth Israel Lahey Health (Boston, MA)
    …physicians, their patients and practices to coordinate and process managed care referrals and / or authorizations for patient care services, complying with BIDCO's ... record, and attach primary and/or specialty care managed care referral and authorization requests for multiple managed care insurance payers for a high volume… more
    Beth Israel Lahey Health (06/30/24)
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  • RN Care Manager, Complex Care

    East Boston Neighborhood Health Center (East Boston, MA)
    …administered and performed. + Demonstrate the capacity to work with the PCP/ID Specialist and other HIV team members to develop individualized patient care plans, ... Manages the refills of all patient medications with appropriate authorization by the provider. + Provides thorough and concise...for managing all STD symptom screening and making appropriate referrals to ensure adequate patient care + Works with… more
    East Boston Neighborhood Health Center (08/07/24)
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  • Psychiatric Nurse Practitioner - Psychiatric…

    Cambridge Health Alliance (Everett, MA)
    …authorizing practice in an expanded role as a Psychiatric Nurse Clinical Specialist and authorization including prescriptive authority. _In keeping with federal, ... findings. + Evaluates results and determines which findings require consultation or referrals to other Providers. + Works with the community to assess health… more
    Cambridge Health Alliance (07/17/24)
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  • Adult Psychiatric Mental Health Nurse Practitioner

    Commonwealth Care Alliance (Boston, MA)
    …Us:** **Position Summary:** The clinical nurse practitioner is a self-directed specialist with advanced knowledge, skills and competence in general medicine and/or ... on patients on a daily basis. + Recommend appropriate internal/external referrals and effectively utilize available community resources; assists patients, families,… more
    Commonwealth Care Alliance (09/12/24)
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  • Administrative Assistant II: Ambulatory Float Pool

    Beth Israel Lahey Health (Boston, MA)
    …Updates patient demographic and insurance information as necessary and obtains specialist referrals for all patient appointments. Schedules patient appointments ... consultation, follow up, or simulation via letters or phone calls. 7. Obtains authorization for radiologic exams as needed. 8. Sorts, copies, files and distributes… more
    Beth Israel Lahey Health (08/03/24)
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