- Beth Israel Lahey Health (Boston, MA)
- …you're not just taking a job, you're making a difference in people's lives.** The Managed Care Coordinator will be supporting the Vascular Surgery Department ... and support staff to request, obtain, record, and attach primary and/or specialty care managed care referral and authorization requests for multiple … more
- Beth Israel Lahey Health (Boston, MA)
- …patients and support staff to request, obtain, record, and attach primary and/or specialty care managed care referral and authorization requests for ... procure a high volume of referral and authorizations for multiple managed care payers. 12. Educates patients about the referral process, programs… more
- Tufts Medicine (Lowell, MA)
- …interpretation. **Job Overview** This position triages incoming requests from patients and primary care providers for managed care referrals for patients who ... processing the requests. 7. Maintains log of Community PCP referral requests for out of network care ;...PCP referral requests for out of network care ; provides monthly statistical reports to Manager. 8. Follows… more
- Tufts Medicine (Tyngsboro, MA)
- …and understanding of health care delivery systems with special emphasis on the referral management process for managed care providers. Tufts Medicine is ... including confirmation that valid insurance coverage exists, that a referral is authorized for specialty visits, and the accuracy...of primary care physician data for all managed care patients. Financially secures each account… more
- Beth Israel Lahey Health (Lynn, MA)
- …the hospital, referral sources and payors + Maintain understanding of managed care contracts, insurance benefits, limitations, policies, procedures and forms ... assessments2) Knowledge of admission procedures and protocols3) Knowledge of managed care and other payors4) De-escalation/Restraint Management5) Effectively… more
- South Middlesex Opportunity Council (Framingham, MA)
- …Work with billing department to ensure authorizations are up to date + Attend level of care meetings with managed care entities and ACO's + Work with Program ... Illness, and Short-Term Disability. + Flexible Spending Accounts, Dependent Care Accounts, Employee Assistance Program, Tuition Reimbursement and more. PRIMARY… more