- Beth Israel Lahey Health (Plymouth, MA)
- …is subject to change at any point. Job Summary: Under the direction of the Sr. Managed Care Coordinator and Surgery Practice Manager initiate and process ... managed care insurance referral requests for patients of the practice,...and administratively sign off on a high volume of referrals . Learn and remain proficient on multiple electronic technologies… more
- Beth Israel Lahey Health (Boston, MA)
- … care or specialty physicians, their patients and practices to coordinate and process managed care referrals and / or authorizations for patient care ... services, complying with BIDCO's and BIDMC's contractual rules for multiple managed care insurance payers. **Job Description:** **Essential Responsibilities:**… more
- Fenway Health (Boston, MA)
- …cancellations, expirations and changes to referrals + Track services provided to managed care patients off-hours and in emergency + Schedule radiology and ... unavailable + Prepare authorizations using insurance company websites or calls to managed care companies + Obtain, distribute and document referral authorization… more
- North Shore Community Health (Salem, MA)
- …the Referral Coordinator will ensure proper processing of incoming specialist referrals for specialty care appointments/testing. The Referral Coordinator ... Referral Coordinator Salem, MA (http://maps.google.com/maps?q=27+Congress+Street+Salem+MA+USA+01970) Description North Shore Community...care setting * Understanding of Medicare, Medicaid and managed health care * Ability to work… more
- Beth Israel Lahey Health (Woburn, MA)
- …(United States of America) **Job Description:** **What You'll Do** : The Homecare Referrals Coordinator is responsible for the smooth transition of the patient ... to relate these to identified patient needs. + Prioritize referrals based on patient's home care and...process. + Demonstrate an understanding of the Medicare, Medicaid, Managed Care environment and work with the… more
- Beth Israel Lahey Health (Lynn, MA)
- …between the hospital, referral sources and payors + Maintain understanding of managed care contracts, insurance benefits, limitations, policies, procedures and ... assessments2) Knowledge of admission procedures and protocols3) Knowledge of managed care and other payors4) De-escalation/Restraint Management5) Effectively… more
- Beth Israel Lahey Health (Burlington, MA)
- …are financially able to proceed with transplant. 3. Assists finance department and managed care area by providing data about transplant program and financial ... means to cover all the services necessary for their care . This involves working directly with the patient to...if necessary, try to improve coverage. The Transplant Financial Coordinator serves as part of the multidisciplinary transplant team… more
- Beth Israel Lahey Health (Quincy, MA)
- …quality standards. + Accurately inputs patient insurance and managed care plans, including prior authorizations, referrals , and precertification. + Collect ... 0 **Work Shift:** Day (United States of America) Based at our Quincy Urgent Care facility, the Quincy Specialty Patient Services Coordinator reporting to the… more
- Tufts Medicine (Burlington, MA)
- …High School Diploma or equivalent 2. Two (2) years' experience in insurance, managed care , private physician's office practice or hospital registration setting ... the policies and procedures related to the delivery of high quality patient care . In addition, this role focuses on performing the following Customer Service duties:… more
- State of Massachusetts (Boston, MA)
- …as Continuing Care Risk Reviews on as needed basis. * Serve as Continuing Care Bed Coordinator - In this role the supervisor will receive, review, and assess ... Metro Boston Fuller Site is seeking a Human Services Coordinator II (HSC II). The HSC II will provide...direction and developing strategies toward resolution of challenging case managed cases. * Monitor DMH funded contracts. These monitoring… more
- Beth Israel Lahey Health (Boston, MA)
- …referral and authorization rules and related policies for multiple insurance and managed care payers including transplant specific policies; maintains record of ... opportunity to be a member of the Transplant Institute team at BIDMC that provides care to a very complex patient population. This is a full time opportunity working… 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