- 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 ... volume of referral and authorizations for multiple managed care payers. 3. Educates patients about... care payers. 3. Educates patients about the referral process, programs offered, and services provided… more
- Beth Israel Lahey Health (Plymouth, MA)
- …APG PCPs, patients and practice support staff to coordinate, and process all specialty care managed care referral authorization requests in compliance ... Coordinator and Surgery Practice Manager initiate and process managed care insurance referral requests...to offer ideas, identify issues, obtain information or deliver services . **Customer Service :** Ability to provide a… more
- Fenway Health (Boston, MA)
- … managed care programs + Educate patients toward proactive use of managed care companies and referral authorization process + Inform providers and ... services provided for patients Monitor and update managed care member listings and verify membership...Meet with plan representative to learn updates or pertinent referral information Provide excellent customer service +… more
- Fenway Health (Boston, MA)
- …Prepare authorizations using insurance company websites or calls to managed care companies + Obtain, distribute and document referral authorization numbers + ... monitor cancellations, expirations and changes to referrals + Track services provided to managed care ... referral information 4.Research problems related to billing services for primary care + Proactively process… more
- Randstad US (Boston, MA)
- …The Director is responsible for the overall success of each assigned Managed In-House Agency/Studio (MIA). This includes managing, developing and partnering with ... cycle + Identify opportunities to provide enhanced and/or increased services for each End Client Company within and outside...assistance program and health advocacy + Health and dependent care flexible spending account + Metlife auto and home… more
- Athena Health Care Systems (Plymouth, MA)
- …take immense pride in their dedication. We are not only committed to delivering high-quality care and customer service to our patients and their families, but we ... directed by the Chef Manager and/or Director of Dining Services , to assure that quality food service ...maturity level they are currently functioning. About Athena Health Care Systems: Plymouth Rehab is managed by… more
- Erickson Living (Hingham, MA)
- …Linden Ponds by Erickson Senior Living Linden Ponds is a beautiful 108-acre continuing care retirement community located just 24 miles from Boston on the South Shore ... part of a growing network of communities developed and managed by Erickson Senior Living, a national provider of...Living, a national provider of senior living and health care with campuses in 11 states-and growing. The Healthcare… more
- Athena Health Care Systems (North Easton, MA)
- …Systems, based in Connecticut, has been a leader in providing quality health care services since 1984. With nursing homes throughout Connecticut, Massachusetts, ... we continually strive to be the best in the care and services we provide to our...of personal characteristics, are encouraged to apply. Athena Health Care Systems and its managed centers follow… more
- Universal Health Services (Franklin, MA)
- …throughout our continuum of behavioral health and substance use treatment programs. Individualized care services are offered to individuals of all ages, groups, ... Responsibilities PARTIAL HOSPITALIZATION DIRECTOR Arbour Counseling Services ,a subsidiary of Universal Health Services ,...relationships with other providers, local & state agencies, and managed care organizations. All PHP Directors ensure… more
- Intermountain Health (Boston, MA)
- …working in clinical nursing in an ambulatory care setting + Experience in care management or managed care or health promotion/coaching or behavioral ... and enrolls members who are willing to engage in care management services by reviewing referrals, records...evidence based and consistent with goals and objectives of referral , payer contract, or established care processes.… more
- Universal Health Services (Jamaica Plain, MA)
- …experience + Preferred prior work in a business office/financial setting in a health care environment including managed care company or insurance company + ... diligently and compassionately to provide patients and their families with high-quality care and service excellence across a continuum of specialized behavioral… more
- Commonwealth Care Alliance (Boston, MA)
- …degree preferred or equivalent work experience - 3-5 years of experience - Managed Care experience (preferably Medicare/Medicaid). - Experience in health plan ... responsible for cultivating, maintaining and strengthening relationships with the Commonwealth Care Alliance's (CCA) provider community. In this highly visible field… more
- Tufts Medicine (Boston, MA)
- …and the accuracy of primary care physician data for all managed care patients. Provides excellent customer service to our patients to promote a positive ... responds to denials related to wrong insurance billed, no referral /authorization and not eligible date of service ....care delivery systems with special emphasis on the referral management process for managed care… more
- Advocates (Waltham, MA)
- …in collaboration with the team. + Develop and maintain a thorough knowledge of managed care and health insurance systems; provide other clinicians with ... managed care information and resources pertinent to...Provide information on community resources, treatment and providers, and referral services to individuals. + Assist with… more
- Beth Israel Lahey Health (Chestnut Hill, MA)
- …for specialty service and pre-certifications for patient's insurance and managed care plan. Collects required co-payments for multiple practices. Directs ... plan rules and process related policies for multiple insurance and managed care payers. Maintains current knowledge base of referral , level of care… more
- Veterans Affairs, Veterans Health Administration (Brockton, MA)
- …(one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities This ... of qualified applicants to refer to the hiring manager. Referral lists will be created on a weekly basis....in the announcement. The Clinical Assistant Director, Mental Health Service , regularly evaluates the operational aspects of this large,… more
- Advocates (Waltham, MA)
- …to the crises being managed . + Provide information on treatment and referral services as required. + Provide mental health and substance abuse triage ... consultation and problem resolution. + Develop and maintain a thorough knowledge of managed care and health insurance systems; provide other clinicians with … more
- Fresenius Medical Center (Lexington, MA)
- …concerns and issues are addressed appropriately. + Collaborates with Business Development, Managed Care , Finance, Marketing, and other groups to develop ... + 10 years of directly related call center /customer service management experience, preferably in health care ...and insurance verification process. + A fundamental knowledge of managed care a plus. + Must complete… more
- Beth Israel Lahey Health (Boston, MA)
- …areas at assigned meetings. Works closely with the Manager of Managed Care Department and shares oversight of the referral management staff. Implements ... to evaluate effectiveness of interventions. Implements relevant information systems, such as managed care , insuring accuracy of data input and patient… more
- Beth Israel Lahey Health (Boston, MA)
- … and authorization rules and related policies for multiple insurance and managed care payers including transplant specific policies; maintains record of ... service through clear communication. The Transplant Institute provides care to patients along several service lines... referral , level of care and number of… more