- Beth Israel Lahey Health (Westwood, 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
- Fallon Health (Norwood, MA)
- …or follow us on Facebook, Twitter and LinkedIn. **Brief summary of purpose:** The BH Care Coordinator serves as a bridge between the community and the health ... partner locations **Responsibilities** **The role of the Behavioral Health Care Coordinator is to:** + maintain a...and motivational interviewing required + Experience in a healthcare managed care company, nursing facility, or in… more
- Family Service Association - Fall River (Brockton, MA)
- …$1,000 sign on bonus! We are looking to hire a full time (40 hours/week) Care Coordinator in our Long-Term Services and Supports (LTSS) Community Partner (CP) ... Monday through Friday, 8:00 am - 5:00 pm The Care Coordinator is responsible for promoting coordination...and receipt of LTSS to enrollees assigned by Accountable Care Organizations (ACO) and Managed Care… more
- Athena Health Care Systems (Rockland, MA)
- We are hiring a part-time Admissions Coordinator to join our dynamic care team at South Shore Rehabilitation & Skilled Care Center in Rockland! Hourly pay ... you to grow within the company. As the Admissions Coordinator , you assist in planning, organizing, implementing, evaluating, and...of personal characteristics, are encouraged to apply. Athena Health Care Systems and its managed centers follow… more
- Humana (Providence, RI)
- …+ Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization + Proficient utilizing electronic medical record ... caring community and help us put health first** The UM Administration Coordinator contributes to administration of utilization management. The UM Administration … more
- Evolent (Providence, RI)
- …regulatory and health plan requirements. They have a broad knowledge of health care delivery, managed care regulations, and prior authorization experience. ... Stay for the culture. **What You'll Be Doing:** The ** Coordinator , Appeals and Grievances** at Evolent is responsible for...role or comparable administrative role within a health plan, managed care organization or third-party administrator is… more
- Cardinal Health (Providence, RI)
- …management preferred. + Familiarity with Medicare, Medicaid, commercial insurance plans, and managed care preferred. + Proficiency in billing software (eg ... Coordinator , Collections **_What Collections contributes to Cardinal Health_**...of trust with customers and internal business partners. The Coordinator , Collections is responsible for the timely follow-up and… more
- Beth Israel Lahey Health (Boston, MA)
- …with automated medical record and registration/scheduling systems preferred + Knowledge of managed care and insurance requirements + Demonstrated ability to ... **Overview** **The Medical Office Coordinator ** is responsible for providing support to physicians...a hybrid schedule may be available. _As a health care organization, we have the responsibility to do everything… more
- Cardinal Health (Providence, RI)
- …management preferred. + Familiarity with Medicare, Medicaid, commercial insurance plans, and managed care preferred. + Proficiency in billing software (eg ... Coordinator , Financial Counseling **_What Financial Assistance Counseling (RCM)...open enrollment opportunities + Initiate and track all charity care applications + Work closely with other Financial Counselors,… more
- Children's Hospital Boston (Boston, MA)
- …interpersonal situations. + Demonstrated knowledge of hospital systems, operations and managed care . Schedule: M-F, 730a-4p Boston Children's Hospital offers ... 82317BRJob Posting Title:Administrative Coordinator - RadiologyDepartment:RadiologyAutoReqId:82317BRStatus:Full-TimeStandard Hours per Week:40 Job Posting Category:AdministrationJob… more
- Dana-Farber Cancer Institute (Boston, MA)
- …NCQA). Ensures compliance with appropriate accrediting and regulatory agencies. The coordinator assists with the development, planning and implementation of the ... process. Ensures that all expirables are reviewed, obtained, and managed on a monthly basis. Maintains the confidentiality of...in life changing breakthroughs in cancer research and patient care . We are united in our mission of conquering… more
- Cardinal Health (Providence, RI)
- …Minimum 2 years of experience in Insurance follow-up preferred + Understanding of managed care contracts and fee schedules, including Medicare and Medicaid ... accurately, efficiently, promptly, recognizing their importance and relationship to patient care + Consults with appeals department for disputed / denied claims.… more
- Highmark Health (Providence, RI)
- …degree + Pharmacy technician certification certificate + Experience working in a managed care medication formulary management environment + Working knowledge of ... retail pharmacy and/or third party prescription procession + Strong background and understanding of medications and formulary terminology + Pharmacy technicians must be familiar with multiple Medicaid drug benefit design offerings and rules/regulations across… more
- Athena Health Care Systems (East Providence, RI)
- …Activities Assistant, you assist the Director of Therapeutic Recreation and/or Memory Care Program Coordinator in planning, organizing, developing, and directing ... of personal characteristics, are encouraged to apply. Athena Health Care Systems and its managed centers follow...apply. Athena Health Care Systems and its managed centers follow federal and state mandatory guidelines regarding… more
- Athena Health Care Systems (Providence, RI)
- …Activities Assistant, you assist the Director of Therapeutic Recreation and/or Memory Care Program Coordinator in planning, organizing, developing, and directing ... individuals, regardless of personal characteristics, are encouraged to apply. Athena Health Care Systems and its managed facilities/agencies follow federal and… more
- Option Care Health (Boston, MA)
- …IG to include clinical, market, and payer dynamics + Knowledge of reimbursement, managed care , and marketing **Basic Qualifications** + Proven record of ... clinicians as well as medical office staff (ie biologics coordinator ) to appropriately promote Option Care Health...(ie biologics coordinator ) to appropriately promote Option Care Health IG Complete +, share and interpret clinical… more
- State of Massachusetts (Boston, MA)
- …is seeking an organized and dynamic individual for the position of Human Services Coordinator II (CYF Case Manager Supervisor) to join our Metro Boston Child, Youth, ... and Family team. The HSC-II will provide oversight of case- managed youth in DMH community services and statewide programs, as well as liaison to community providers… 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 ... of the program to assist in the safe delivery of patient care . Additional support staff of the Heart Transplant department includes administrative assistants,… more