Beth Israel Lahey Health
Beth Israel Lahey Health

Beth Israel Lahey Health एक स्वास्थ्य सेवा प्रणाली है, जो अस्पतालों, विशेषज्ञ देखभाल केंद्रों और व्यापक नैदानिक सेवाओं के नेटवर्क के माध्यम से मैसाचुसेट्स और न्यू हैम्पशायर के समुदायों की सेवा करती है। इसकी देखभाल सेवाओं में आपातकालीन, प्राथमिक, त्वरित, ऑर्थोपेडिक, व्यवहारिक स्वास्थ्य, फार्मेसी और होम केयर सेवाएँ शामिल हैं, जो विभिन्न चरणों और जरूरतों वाले मरीजों की सहायता करती हैं।

39,000 टीम सदस्यों के साथ, Beth Israel Lahey Health मरीजों की देखभाल को चिकित्सा अनुसंधान और शिक्षा के साथ जोड़ती है। इसके स्वास्थ्य सेवा और स्वास्थ्य बीमा संचालन समुदाय के स्वास्थ्य में सुधार लाने तथा समन्वित और व्यक्तिगत देखभाल प्रदान करने पर केंद्रित हैं।

Managed Care Coordinator, Hybrid

Coordinate insurance referrals and authorizations for Beth Israel Lahey Health patients. Work with payers, specialists, patients, and internal teams to resolve referral and billing issues.

विवरण

  • Process managed care referral requests for patients at BILH Primary Care Practices
  • Coordinate specialty care referral authorizations across multiple managed care payers
  • Use electronic systems to initiate, issue, and administratively approve high volumes of referrals
  • Act as a daily contact and resource for patients, families, specialty practices, physicians, and support staff
  • Tell specialists and patients about authorized care levels, visit limits, and diagnostic testing
  • Resolve referral and billing issues with payers, Patient Accounts, and other internal and external contacts
  • Train new hires in referral management
  • Stay current on payer and specialty rules and policies for referrals, authorizations, and diagnostic testing
  • Gather referral requests from Clinical Computing, Patient Site, OMR notes, email, nurse triage, and patient voicemails; process them and share outcomes
  • Work with the team to address referral management questions and issues for new patients

आवश्यकताएँ

  • High school diploma or GED required
  • One to three years of related work experience required
  • Computer systems experience required, including web applications and some Microsoft Office applications such as Outlook, Word, Excel, PowerPoint, or Access
  • Medical Administrative Assistant certification preferred
  • Influenza vaccination is required as a condition of employment

लाभ

  • Influenza vaccination is required as a condition of employment
  • Additional pay may be available through shift differentials, call pay, premium pay, and overtime, as applicable

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