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Beth Israel Lahey Health
Beth Israel Lahey Health
HealthcareHealthcare Insurance

Beth Israel Lahey Health is a healthcare system serving communities across Massachusetts and New Hampshire through hospitals, specialized care centers, and a broad network of clinical services. Its care portfolio includes emergency, primary, urgent, orthopedic, behavioral health, pharmacy, and home care services, supporting patients across different stages and needs.

With 39,000 team members, Beth Israel Lahey Health combines patient care with medical research and education. Its healthcare and healthcare insurance operations reflect a focus on improving community health while delivering coordinated, personalized care.

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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.

USUnited StatesMAMassachusetts
$22 – $30 / hour
HybridFull-timeJuniorNo degree requiredEnglish RequiredCare CoordinatorGeneral

Description

  • 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

Requirements

  • 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

Benefits

  • 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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