Beth Israel Lahey Health
Beth Israel Lahey Health

Beth Israel Lahey Health ауруханалар, мамандандырылған медициналық көмек көрсету орталықтары және кең клиникалық қызметтер желісі арқылы Массачусетс пен Нью-Гэмпширдегі қауымдастықтарға қызмет көрсететін денсаулық сақтау жүйесі. Оның медициналық қызметтер портфеліне жедел жәрдем, алғашқы медициналық көмек, шұғыл көмек, ортопедия, мінез-құлық денсаулығы, дәріхана және үйде күтім көрсету қызметтері кіреді. Бұл қызметтер өмірінің әртүрлі кезеңдеріндегі және қажеттіліктері әрқилы пациенттерді қолдауға бағытталған.

39 000 қызметкері бар Beth Israel Lahey Health пациенттерге көрсетілетін көмекті медициналық зерттеулермен және білім берумен ұштастырады. Оның денсаулық сақтау және медициналық сақтандыру бағыттары үйлестірілген әрі жекелендірілген көмек көрсете отырып, қоғам денсаулығын жақсартуға бағытталған.

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.

Сипаттама

  • 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

Талаптар

  • 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

Артықшылықтар

  • 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

Ұқсас жұмыс орындары

Overlake Medical Center & Clinics

Patient Access Scheduling Coordinator

Overlake Medical Center & Clinics

Coordinate specialty, hospital, and ancillary referrals and appointments at Overlake Medical Center & Clinics. The role includes patient notifications, records coordination, and referral follow-up.

Ашу
Enbridge

Field Technician II – Pipeline Operations

Enbridge

Maintain Enbridge pipeline and operational equipment, troubleshoot issues, and support maintenance planning. The role combines field work with safety procedures, materials management, and reporting.

Ашу
Georgia United Credit Union

Hybrid Credit Reporting Specialist

Georgia United Credit Union

Investigate credit disputes, maintain regulatory reporting, and support compliance operations for Georgia United Credit Union. This full-time hybrid role uses Provana and Sonnet to manage member credit reporting requests.

Ашу
Sun Life

Billing Advocate Associate – Hybrid, Baltimore

Sun Life

Support Sun Life members by resolving medical billing disputes, denied claims, and payment issues across its employee and government benefits business. Work with members, providers, and insurance carriers on claim corrections, appeals, and coverage questions.

Ашу
Sun Life

Billing Advocate Associate – Baltimore Hybrid

Sun Life

Support Sun Life members by resolving medical billing and insurance claim issues in a hybrid Baltimore role. Handle appeals, audits, claims coordination, and complex member advocacy from investigation through resolution.

Ашу