Beth Israel Lahey Health
Beth Israel Lahey Health

Beth Israel Lahey Health je zdravstveni sistem, ki oskrbuje skupnosti po Massachusettsu in New Hampshiru prek bolnišnic, specializiranih centrov za oskrbo in široke mreže kliničnih storitev. Njegov obseg oskrbe vključuje urgentno, osnovno in nujno zdravstveno oskrbo, ortopedijo, vedenjsko zdravje, lekarniške storitve ter oskrbo na domu, s čimer podpira paciente v različnih življenjskih obdobjih in z različnimi potrebami.

Beth Israel Lahey Health s 39.000 člani ekipe združuje oskrbo pacientov z medicinskimi raziskavami in izobraževanjem. Njegove dejavnosti na področju zdravstvenega varstva in zdravstvenega zavarovanja odražajo osredotočenost na izboljševanje zdravja skupnosti ter zagotavljanje usklajene in personalizirane oskrbe.

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.

Opis

  • 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

Zahteve

  • 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

Ugodnosti

  • 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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