LogoFresh Jobs Ahead
Beth Israel Lahey Health
Beth Israel Lahey Health
Sog‘liqni saqlashTibbiy sug‘urta

Beth Israel Lahey Health shifoxonalar, ixtisoslashtirilgan tibbiy yordam markazlari va keng klinik xizmatlar tarmog‘i orqali Massachusets va Nyu-Gempshir jamoalariga xizmat ko‘rsatuvchi sog‘liqni saqlash tizimidir. Uning xizmatlar portfeliga shoshilinch yordam, birlamchi tibbiy yordam, tezkor tibbiy yordam, ortopediya, xulq-atvor salomatligi, dorixona va uyda parvarish xizmatlari kiradi. Bu xizmatlar hayotining turli bosqichlaridagi va ehtiyojlari har xil bo‘lgan bemorlarni qo‘llab-quvvatlaydi.

39 000 nafar jamoa a’zosi bilan Beth Israel Lahey Health bemorlarga yordam ko‘rsatishni tibbiy tadqiqotlar va ta’lim bilan birlashtiradi. Uning sog‘liqni saqlash va tibbiy sug‘urta faoliyati muvofiqlashtirilgan, shaxsiylashtirilgan yordam ko‘rsatish bilan birga, jamoat salomatligini yaxshilashga qaratilgan.

LinkedIn
Kompaniyadagi ish o‘rinlari

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.

USAmerika Qo‘shma ShtatlariMAMassachusets
22 $ – 30 $ / soat
GibridTo‘liq stavkaJuniorDiplom talab qilinmaydiTalab Qilinadigan Til: inglizchaParvarish koordinatoriUmumiy

Tavsif

  • 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

Talablar

  • 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

Imtiyozlar

  • 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

O‘xshash ish o‘rinlari

Overlake Medical Center & Clinics

Patient Access Scheduling Coordinator

Overlake Medical Center & Clinics
1 001 – 5 000 Xodimlar
FarovonlikNotijoratSog‘liqni saqlash
USAmerika Qo‘shma Shtatlari
28 $ – 42 $ / soat
GibridTo‘liq stavkaJuniorDiplom talab qilinmaydiTalab Qilinadigan Til: inglizchaBemorlar koordinatoriUmumiy

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

Ochish
Sun Life

Billing Advocate Associate – Hybrid, Baltimore

Sun Life
H1B vizasi homiysiKonsaltingMoliyaSog‘liqni saqlash
USAmerika Qo‘shma ShtatlariCTKonnektikutMEMenMDMerilendMAMassachusetsMOMissuriTNTennessiWIViskonsin
47 600 $ – 64 300 $ / yil
GibridTo‘liq stavkaJuniorO‘rta darajaDiplom talab qilinmaydiTalab Qilinadigan Til: inglizchaHimoyachiUmumiy

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.

Ochish
Sun Life

Billing Advocate Associate – Baltimore Hybrid

Sun Life
H1B vizasi homiysiKonsaltingMoliyaSog‘liqni saqlash
USAmerika Qo‘shma ShtatlariCTKonnektikutMEMenMDMerilendMAMassachusetsMOMissuriTNTennessiWIViskonsin
47 600 $ – 64 300 $ / yil
GibridTo‘liq stavkaJuniorO‘rta darajaDiplom talab qilinmaydiTalab Qilinadigan Til: inglizchaHimoyachiUmumiy

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.

Ochish