Managed Care Coordinator
Beth Israel Lahey Health
Posted: 10/21/2026
Care Coordinator II
Centene Corporation
Posted: 10/21/2026Care Management Support Coordinator II
Centene Corporation
Posted: 10/21/2026LTSS Service Care Coordinator
Centene Corporation
Posted: 10/21/2026
Care Coordinator
Healthfirst
Posted: 10/21/2026
Care Coordinator – Utilization Management
CVS Health
Posted: 10/20/2026Care Management Support Coordinator II
Centene Corporation
Posted: 10/20/2026
System of Care Coordinator
Alliance Health
Posted: 10/20/2026
Home Care & Hospice Virtual Care Coordinator, RN
Trinity Health
Posted: 10/20/2026Home Care & Hospice Virtual Care Coordinator, RN
Trinity Health
Posted: 10/20/2026LTSS Service Care Coordinator
Centene Corporation
Posted: 10/20/2026
Managed Care Coordinator – Behavioral Health, Foster Care, BSW, MSW, QMHP
Elevance Health
Posted: 10/20/2026
Care Coordinator
Magellan Health
Posted: 10/19/2026LTSS Service Care Coordinator
Centene Corporation
Posted: 10/19/2026
Care Coordinator
Valeris
Posted: 10/19/2026
Ambulatory Clinic RN Care Coordinator – Rheumatology
The University of Kansas Health System
Posted: 10/19/2026
Care Coordinator, SW BH – Hope
Empower Healthcare Solutions
Posted: 10/17/2026
Home Care Coordinator
Epic
Posted: 10/16/2026LTSS Service Care Coordinator
Centene Corporation
Posted: 10/16/2026Care Management Support Coordinator II
Centene Corporation
Posted: 10/16/2026Managed Care Coordinator
Beth Israel Lahey HealthPosted 10/21/2026full-timeWakefield • Massachusetts • United StatesJunior💰 $23 - $30 per hourWebsite
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managed care referral processing and authorization, with strong communication skills to liaise effectively with patients, healthcare providers, and insurance payers. Proficient in utilizing electronic technologies and computer systems for efficient referral management.
Highest-signal resume keywords
Managed Care Referral ProcessingAuthorization RequestsPatient CommunicationReferral Management TrainingMicrosoft Office Applications
About the role
Key responsibilities & impact- Initiate and process managed care insurance referral requests for patients of BILH Primary Care Practices
- Coordinate and process specialty care managed care referral authorization requests for multiple managed care insurance payers
- Use electronic technologies to initiate, issue, and administratively sign off on high-volume referrals
- Serve as a daily point of contact and organizational resource for patients, families, specialty practices, physicians, and support staff
- Communicate authorized levels of care, visit counts, and diagnostic testing to specialists and patients
- Resolve referral management and patient billing issues with managed care payers, Patient Accounts, and other internal and external customers
- Provide referral management training to new hires
- Maintain knowledge of referral and authorization rules and policies across payers, specialties, and diagnostic testing
- Retrieve referral requests from Clinical Computing, Patient Site, OMR notes, emails, nurse triage, and patient voicemails; process referrals and communicate outcomes
- Collaborate with the team on new patients' referral management issues and questions
Requirements
What you’ll need- High School diploma or GED required
- 1-3 years related work experience required
- Experience with computer systems required, including web-based applications and some Microsoft Office applications, which may include Outlook, Word, Excel, PowerPoint or Access
- License Medical Admin Assistant Cert preferred
- Must be vaccinated against influenza as a condition of employment
Benefits
Comp & perks- Influenza vaccination required as a condition of employment
- Potential additional pay through shift differentials, call pay, premium pay, and overtime pay, as applicable
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Referral ManagementAuthorization Rules KnowledgeHigh-Volume Referral ProcessingComputer Systems ExperienceWeb-Based Applications
Soft Skills
Organizational ResourceProblem ResolutionCollaborationCommunication
Tools & Technologies
Electronic TechnologiesClinical ComputingPatient SiteMicrosoft OutlookMicrosoft WordMicrosoft ExcelMicrosoft PowerPointMicrosoft Access
Certifications & Qualifications
Medical Admin Assistant Certification
Industry Keywords
Managed CareReferral AuthorizationPatient Billing IssuesDiagnostic TestingHealthcare Coordination