Care Coordinator

• 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

Explore Managed Care Coordinator at Beth Israel Lahey Health. Review requirements and application details.