Care Coordination & Referral Specialist

Beth Israel Lahey Health; Plymouth (MA); On-site; USD 31,000 - 42,000; Full time

Job summary

Beth Israel Lahey Health is seeking a Managed Care Referral Coordinator to process insurance referral requests for our practice, reporting to the Sr. Managed Care Coordinator and Practice Manager.

The role focuses on patient-centered care, timeliness, accuracy, and adherence to Revenue Cycle Referral Management policies. This position emphasizes collaboration with PCPs, patients, and staff across multiple payers, using electronic tools to initiate and sign referrals, resolve issues, and maintain

Qualifications

• High School diploma or GED required.
• Certificate in Medical Admin Assistant preferred.
• 1–3 years of related work experience.
• Experience with computer systems, including web-based applications and MS Office (Outlook/Word/Excel).

Responsibilities

• Coordinate and process all specialty care managed care referral authorization requests in compliance with policies.
• Utilize electronic technologies to initiate, issue, and sign off on referrals.
• Serve as a primary contact for patients, families, and staff on referral issues.
• Communicate with managed care payers to resolve referral management problems and assist with billing coordination.
• Maintain up-to-date knowledge of referral rules for multiple payers and specialties.

Skills

Customer service

Written communications

Oral communications

Teamwork

Policy knowledge

Education

High School diploma or GED

Tools

Navinet

NIA

Web-based applications

Microsoft Office

Job description

Beth Israel Lahey Health is seeking a Managed Care Referral Coordinator to process insurance referral requests for our practice, reporting to the Sr. Managed Care Coordinator and Practice Manager.

The role focuses on patient-centered care, timeliness, accuracy, and adherence to Revenue Cycle Referral Management policies. This position emphasizes collaboration with PCPs, patients, and staff across multiple payers, using electronic tools to initiate and sign referrals, resolve issues, and maintain