Patient Care Referral Specialist

Beth Israel Lahey Health; Wakefield (MA); Remote; USD 31,000 - 41,000; Full time

Job summary

Beth Israel Lahey Health is seeking a Manager Care Coordinator to initiate and process managed care referral requests for patients in BILH Primary Care Practices. You will work with PCPs, patients, and staff to coordinate referrals, using multiple electronic systems, and ensuring timely, accurate authorization decisions.

You will serve as a resource for patients and colleagues, resolve payer issues, and support training for new staff while maintaining strict confidentiality.

Qualifications

• High School diploma or GED required.
• License Medical Admin Assistant Cert preferred.
• 1–3 years related work experience required.
• Experience with computer systems including web-based applications and Microsoft Office applications.

Responsibilities

• Process and initiate managed care referral authorization requests for primary care patients.
• Collaborate with PCPs, patients and staff to coordinate specialty referrals in compliance with policies.
• Communicate with managed care payers to resolve referral issues and provide status updates to patients and offices.
• Maintain patient confidentiality and handle sensitive information per policy.
• Educate patients about care coordination and redirect care within the BILH network.

Skills

Referral coordination

Communication skills

Customer service

Education

High School diploma or GED

Tools

Outlook

Word

Excel

PowerPoint

Access

Job description

Beth Israel Lahey Health is seeking a Manager Care Coordinator to initiate and process managed care referral requests for patients in BILH Primary Care Practices. You will work with PCPs, patients, and staff to coordinate referrals, using multiple electronic systems, and ensuring timely, accurate authorization decisions.

You will serve as a resource for patients and colleagues, resolve payer issues, and support training for new staff while maintaining strict confidentiality.