Referral Management Coordinator - Fast-Track Patient Care

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

Job summary

Beth Israel Lahey Health is seeking a detail-oriented Referral Coordinator to initiate and process managed care referrals for patients across APG practices. You will collaborate with PCPs, patients, and support staff to ensure timely, accurate referrals while adhering to policy and confidentiality standards.

The role requires 1–3 years of related experience, a high school diploma (GED), and proficiency with MS Office and web-based systems.

Qualifications

• High School diploma or GED required.
• Certificate in Medical Admin Assistant preferred.
• 1-3 years related work experience required.
• Experience with computer systems required, including web-based applications and some Microsoft Office applications such as Outlook, Word, Excel, PowerPoint or Access.

Responsibilities

• Coordinate and process all specialty care managed care referral authorization requests in compliance with contracts.
• Use electronic systems to initiate, issue, and sign off on referrals.
• Learn and stay proficient with multiple electronic technologies used by APG and BIDMC to initiate referrals.
• Serve as a daily contact for APG patients, families, and staff on referral issues.
• Communicate authorization level, number of visits, and tests with specialists and patients.
• Resolve payer-related referral management issues with internal and external stakeholders.
• Provide referral management training to new hires.
• Maintain patient confidentiality and knowledge of payer rules.

Skills

Attention to detail

Communication skills

Organizational skills

Education

High School diploma or GED

Medical Admin Certification

Tools

Microsoft Office

Outlook

Word

Excel

PowerPoint

Access

Job description

Beth Israel Lahey Health is seeking a detail-oriented Referral Coordinator to initiate and process managed care referrals for patients across APG practices. You will collaborate with PCPs, patients, and support staff to ensure timely, accurate referrals while adhering to policy and confidentiality standards.

The role requires 1–3 years of related experience, a high school diploma (GED), and proficiency with MS Office and web-based systems.