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Patient Care Coordinator
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BJ's Wholesale Club Plymouth, United StatesJoin our team of more than 34,000 team members, supporting our members and communities in our Club Support Center, 235+ clubs and eight distribution centers. BJs Wholesale Club offers a collaborative and inclusive environment where all team members can learn, grow and be their au ...
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Dental Patient Care Coordinator
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Patient Care Coordinator-Glaucoma
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Patient Care Coordinator-Glaucoma
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Patient Care Coordinator-Glaucoma
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Ophthalmic Consultants Of Boston Plymouth, United StatesOphthalmic Consultants of Boston (OCB) is currently seeking a Patient Care Coordinator to join our Glaucoma team. This is a full time opportunity Monday through Friday. This position does allow for 2-3 days remote if so desired. The Patient Care Coordinator will be responsible fo ...
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Patient Care Coordinator-Glaucoma
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Ophthalmic Consultants Of Boston Plymouth, United StatesOphthalmic Consultants of Boston (OCB) is currently seeking a Patient Care Coordinator to join our Glaucoma team. This is a full time opportunity Monday through Friday. This position does allow for 2-3 days remote if so desired. The Patient Care Coordinator will be responsible fo ...
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Patient Care Coordinator/receptionist
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Dental Patient Care Coordinator
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RN Case Manager/Cont. Care Coordinator, 32 hpw
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Care Coordinator
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care coordinator
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Bay State Community Services, Inc. Quincy, MA , USA, United StatesThe Care Coordinator for the Behavioral Health Community Partners (BH CP) program works in collaboration and continuous partnership with chronically ill or high risk enrollees and their family/caregiver(s), clinic/hospital/specialty providers and s Care Coordinator, Coordinator, ...
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care coordinator
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Bay State Community Services, Inc. Quincy, MA , USA, United StatesThe Care Coordinator for the Behavioral Health Community Partners (BH CP) program works in collaboration and continuous partnership with chronically ill or high risk enrollees and their family/caregiver(s), clinic/hospital/specialty providers and s Behavioral Health, Care Coordin ...
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Care Coordinator
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Care Coordinator
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Care Coordinator
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North Homes, Inc. Grand Rapids, United StatesThe care coordinator is responsible for providing direct coordination of services to clients and/or their families as directed by the comprehensive evaluation and integrated client centered treatment plan. The care coordinator assists the Outpatient Behavioral Health Clinic and p ...
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Care Coordinator
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Care Coordinator
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Bay State Community Services Quincy, United StatesApply · Job Type · Full-time · Description · Make a Difference in the Lives of Adults in local communities today Apply to become our newest Care Coordinator where you will use your case management experience and organizational skills to help adults. · Job Summary · The Care Coord ...
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Care Coordinator
1 week ago
Family Service Association Mashpee, United StatesWe are offering a $1,000 sign on bonusWe have a full time (40 hours per week) The hours are Monday through Friday, 8:00 a.m. - 5:00 p.m. Care Coordinator position in our Long Term Services and Supports (LTSS) Community Partner (CP) program in the Cape Cod region. This position is ...
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Care Coordinator
1 week ago
Bay State Community Services Quincy, United StatesJob Type · Full-time · Description · Make a Difference in the Lives of Adults in local communities today Apply to become our newest Care Coordinator where you will use your case management experience and organizational skills to help adults. · Job Summary · The Care Coordina ...
Managed Care Coordinator - Plymouth, United States - Beth Israel Lahey Health
Description
Job Type:
Regular
Time Type:
Full time
Work Shift:
Day (United States of America)
FLSA Status:
Non-Exempt
When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.
Job Type:
Regular
Scheduled Hours:
40
Work Shift:
Day (United States of America)
This role is now eligible for a $1,500 sign on bonus
Important Details:
Bonuses are paid out in $500 increments at 30 days, 6 months and at the 1 year anniversary.
To be eligible, you must be a non-BILH employee or a previous eligible employee who returns to BILH after 1 year.
Employee must be in good standing to receive the bonus at the time of payment. All bonuses are subject to applicable taxes. This program is subject to change at any point.Job Summary:
Under the direction of the Sr.
Managed Care Coordinator and Surgery Practice Manager initiate and process managed care insurance referral requests for patients of the practice, while maintaining a strong focus on patient-centered care, timeliness, quality, and accuracy.
Adhere to the organization's Revenue Cycle Referral Management policy and meet targets regarding expected standard turnaround time goals as set by the practice.
Job Description:
Essential Responsibilities:
Work collaboratively with APG PCPs, patients and practice support staff to coordinate, and process all specialty care managed care referral authorization requests in compliance with APG's, BIDMC's and BIDPO's contractual rules and agreements for multiple managed care insurance payers.
Learn and remain proficient on multiple electronic technologies used by the APG practices and BIDMC to initiate referral requests in an efficient and timely manner.
Technologies will include but are not limited to (POS) Point of Service Device, Health Wire Network, Aetna WebMD, NEHEN, HPHC Connect, and other computer and web-based technology, Navinet and NIA.
Serve as a daily point of contact and as an organizational resource for APG patients, families, specialty practices, physicians and support staff on APG managed care related issues.
Communicate with managed care payers to resolve patient referral management issues; coordinate with Patient Accounts, and other internal and external customers to resolve patient billing problems.
Maintain current knowledge base of referral and authorization plan rules and policies for multiple managed care payers and multiple specialties and ancillary/diagnostic testing as they apply to issuing PCP approvals.
Work closely with patients and PCP's to refer patients with complex referral needs and complicated problems or situations to the case management at the insurance companies.
Required Qualifications:
High School diploma or GED required.
Certificate 1 Medical Admin Assistant Cert preferred.
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.
Competencies:
Written Communications:
Ability to communicate clearly and effectively in written English with internal and external customers.
Oral Communications:
Ability to comprehend and converse in English to communicate effectively with medical center staff, patients, families and external customers.
Knowledge:
Ability to demonstrate full working knowledge of standard concepts, practices, procedures and policies with the ability to use them in varied situations.
Team Work:
Ability to interact respectfully with other employees, professional staff and/or external contacts to offer ideas, identify issues, obtain information or deliver services.
Customer Service:
Ability to provide a high level of customer service to patients, visitors, staff and external customers in a professional, service-oriented, respectful manner using skills in active listening and problem solving.
Ability to remain calm in stressful situations.Physical Nature of the Job:
Sedentary work:
Exerting up to 10 pounds of force occasionally in carrying, lifting, pushing, pulling objects. Sitting most of the time, with walking and standing required only occasionally
FLSA Status:
Non-Exempt
As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities.
Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) and COVID-19 as a condition of employment.
Learn more ) about this requirement.More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.
Equal Opportunity Employer/Veterans/Disabled