HCA Managed Care Coordinator

Boston, MA 02215 | Contract

Post Date: 07/13/2018 Job ID: 81542 Specialty: Office Services

A leading medical center in Boston, MA is seeking an HCA Managed Care Coordinator to join their team. The hours for this contract role are from 8: 30am-5pm. Apply today!

Responsibilities for the HCA Managed Care Coordinator:
  • Coordinate and process a high volume of incoming insurance referral requests (25-40/day) for patients
  • Serve as a representative to, over 65 attending providers, 134 residents, and 6 NP’ s with HMO insurance referral requests for patients on their panels
  • Answer managed care insurance phone lines, coordinate and assists patients with their questions, intake requests into an automated queue system
  • Follow departmental procedures to facilitate, track, and generate approval numbers, using web-based tracking systems from multiple payers
  • Track comments for, and differentiate between in and out of network requests, following all departmental rules, protocols, and communications with PCP’ s and patients on such
  • Learn and keep track payer rules, and service patients, and providers on all their HMO referral inquires, and needs
  • Service Patient Site referrals
  • Coordinate and book social work appointments for HCA providers
  • Learn and use automated technologies required to do this work efficiently
  • Explain insurance primary care process to patients around registration with their Payer, and steer them forward to in network providers
Requirements for the HCA Managed Care Coordinator:
  • High School Diploma
  • Technology savvy with a strong knowledge working with Microsoft Office
  • Strong organizational skills with great attention to detail
  • Strong multi-tasking and prioritizing skills with the ability to meet deadlines
  • Excellent written and verbal communication skills
  • Strong interpersonal skills with a customer service focus
  • Ability to work independently and as part of a team
  • Must be eligible to work in the U.S. without sponsorship                     

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