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Referral & Authoriz Lead PHOJob ID 149518 Date posted 08/03/2018
Beverly Hospital, A member of Lahey Health, promotes the culture and philosophy which enables employees to give and receive the best of care. You can become a part of the team that achieves this success through our CREATE values of Compassion, Respect, Excellence, Accountability, Teamwork, and Empathy.
Leads team of Referral Coordinators; coordinates the specialty referral and authorization process for all Northeast PHO health plans. Communicates authorization information to the health plans and works to resolve issues that arise during the authorization process and during follow up. Provides support to the PHO Provider Relations Manager and Medical Director for review and authorization of medical services. Works with Manager of Provider Relations to communicate with physicians and their office staff regarding referral procedures. Works in cooperation with all Northeast PHO staff as necessary.
College or minimum of High School diploma. Knowledge of medical terminology and previous medical practice experience desirable. Two plus years experience preferred with referral/authorization. Must have good computer skills with knowledge of Microsoft Word and Excel. Experience with EPIC Referral Order Entry and processing. Attention to detail is essential along with good organizational, communication and problem solving skills.
40 hours per week, 8 hour shifts M-F