Wellforce Referral Coord Managed Care in Woburn, Massachusetts
This is primarily a remote position except for occasional on-site practice meetings/trainings/team meetings; in addition, in the event technology or other disruptions prohibit remote work from being conducted successfully, working on-site will be required to address the disruption.
Position Summary: Responsible for handling all inbound calls and processing all insurance referrals for Hallmark Health PHO (HHPHO) Primary Care Physicians (PCPs). The Referral Coordinator will follow the HHPHO referral guidelines and work with the PCPs, Medical Directors, provider’s office staff and the patient to help direct care, when medically appropriate, to a specialist within the HHPHO network and to in network services. Other responsibilities will include the support of the Patient Portal, Physician Finder Line, Rapid Access program and assistance in various projects/services within the department on an “as needed” basis.
High School graduate or equivalent education required.
One to three years health care experience either in the areas of patient registration or physician office.
Knowledge of hospital and medical terminology. Experience with hospital information systems. Excellent Customer Service skills. Knowledge and skill with Microsoft office.