Managed Care Services Rep-Patient Access Services- 40 Hrs, Days- Seiu

Boston Medical Center Boston , MA 02298

Posted 2 weeks ago

The Managed Care Services Representative (MCSR) is primarily responsible for working collaboratively with primary care practices, specialty practices, referring physicians, primary care physicians, insurance carriers, patients and other parties to ensure that required managed care referrals and prior authorizations for specified specialty visits and other services are obtained and appropriately recorded in the relevant practice management systems for patient appointments/visits. The MCSR will communicate with patients, physicians and insurance carrier representatives as necessary in order to accomplish this, utilizing available reports to follow-up on unresolved issues and denied claims. The MCSR is responsible for performing various administrative and clerical duties required to support these functions and, on an as-needed basis, may be required to perform other tasks.

  • Associates Degree plus 1 - 2 years experience or HS/GED plus 3 + years experience.

  • At least one year of experience must be in a customer service role. Experience with managed care in a healthcare setting is preferred.

  • Exceptional interpersonal skills, including the ability to establish and maintain effective relationships with patients, physicians, management, staff, and other customers.

  • Demonstrated customer service skills, including the ability to use appropriate judgment, independent thinking and creativity when resolving customer issues.

  • Must be able to maintain strict confidentiality of all personal/health sensitive information.

  • Ability to effectively handle challenging situations and to balance multiple priorities.

  • Excellent verbal communication skills.

  • Able to communicate effectively in writing.

  • Basic computer proficiency inclusive of ability to access, enter and interpret computerized data/information

upload resume icon
See if you are a match!

See how well your resume matches up to this job - upload your resume now.

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Managed Care Services Rep (Seiu) Patient Access Services (40Hrs Days)

Boston Medical Center

Posted 2 weeks ago

VIEW JOBS 1/7/2019 12:00:00 AM 2019-04-07T00:00 The Managed Care Services Representative (MCSR) is primarily responsible for working collaboratively with primary care practices, specialty practices, referring physicians, primary care physicians, insurance carriers, patients and other parties to ensure that required managed care referrals and prior authorizations for specified specialty visits and other services are obtained and appropriately recorded in the relevant practice management systems for patient appointments/visits. The MCSR will communicate with patients, physicians and insurance carrier representatives as necessary in order to accomplish this, utilizing available reports to follow-up on unresolved issues and denied claims. The MCSR is responsible for performing various administrative and clerical duties required to support these functions and, on an as-needed basis, may be required to perform other tasks. * Associates Degree plus 1 - 2 years experience or HS/GED plus 3 + years experience. * At least one year of experience must be in a customer service role. Experience with managed care in a healthcare setting is preferred. * Exceptional interpersonal skills, including the ability to establish and maintain effective relationships with patients, physicians, management, staff, and other customers. * Demonstrated customer service skills, including the ability to use appropriate judgment, independent thinking and creativity when resolving customer issues. * Must be able to maintain strict confidentiality of all personal/health sensitive information. * Ability to effectively handle challenging situations and to balance multiple priorities. * Excellent verbal communication skills. * Able to communicate effectively in writing. * Basic computer proficiency inclusive of ability to access, enter and interpret computerized data/information. Boston Medical Center Boston MA

Managed Care Services Rep-Patient Access Services- 40 Hrs, Days- Seiu

Boston Medical Center