Managed Care Assistant

Family Health Center • Worcester, MA

5d

About The Position

As a member of the Patient Services Team, the Managed Care Assistant maintains on-gong tracking and documentation on referrals. The Managed Care Assistant ensures complete and accurate registration for referrals, including patient demographics, insurance, and patient scheduling needs. The Managed Care Assistant follows referral guidelines to schedule and follow-up on referrals. The Assistant will assist patients in resolving barriers to care, such as interpretation, transportation, or understanding the referral process. The Managed Care Assistant obtains prior authorizations and maintains communications with the primary care team, patients, and referral partners.

Requirements

• Two to Four years college, post high school training or relevant work experience required. Relevant work experience may be substituted for education.
• A minimum of two years of work experience in a patient services role, medical assistant role, or similar medical field required.
• Familiarity with Managed Care plans and referral tracking/follow-up required.
• Proficiency with electronic medical systems and basic computer/data entry skills required.
• Requires respectful and professional manner with patients, staff, and providers; a high degree of customer service is required.

Responsibilities

• maintains on-gong tracking and documentation on referrals
• ensures complete and accurate registration for referrals, including patient demographics, insurance, and patient scheduling needs
• follows referral guidelines to schedule and follow-up on referrals
• assists patients in resolving barriers to care, such as interpretation, transportation, or understanding the referral process
• obtains prior authorizations
• maintains communications with the primary care team, patients, and referral partners

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree
• Number of Employees: 101-250 employees