Drug Access & Patient Benefits Specialist

Boston Medical Center; Boston (MA); On-site; USD 30,000 - 51,000; Part time

Benefits offered by this job

Medical, dental, vision

Discretionary bonuses

403(b) retirement plan

Job summary

Boston Medical Center is seeking a Drug Access Liaison Specialist to support patients, caregivers, and providers in navigating insurance benefits for injectable therapies across hospital clinics and home settings.

The role emphasizes reviewing patient information, coordinating with providers, and submitting documentation to payers under the Drug Access Hub supervision. A strong understanding of medical terminology and payer policies is required.

Qualifications

• Experience with insurance billing for private or third‑party reimbursement
• Knowledge of private payer, Medicare and Medicaid structures
• Experience with prior authorizations and healthcare billing processes

Responsibilities

• Review patient insurance benefits to navigate drug access barriers
• Submit prior authorization and medical documentation to payers
• Coordinate with care teams to ensure timely access to prescribed therapies
• Assist in managing data reports related to reimbursement and drug access services
• Support Medicare LCD/NCD requirements in patient screening

Skills

Insurance navigation

Prior authorization

Medical terminology

Medicare policies

EMR access

Professional communication

Education

High school diploma or equivalent

Associate or Bachelor’s degree preferred

Tools

MS Office

EMR systems

Excel

Job description

Boston Medical Center is seeking a Drug Access Liaison Specialist to support patients, caregivers, and providers in navigating insurance benefits for injectable therapies across hospital clinics and home settings.

The role emphasizes reviewing patient information, coordinating with providers, and submitting documentation to payers under the Drug Access Hub supervision. A strong understanding of medical terminology and payer policies is required.