Home Infusion Patient Access Navigator

Beth Israel Lahey Health (BILH); United States; On-site; USD 32,000 - 47,000; Full time

Job summary

Beth Israel Lahey Health is seeking a Patient Access Coordinator for our Home Infusion Services to initiate referrals, verify benefits, and secure prior authorizations. You will engage with patients, providers, and payers, ensuring accurate processing and excellent service.

The role requires strong communication, clinical terminology familiarity, and the ability to coordinate resources with infusion staff, discharge planners, and case managers.

Qualifications

• High School diploma or GED required.
• 2-3 years of related work experience in infusion medication, specialty pharmacy, or related healthcare services.
• Familiarity with medical terminology.

Responsibilities

• Conduct benefits investigations and initiate prior authorizations as needed.
• Navigate payer portals to evaluate coverage and communicate benefit details to patients or caregivers.
• Maintain frequent phone and electronic communication with patients, providers, case managers, and internal pharmacy staff.
• Collaborate with home infusion staff to assess patient needs and arrange necessary resources.
• Clarify prescription orders and ensure clinical documentation is complete for insurance and compliance requirements.
• Expedite the discharge process by clearly communicating updates and requirements to case managers and discharge planners.
• Identify hospitalized patients who may be appropriate candidates for home infusion services.
• Escalate patient or provider concerns appropriately while maintaining professionalism and empathy.

Skills

Communication skills

Medical terminology

Attention to detail

Education

High School diploma or GED

Tools

Payer portals

Job description

Beth Israel Lahey Health is seeking a Patient Access Coordinator for our Home Infusion Services to initiate referrals, verify benefits, and secure prior authorizations. You will engage with patients, providers, and payers, ensuring accurate processing and excellent service.

The role requires strong communication, clinical terminology familiarity, and the ability to coordinate resources with infusion staff, discharge planners, and case managers.