Patient Access & Infusion Services Navigator

Beth Israel Lahey Health; Westwood (MA); On-site; USD 32,000 - 47,000; Full time

Job summary

Beth Israel Lahey Health's BILH Pharmacy Westwood is seeking a Patient Access Coordinator for a full-time day shift in Westwood, MA. The role initiates home infusion services by coordinating referrals, benefit verification, and prior authorizations, while ensuring accurate insurance and compliance documentation.

You will communicate with patients, providers, and payers, navigate payer portals, and support discharge planning.

Qualifications

• High School diploma or GED required.
• 2–3 years of related work experience in infusion medication or specialty pharmacy.
• 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 staff.
• Collaborate with home infusion staff to assess patient needs and arrange resources.
• Clarify prescription orders and ensure clinical documentation for insurance and compliance requirements.
• Expedite discharge by updating case managers and discharge planners with requirements.
• Identify hospitalized patients who may be candidates for home infusion services.

Skills

Communication skills

Medical terminology familiarity

Education

High School diploma or GED

Medical Assistant certification

Pharmacy Technician certification

Job description

Beth Israel Lahey Health's BILH Pharmacy Westwood is seeking a Patient Access Coordinator for a full-time day shift in Westwood, MA. The role initiates home infusion services by coordinating referrals, benefit verification, and prior authorizations, while ensuring accurate insurance and compliance documentation.

You will communicate with patients, providers, and payers, navigate payer portals, and support discharge planning.