Patient Care & Prior Authorization Specialist

Boston Children's Hospital; Boston (MA); On-site; USD 52,000 - 68,000; Full time

Benefits offered by this job

Flexible schedules

Health, vision and dental insurance

Tuition and certification reimbursemen

Retirement plan

Job summary

Boston Children\'s Hospital is seeking an organized administrative coordinator to support care delivery by handling patient inquiries, scheduling, and authorization processes. You will coordinate with multiple internal teams and insurers to ensure timely access to medications and procedures.

The role emphasizes learning and improving prior authorization workflows, maintaining accuracy in patient data, and working with diverse stakeholders across our care system.

Qualifications

• High School / GED required.
• Some college or occupationally specific education/training preferred.
• Minimum of 1 year of experience in a high volume administrative role with an emphasis on problem resolution among multiple internal and/or external parties.
• Ability to learn the prior authorization process for medicines sufficient to navigate the intricacies of the current processes and facilitate improvements.
• Strong organizational skills and attention to detail
• An ability to work with diverse internal and external constituencies
• A sense of urgency and an ability to understand priorities and anticipate needs while also being flexible in order to accommodate changes in priorities

Responsibilities

• Answers, screens and routes a high volume of phone and email inquiries from patients and families and external companies in coordination of clinical services.
• Records and forwards messages and triages calls to nurses, physicians and numerous other providers for urgent information or services.
• Schedules patient encounters and procedures to coordinate within and across providers in multiple specialties.
• Obtains and records required authorizations for prescription medication with insurance providers.
• Prepares requisitions and other standard forms as requested by clinician or supervisor.
• Communicates with other departments to coordinate ancillary clinical/administrative services.

Skills

Organizational skills

Attention to detail

Multi-party coordination

Prior authorization knowledge

Education

High School / GED

Some college or occupationally specific education/training

Job description

Boston Children\'s Hospital is seeking an organized administrative coordinator to support care delivery by handling patient inquiries, scheduling, and authorization processes. You will coordinate with multiple internal teams and insurers to ensure timely access to medications and procedures.

The role emphasizes learning and improving prior authorization workflows, maintaining accuracy in patient data, and working with diverse stakeholders across our care system.