Prior Authorization & Patient Care Coordinator

Boston Children’s Hospital; Boston (MA); On-site; USD 55,000 - 75,000; Full time

Job summary

Boston Children’s Hospital is seeking a detail‑driven administrative professional to coordinate prior authorizations for medications and procedures across multiple specialties. You will serve as the center’s point person for authorization workflows, communicating with insurance providers, pharmacies and patient families to facilitate timely access to care.

The role includes scheduling, collecting patient information, and training staff on payer requirements.

Qualifications

• High school diploma or GED required.
• Experience in healthcare or health insurance settings with prior authorizations is preferred.

Responsibilities

• Manages prior authorization processes for medicines, procedures and treatments across providers.
• Coordinates communications with insurance companies, specialty pharmacies and families to obtain authorizations.
• Trains staff on department processes and payer requirements related to authorizations.
• Participates in process improvement initiatives to enhance efficiency and support patient care.

Education

High School Diploma or GED

Job description

Boston Children’s Hospital is seeking a detail‑driven administrative professional to coordinate prior authorizations for medications and procedures across multiple specialties. You will serve as the center’s point person for authorization workflows, communicating with insurance providers, pharmacies and patient families to facilitate timely access to care.

The role includes scheduling, collecting patient information, and training staff on payer requirements.