Senior Patient Access & Authorization Lead

Boston Children's Hospital; Boston (MA); On-site; USD 55,000 - 70,000; Full time

Benefits offered by this job

Flexible schedules

Health insurance

Vision insurance

Dental insurance

Time off & retirement plan

Job summary

Boston Children's Hospital seeks a detail-oriented coordinator to manage the prior authorization process for treatments across multiple specialties. The role coordinates with insurers, pharmacies, and families, ensuring timely access to care during clinic visits.

It also trains staff on related processes and improves internal workflows. Responsibilities include handling patient encounters, scheduling, and recording necessary authorizations, while maintaining high standards of communication and

Qualifications

• 2 years of experience in healthcare or health insurance with prior authorization.
• Experience handling high-volume phone and email inquiries.

Responsibilities

• Manages authorization for a variety of medicines and procedures across providers.
• Coordinates with insurance companies and families for delivery of treatments during visits.
• Prepares letters of medical necessity based on physician notes.
• Trains clinic staff on department processes and payer requirements.
• Acts as subject matter expert on prior authorization processes.

Skills

Phone support

Email correspondence

Training & onboarding

Process improvement

Education

High School Diploma or GED

Tools

Scheduling systems

Job description

Boston Children's Hospital seeks a detail-oriented coordinator to manage the prior authorization process for treatments across multiple specialties. The role coordinates with insurers, pharmacies, and families, ensuring timely access to care during clinic visits.

It also trains staff on related processes and improves internal workflows. Responsibilities include handling patient encounters, scheduling, and recording necessary authorizations, while maintaining high standards of communication and