Specialty Pharmacy Patient Access & Benefits Coordinator

Boston Medical Center (BMC); Boston (MA); On-site; USD 72,927,000 - 106,078,000; Full time

Job summary

Boston Medical Center is seeking a Drug Access Liaison Specialist to navigate insurance benefits for medications in hospital clinics, infusion centers, and home settings. The role requires interpreting medical terminology, reviewing EMR data, and facilitating payer approvals for injectable therapies; strong communication with carriers, patients, and providers is essential.

Under the Manager of Drug Access, you will identify benefits, submit documentation, and support the patient in accessing

Qualifications

• Five years of experience working with insurance companies on billing and reimbursement.
• Healthcare setting experience preferred (physician practice, infusion center, or related program).
• Knowledge of private payer, Medicare and Medicaid structures.

Responsibilities

• Review patient insurance benefits to navigate drug access barriers and ensure timely authorization.
• Submit prior authorization and payer documentation for medications.
• Coordinate with care teams to support patient access and reimbursement.

Job description

Boston Medical Center is seeking a Drug Access Liaison Specialist to navigate insurance benefits for medications in hospital clinics, infusion centers, and home settings. The role requires interpreting medical terminology, reviewing EMR data, and facilitating payer approvals for injectable therapies; strong communication with carriers, patients, and providers is essential.

Under the Manager of Drug Access, you will identify benefits, submit documentation, and support the patient in accessing