6 дней назад
Drug Authorization Specialist (Healthcare)
45 200 - 48 600$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Drug Authorization Specialist (Healthcare): Managing prior authorizations for injectable drug treatment plans, verifying insurance coverage, and coordinating clinical information with providers and payers with an accent on payer guidelines, clinical documentation, and patient communication. Focus on resolving insurance eligibility issues, maintaining accurate EPIC records, and handling confidential patient information.
Location: Brookline, Massachusetts, United States; remote work with occasional onsite presence.
Salary: $45,200–$48,600 per year.
Company
provides cancer research, patient care, medical education, and public health programs.
What you will do
- Manage referral and drug authorization requests through daily work queues and document activities in EPIC.
- Apply payer coverage policies and guidelines to injectable drug treatment plans.
- Coordinate clinical information and authorization requests with physicians, primary care practices, specialists, consultants, and payers.
- Verify insurance eligibility and benefits, resolve invalid coverage information, and escalate cases to financial counselors when needed.
- Contact patients by telephone about referral requests and communicate with payers by phone or through websites.
- Maintain accurate documentation while following confidentiality and HIPAA requirements.
Requirements
- High school diploma or GED required; a bachelor’s degree is preferred.
- Basic knowledge of insurance plans and medical registration or billing systems.
- Basic knowledge of EPIC or another hospital information system.
- Written and verbal communication, customer service, judgment, collaboration, and prioritization skills.
- Proficiency with Microsoft Office and ability to protect sensitive patient information.
- No prior experience is required.
Nice to have
- One year of customer service or hospital/physician office registration experience.
- Bachelor’s degree.
Culture & Benefits
- Work in an inclusive, diverse, and equitable patient-care and research environment.
- Collaborate with Harvard Medical School-affiliated hospitals and other clinical partners.
- Remote work is available with occasional onsite attendance.
- Position start date is planned for late November 2026.
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