BILH Pharmacy Westwood - Patient Access Coordinator: M-F Days Full Time

Job description

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Beth Israel Lahey Health and {BILH Pharmacy- Home Infusion Services} are devoted to consistently promoting a culture of Wellbeing, Empathy, Collaboration, Accountability, Respect, and Equity as outlined in our organization's WE CARE values. The Patient Access Coordinator ensures timely initiation of home infusion services by coordinating referrals, benefit verification, and medication authorization. This role ensures accuracy and timeliness in processing while providing excellent service to patients, providers, payers, and internal colleagues. Job Description: ESSENTIAL DUTIES & RESPONSIBILITIES (including but not limited to): Conduct benefits investigations and initiate prior authorizations as needed. Navigate payer portals to evaluate coverage and communicate benefit details to patients or caregivers. Maintain frequent phone and electronic communication with patients, providers, case managers, and internal pharmacy staff. Collaborate with home infusion staff to assess patient needs and arrange necessary resources. Clarify prescription orders and ensure clinical documentation is complete for insurance and compliance requirements. Expedite the discharge process by clearly communicating updates and requirements to case managers and discharge planners. Identify hospitalized patients who may be appropriate candidates for home infusion services. Escalate patient or provider concerns appropriately while maintaining professionalism and empathy. REQUIRED QUALIFICATIONS: High School diploma or GED required. 2–3 years of related work experience in infusion medication, specialty pharmacy, or related healthcare services. Familiarity with medical terminology PREFERRED QUALIFICATIONS: Certification or experience as a Medical Assistant or Pharmacy Technician preferred. COMPETENCIES: Consistently promote a culture of Wellbeing, Empathy, Collaboration, Accountability, Respect, and Equity as outlined in the organization's WE CARE values. Demonstrated commitment to diversity, equity, and inclusion. Decision Making: Able to make informed decisions using general instructions, established procedures, and sound judgment. Problem Solving: Address varied challenges with analysis, interpretation, and resourcefulness. Independence of Action: Set priorities, organize workload within guidelines, and seek assistance for complex or unpredictable situations. Communication: Strong verbal and written English skills; able to explain complex information to patients, families, providers, and colleagues. Physical Requirements : Exerting up to 10 lbs. occasionally for carrying, lifting, pushing, or pulling objects. Primarily sedentary role with occasional walking and standing. Pay Range: $23.15 - $34.40 The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law. As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment. More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger. Equal Opportunity Employer/Veterans/Disabled