Senior Financial Insurance Authorization Specialist – Infusion Team
72876BR
Finance-Patient Access Center
Status
Full-Time
Standard Hours per Week
40
Job Category
Finance
Regular, Temporary, Per Diem
Regular
Office/Site Location
Boston
Remote Eligibility
Full-Time Remote
Job Posting Description
At Boston Children’s Hospital, the quality of our care – and our inclusive hospital working environment – lies in the diversity of our people. With patients from local communities and 160 countries around the world, we’re committed to reflecting the spectrum of their cultures, while opening doors of opportunity for our team. Here, different talents pursue common goals. Voices are heard and ideas are shared. Join us, and discover how your unique contributions can change lives. Yours included.
Senior Financial Insurance Authorization Specialist is responsible to:
- Obtain all insurance and authorizations and managed care referrals needed for BCH patients in accordance with insurance companies’ medical and administrative policies
- Manage daily caseloads to ensure timely completion of financial clearance in accordance with departmental processes & payer guidelines
- Communicate authorization statuses with key stakeholders (physicians, nurses, management, patients/families) throughout the authorization process
- Support physicians and other clinicians in any payer denial processes, in order to help obtain the proper financial clearance for access to care
- Facilitate insurance peer to peer reviews when needed to secure authorizations
- Participate in process improvement activities
- Collect, verify, and record all demographic information required for patient financial clearance in accordance with hospital policy
- Assign or move candidates to other financial clearance areas as needed or the situation requires
To qualify you must have:
- A Bachelor’s or an Associate’s degree preferred. The completion of High School Diploma and a min of 1 year direct experience working with health insurance, referrals and authorizations is required.
- Understanding of Microsoft Office and experience with Epic registration system a plus
- The ability to communicate effectively both orally and in writing
- The ability to resolve complex problems requiring the use of critical thinking skills and scientific, mathematical, or technical principles
- The ability to work as part of a team with diverse internal and external constituencies
- Effective organizational skills and the ability to work in a fast-paced environment to ensure completion of assignments within established time frames.
- Attention to detail and completion of tasks with accuracy
- The ability to work remotely from a home office with a strong internet connection. (Due to HIPAA and patient information, this position requires to work from a private location)
Boston Children’s Hospital offers competitive compensation and unmatched benefits including flexible schedules, affordable health, vision and dental insurance, child care and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts and discounted rates on T-passes. Experience the benefits of passion and teamwork.
Boston Children’s Hospital requires all employees to be vaccinated against COVID-19 and Flu, (unless you are eligible for a medical or religious exemption).
Boston Children’s Hospital is an Equal Opportunity / Affirmative Action Employer. Qualified applicants will receive consideration for employment without regard to their race, color, religion, national origin, sex, sexual orientation, gender identity, protected veteran status or disability.
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