Infusion Clinical Authorization Specialist
Under the direction of the Infusion Operations Manager and Director of Integrated Care, the Infusion Clinical Authorization Specialist is responsible for ensuring all information for proper financial reimbursement is validated prior to the date of service and if necessary submission of clinical documentation for authorizations of various high-cost pharmaceuticals.
The Infusion Clinical Authorization Specialist collaborates with insurance companies to proactively validate benefits, eligibility, and authorization / referral requirements.
Communicates with patients to ensure they understand their payment obligations and proactively attempts to collect payment while ensuring a positive patient experience.
EDUCATION AND RELATED EXPERIENCE :
Required :
- High School Diploma or equivalent
- Minimum of 2 year of clinical and / or related experience
- Well organized and able to multi-task quickly and effectively.
- Works well in high-pressure situations.
- Ability to work closely and effectively with peers across the organization and with the medical staff.
- Motivated, shows initiative, and collaborates well in a team setting.
- Ability to be flexible and meet the needs of a growing department.
- Shows strong analytical and problem-solving skills.
- Superior written and verbal communication skills
- Strong understanding and ability to work in various computing / information systems and Microsoft Office product suite.
Preferred :
- Bachelor’s degree
- Case Management, Utilization Review or Prior Authorization experience
- Bilingual English / Spanish
- Knowledge of third-party payer rules and regulations
- Revenue Cycle experience
Lawrence General Hospital is a private, non-profit community hospital providing the Merrimack Valley & southern New Hampshire regions with patient-centered, compassionate, and quality health care for the whole family.
For over 140 years, the dedicated doctors, nurses, and staff of Lawrence General have been committed to improving the health of the people and communities we serve.
We are an Equal Opportunity Employer committed to hiring a diverse workforce.
Infusion Clinical Authorization Specialist
Under the direction of the Infusion Operations Manager and Director of Integrated Care, the Infusion Clinical Authorization Specialist is responsible for ensuring all information for proper financial reimbursement is validated prior to the date of service and if necessary submission of clinical docu...
Senior Clinical Pharmacist, Overnight (7 on/7 off)
Serves as a liaison between pharmacy department and any health care provider9) Pharmacists are responsible for their own professional development including, meeting all requirements for continuing and education, keeping abreast of current professional literature, both from a clinical and medication ...
Ambulatory Care Clinical Pharmacist
At least two years of clinical pharmacy experience or 1-year clinical pharmacy residency required (preferably in ambulatory care clinical pharmacy). Ambulatory Care Clinical Pharmacist. Under general supervision, this full-time role provides clinical pharmacy services to clinicians and staff in prim...
Clinical Pharmacist
This is a full-time role for an ambulatory care Clinical Pharmacist. The Clinical Pharmacist supports and works alongside a multidisciplinary healthcare team and patients to help ensure that the medications prescribed for patients contribute to optimized health outcomes. The Pharmacist utilizes stro...
Senior Clinical Pharmacist, Overnight (7 on/7 off) Facility: Lahey Hospital and Medical Center Burlington, MA 04/08/2024
Pharmacists are responsible for their own professional development including, meeting all requirements for continuing and education, keeping abreast of current professional literature, both from a clinical and medication safety perspective. Clinically reviews medication orders received from prescrib...
Clinical Pharmacist
Clinical pharmacist in a 250 plus bed teaching hospital in Boston, MA servicing a variety of patient populations. This pharmacist will work closely with medical staff to ensure safe, effect, and appropriate drug therapy. Implements clinical initiatives (therapeutic interchange, renal dosing, ADR rep...
Clinical Pharmacist Facility: Beverly Hospital Beverly, MA 05/15/2024
Beverly Hospital is seeking experienced and committed Clinical Pharmacists to join our team. Clinical Pharmacists ensure safe, effective, timely, patient-centered and evidence-based care. Pharmacists are integral to the healthcare team and rotate through decentralized and centralized shifts. Pharmac...
Warehouse Associate
If you are looking for a full time career with a respected International Company - we want to talk to you! We are hiring newly experienced and seasoned warehouse associates.In this friendly work environment you will be responsible for operating forklifts to move and stack tires.Our operators are als...
Community Outreach & Engagement Specialist (part-time)
Community Outreach & Engagement Specialist (part-time).Wednesday, April 3, 2024 .Lawrence, MA - Peer Recovery Program .Varying days roughly in 5 hour shifts.Must be available to work every Sunday.Discounts on wide array of services/entertainment.One year of experience in a substance a...
Site Contract Associate II
Parexel is seeking a Site Contract Lead with more than 6 years of experience in Clinical Research focusing on customization, negotiation and executing of Clinical Site Agreements as well as SRP collection and IRB/IEC and RA application, preparation, and submission, in accordance with relevant regula...