Patient Access Intake Specialist II jobs in United States
cer-icon
Apply on Employer Site
company-logo

Boston Scientific · 15 hours ago

Patient Access Intake Specialist II

Boston Scientific is a leader in medical science, committed to solving important health industry challenges. The Patient Access Intake Specialist is responsible for the initial review of patient cases for prior authorization, ensuring clean and timely submissions while collaborating with team members and external customers.

Health CareMedicalMedical Device
badNo H1Bnote

Responsibilities

Confirms case information is complete and supports medical necessity
Obtains additional information from the physician or patient as needed
Follows up timely on assigned tasks to ensure optimal case progression
Communicates internally and externally to resolve case related issues
Submits prior authorization requests by phone or fax to the payer
Manages incoming faxes and correspondence, distributing to Case Managers in a timely and accurate manner
Prioritizes tasks according to urgency
Applies pressure on health plans that refuse to review based on negative or absent coverage policy for the procedure
Drafts all case related communication to physicians, patients and payers in a clear and concise manner
Documents all case activity and correspondence for cases in a timely manner to provide chronological details of case progress
Acts as a resource for fellow team members and new employees

Qualification

Prior authorization processClinical records analysisPayer medical policiesSoftware systems proficiencyVerbal communicationWritten communicationInterpersonal skillsAdaptability

Required

1-2 Years with High School Diploma and/or equivalent experience, training, or apprenticeships
Minimum 2 years commercial insurance prior authorization experience
Secure home office space with ability to protect HIPAA sensitive materials
Must be willing to travel as needed (<5%)
Demonstrated ability to navigate the prior authorization process with commercial and government payers
Strong ability to read clinical records and extract pertinent information for submission
Demonstrated knowledge of payer medical policies and criteria requirements
Ability to follow process and protocol and communicate when/if changes are needed
Ability to work within multiple software systems
Ability to adapt as the needs of the business change or evolve
Excellent verbal and written communication skills
Excellent interpersonal skills

Preferred

Pain management or spine specialty preferred

Benefits

Compensation may also include variable compensation from time to time (e.g., any overtime and shift differential) and annual bonus target (subject to plan eligibility and other requirements).
Compensation may also include variable compensation, i.e., annual bonus target and long-term incentives (subject to plan eligibility and other requirements).

Company

Boston Scientific

company-logo
Boston Scientific is a medical technology company that designs and develops medical devices to diagnose and treat a wide range of condition.

Funding

Current Stage
Public Company
Total Funding
$10.02B
2025-02-21Post Ipo Debt· $1.58B
2024-02-22Post Ipo Debt· $2.17B
2022-03-04Post Ipo Debt· $3.28B

Leadership Team

leader-logo
Michael Mahoney
Chairman, President & CEO
linkedin
leader-logo
Daniel J. Brennan
Chief Financial Officer
linkedin
Company data provided by crunchbase