Lead, Imaging & Prior Authorization

Thank you for your interest in a career at NeighborHealth, formerly East Boston Neighborhood Health Center!

As one of the largest community health centers in the country, NeighborHealth is proud to serve the greater Boston area with a strong commitment to the health and well-being of our patients and communities.

Whether you're a nurse or physician providing direct care, a manager leading dedicated teams, or part of the essential support staff who keep our operations running smoothly — every role at NeighborHealth is vital. Together, we’re advancing medicine and delivering the best care experience for our patients and community!

Interested in this position? Apply online and create a personal candidate account!

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To learn more about working at NeighborHealth and our benefits, please visit out our Careers Page.

Time Type:

Department:

All Locations:

Position Summary:

Essential Duties & Responsibilities              

• Assist in the coordination of and the direct administration of training new staff as well as any updated training of existing staff in their respective team: Direct scheduling in BMC, uploading In physician gateway, obtaining prior auths

• Make recommendations for improvement with the Referral Department specifically in their respective teams as well as participating in Continuous Improvement Projects.

• Provides management with input for staff evaluations and performance concerns.

• Identifies all clinical needed to obtain prior authorization and avoid peer to peer.

• Responsible for sorting incoming electronic faxes and authorization requests from outside facilities.

• Responsible for covering phones whenever staffing is short to ensure internal providers can always get through for assistance.

• Responsible for working with management to ensure if staff are out  work queues have a backup covering urgents

• Assist with providing coaching on errors when supervisor unavailable

• Monitor imaging work queues and communicate to management any issues or backlog noted.

• Communicate with ordering providers and patients in a timely manner to ensure referrals are processed are efficiently and accurately

• Handle provider calls for assistance with entering referral orders

• Assist management with granting access to and troubleshooting insurance portals for Prior Authorizations

• Manage In-basket messages for authorizations and insurance issues

• Work cooperatively and respectfully with other departments and staff at all levels of the organization

• Handle Radiologist calls for up coding

• Attend Insurance Seminars/webinars for Prior Authorizations

• Promotes a sense of “team work” and contributes to the overall success of the department and assigned Practice(s) by assisting colleagues whenever possible.

• Take initiative to perform a wide variety of activities contributing to the smooth functioning of the department.

• Demonstrates self-direction, self-motivation, and independence.  Exercises excellent judgment, in knowing when and how to involve your supervisor; utilize all available resources before seeking assistance.

• Communicating with management to update tasks or assignments as needed to ensure work queues are coverage including lunches.

EDUCATION:

• High School Diploma or G.E.D. required
• Bilingual skills preferred  

EXPERIENCE:

• At least two years of experience working in health care and/or referral department with a focus on creating an excellent patient experience.

SKILLS/ABILITIES:

• Demonstrate excellent communication skills and ability to interact professionally with individuals at all levels.
• Display exemplary leadership skills; ability to troubleshoot and problem solve issues effecting operations
• Proficiency with technology using Windows, Epic, Workday, Touch Point & Oracle systems
• Demonstrate flexibility while being able to multi task and in a fast-paced environment.

EEO & Accommodation Statement:

NeighborHealth is an equal employment/affirmative action employer. We ensure equal employment opportunities for all, without regard to race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity and/or expression or any other non-job-related characteristic. If you need accommodation for any part of the application process because of a medical condition or disability, please send an e-mail to HRrecruit@NeighborHealth.com or call 617-568-4480 to let us know the nature of your request

Federal Trade Commission Statement:
According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website. We do not ask or require downloads of any applications, or “apps.” Job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.

E-Verify Program Participation Statement:

NeighborHealth participates in the Electronic Employment Verification Program, E-Verify. As an E-Verify employer, all prospective employees must complete a background check before beginning employment.