À propos de ce poste Insurance/Authorization Review chez Mass General Brigham
Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.
Job Summary
Location: 159 Wells Ave, Newton, MAHours: 8:00 am to 4:30 pm
Help patients navigate the insurance authorization process while supporting timely, accurate reimbursement for medical services. In this role, you’ll work closely with patients, healthcare providers, and insurance companies to obtain and review authorizations, clarify coverage, and help resolve authorization issues.
This position does not involve direct patient care.
What You’ll Do
• Verify insurance coverage for services, procedures, and treatments to confirm they are covered under the patient’s insurance plan.
• Collect and update patient insurance information, including policy numbers, effective dates, and authorization details.
• Work with insurance companies to obtain or clarify authorizations, including pre-approvals and pre-certifications.
• Partner with billing and coding staff to support accurate, timely claim submissions.
• Coordinate prior authorizations for procedures, tests, surgeries, and other services requiring approval.
• Review authorization-related insurance denials, gather supporting documentation, and collaborate with healthcare providers on appeals and resubmission of authorization requests as needed.
• Help patients understand their insurance coverage, benefits, and authorization requirements.
Qualifications
What You’ll Bring
Education and Experience
• High school diploma or equivalent required.
• Associate’s degree in Healthcare Management or a related field preferred.
• Experience cannot substitute for the required education.
• 2–3 years of healthcare insurance billing experience required.
Knowledge, Skills, and Abilities
• Strong knowledge of insurance verification, claims processing, and reimbursement practices.
• Understanding of insurance coverage, benefit structures, and claim submission requirements.
• Excellent attention to detail and accuracy in data entry, documentation, and claim submissions.
• Effective communication and interpersonal skills, including the ability to explain complex insurance and billing concepts to patients and healthcare providers.
• Ability to work independently, prioritize tasks, and meet deadlines in a fast-paced environment.
Additional Job Details (if applicable)
Why Join Mass General Brigham?
Our employees are our most important resource. We offer a comprehensive, contemporary, and highly competitive benefits package designed to support you and your family, including:
- Medical, dental, and vision insurance
- A robust retirement savings program
- Generous paid time off
- Tuition assistance and professional development support
- Additional employee perks
Ready to make a difference? Join a supportive team where your work helps create an exceptional experience for patients every day. Come be part of the world’s most powerful force in medicine—where every role matters in changing lives.
Remote Type
Work Location
Scheduled Weekly Hours
Employee Type
Work Shift
Pay Range
$21.00 - $25.28/Hourly
Grade
2
EEO Statement:
Mass General Brigham Competency Framework
At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.