Jobs Companies Mass General Brigham Prior Authorization Specialist - Billing Coordinator

Sobre esta vaga de Prior Authorization Specialist - Billing Coordinator na Mass General Brigham

Mass General Brigham · Presencial · Boston-MA
Site: The General Hospital Corporation


 

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

The ideal candidate brings a strong background in healthcare or hospital financial operations, with proven experience in patient insurance verification, including confirming eligibility, benefits, and coverage details across multiple payers. They are comfortable working directly with patients and can navigate sensitive financial conversations with empathy and clarity, especially when discussing co‑pays, deductibles, and out‑of‑pocket costs.

They will excel in a fast‑paced environment, demonstrate professionalism on the phone, and can manage a high volume of patient and customer calls with courtesy and confidence. Strong attention to detail, accuracy in data entry, and the ability to identify and resolve discrepancies are essential. The ideal candidate is collaborative, dependable, and committed to supporting both patients and internal teams through clear communication and sound financial understanding.

Knowledge of Dental surgery and terminology is a plus.

Does this position require Patient Care?
No

Essential Functions
-Oversees, coordinates and administers the financial/business records, systems and processes
-Performs financial/business data audits in support of department operations
-Prepares reports by running queries, gathering data from systems and compiling the information into useful forms
-Corrects and updates systems with appropriate data per department policies and procedures
-Identifies and escalates significant data quality concerns to management
-Respond to customer inquires timely and courteously


 

Qualifications

Education
High School Diploma or Equivalent required and Associate's Degree Financial Management preferred

Can this role accept experience in lieu of a degree?
No

Licenses and Credentials

Experience
Experience in healthcare finance, billing, auditing, or business administration 1-2 years preferred

Knowledge, Skills and Abilities
- Good analytical and mathematical skills.
- Strong understanding of Dental Benefits packages.
- Excellent communication skills.
- Basic computer skills and competency in MS Office Suite.
- Understanding of general accounting principles.
- Strong attention to detail and organization.

 

Additional Job Details (if applicable)

Physical Requirements
  • Standing Occasionally (3-33%)
  • Walking Occasionally (3-33%)
  • Sitting Constantly (67-100%)
  • Lifting Occasionally (3-33%) 20lbs - 35lbs
  • Carrying Occasionally (3-33%) 20lbs - 35lbs
  • Pushing Rarely (Less than 2%)
  • Pulling Rarely (Less than 2%)
  • Climbing Rarely (Less than 2%)
  • Balancing Occasionally (3-33%)
  • Stooping Occasionally (3-33%)
  • Kneeling Rarely (Less than 2%)
  • Crouching Rarely (Less than 2%)
  • Crawling Rarely (Less than 2%)
  • Reaching Occasionally (3-33%)
  • Gross Manipulation (Handling) Constantly (67-100%)
  • Fine Manipulation (Fingering) Frequently (34-66%)
  • Feeling Constantly (67-100%)
  • Foot Use Rarely (Less than 2%)
  • Vision - Far Constantly (67-100%)
  • Vision - Near Constantly (67-100%)
  • Talking Constantly (67-100%)
  • Hearing Constantly (67-100%)

  •  

    Remote Type

    Onsite


     

    Work Location

    165 Cambridge Street


     

    Scheduled Weekly Hours

    40


     

    Employee Type

    Regular


     

    Work Shift

    Day (United States of America)



     

    Pay Range

    $21 - $28.30/Hourly

     

     

    Grade

    3


     

    At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.


     

    EEO Statement:

    1200 The General Hospital Corporation is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.


     

    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.

    Pronto para se candidatar à Mass General Brigham?
    Candidatar-se à Mass General Brigham

    Sobre a Mass General Brigham

    Our history includes New England hospitals founded over 200 years ago, some of the first and most prestigious hospitals in the world. Built on the legacy of two leading academic medical centers, we’re more than a system—we’re leaders in the practice of medicine. Mass General Brigham is committed to serving the community. We are dedicated to enhancing patient care, teaching and research, and taking a leadership role as an integrated health care system. We recognize that increasing value and continuously improving quality are essential to maintaining excellence.

    Ver todas as vagas na Mass General Brigham →

    Vagas semelhantes

    MG
    Research Fellow Center for Genomic Medicine
    Mass General Brigham
    ⚡ Candidate-se cedo Boston-MA Presencial $70,000–$71,750
    ● Nova 👁 Vista ✓ Candidatada há 15h
    MG
    Postdoctoral Fellow
    Mass General Brigham
    ⚡ Candidate-se cedo Boston-MA Presencial $79,199–$79,199
    ● Nova 👁 Vista ✓ Candidatada há 15h
    MG
    Postdoctoral Research Fellow
    Mass General Brigham
    ⚡ Candidate-se cedo Charlestown-MA Presencial $70,000–$71,750
    ● Nova 👁 Vista ✓ Candidatada há 15h
    MG
    Digital Clinical Lead
    Mass General Brigham
    ⚡ Candidate-se cedo Belmont-MA Presencial
    ● Nova 👁 Vista ✓ Candidatada há 15h
    MG
    Per Diem Express Care Physician - Pioneer Valley, Northampton, MA
    Mass General Brigham
    ⚡ Candidate-se cedo Northampton-MA Presencial $312,000–$314,080
    ● Nova 👁 Vista ✓ Candidatada há 15h
    MG
    Physician Assistant OB/GYN Per Diem
    Mass General Brigham
    ⚡ Candidate-se cedo Brookline-MA Presencial $122,803–$173,867
    ● Nova 👁 Vista ✓ Candidatada há 15h
    MG
    Post-Doctoral Research Fellow – gnomAD-LR
    Mass General Brigham
    ⚡ Candidate-se cedo Boston-MA Presencial $70,000–$71,750 🛂 Patrocínio de visto
    ● Nova 👁 Vista ✓ Candidatada há 15h
    MG
    Post-Doctoral Research Fellow – Functional Genomics
    Mass General Brigham
    ⚡ Candidate-se cedo Boston-MA Presencial $70,000–$71,750 🛂 Patrocínio de visto
    ● Nova 👁 Vista ✓ Candidatada há 15h
    MG
    Post-Doctoral Research Fellow – HBV Biomarkers and Liquid Biopsy
    Mass General Brigham
    ⚡ Candidate-se cedo Boston-MA Presencial $70,000–$71,750 🛂 Patrocínio de visto
    ● Nova 👁 Vista ✓ Candidatada há 15h

    Cadastre-se para receber sugestões sob medida com base nas vagas que você abre e nas buscas que você salva.

    Mais vagas na Mass General Brigham

    Ver todas as vagas na Mass General Brigham →

    Candidatar-se agora
    🤖

    Opa — calma aí

    A JobsRadar foi feita para pessoas de verdade passando por um momento difícil na busca por emprego — não para requisições automatizadas. Você está clicando rápido demais e agora está temporariamente bloqueado.

    Volte mais tarde. Se você está mesmo procurando emprego, estamos com você — apenas aja como um ser humano.

    Catch your next role the second it’s posted.

    Create a free account and we’ll watch the boards for you — the instant a job matches your search, it lands in your inbox or Telegram. No digging, no refreshing.

    Create free account

    Free forever · takes 30 seconds · already have one?

    Ganhe vantagem na sua busca por emprego.

    Entre no nosso canal do Telegram para o que ajuda você a conseguir a vaga — referências salariais, o pulso semanal do mercado e avisos de novos recursos. Sem spam, só sinal.

    Entre no canal — é grátis