Prior Authorization Specialist
$19.42/h-$27.74/h
a day ago
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HybridFull-timeEntry
Summary
Mass General Brigham is seeking a Prior Authorization Specialist to join their team in Somerville, MA. The role involves reviewing and processing requests for authorization of medical services in accordance with company policies and procedures.
About the Role
As a Prior Authorization Specialist, you will be responsible for collecting and accurately entering information required by third parties for precertification for procedures, tests, and imaging. You will work as part of a group to secure insurance authorizations, research and ensure proper diagnosis and procedure codes are assigned, and respond to inquiries regarding authorization decisions.
About You
Required:
- High School Diploma or Equivalent required.
- 1-2 years of experience in medical authorization or related field preferred.
- Excellent attention to detail and organizational skills.
- Strong communication and interpersonal skills.
- Knowledge of medical terminology and medical insurance benefits.
Preferred:
- Familiarity with computer systems and databases.
- Ability to work independently and as part of a team.
- Ability to work in a fast-paced environment.
Benefits
- Competitive base pay with comprehensive benefits package.
- Career advancement opportunities and recognition programs.
Mass General Brigham
Mass General Brigham is an integrated academic health care system, uniting great minds to solve the hardest problems in medicine for our communities and the world. Mass General Brigham connects a full continuum of care across a system of academic medical centers, community and specialty hospitals, a health insurance plan, physician networks, community health centers, home care, and long-term care services. Mass General Brigham is a nonprofit organization that is committed to patient care, research, teaching, and service to the community. In addition, Mass General Brigham is one of the nation’s leading biomedical research organizations and a principal teaching affiliate of Harvard Medical School.
Somerville, MA