InsuranceAuthorization Review
Job Location:
Newton, MA - USA
Hourly Salary:
Posted:
Application Deadline:
Vacancies:
Job Summary
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 this role youll 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 Youll Do
Verify insurance coverage for services procedures and treatments to confirm they are covered under the patients 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
Education and Experience
High school diploma or equivalent required.
Associates degree in Healthcare Management or a related field preferred.
Experience cannot substitute for the required education.
23 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)
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 worlds most powerful force in medicinewhere every role matters in changing lives.
Remote Type
Work Location
Scheduled Weekly Hours
Employee Type
Work Shift
Pay Range
$21.00 - $25.28/HourlyGrade
2EEO Statement:
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.
About Company
Patients at Mass General have access to a vast network of physicians, nearly all of whom are Harvard Medical School faculty and many of whom are leaders within their fields.
