Prior Authorization Specialist, Remote

Site: Mass General Brigham Incorporated 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 Summary: Responsible for ensuring that all necessary information is accurately collected and recorded. Will work to provide a positive patient experience while obtaining the information necessary to facilitate patient care and billing processes. Does this position require Patient Care? No Essential Functions

• Verify insurance coverage and pre-authorization requirements
• Collect and enter patient demographics and insurance information into electronic medical records
• Ensure accurate and complete collection of patient demographic and insurance information
• Obtain necessary signatures for consent and authorization forms
• Resolve insurance and billing-related issues
• Maintain a high level of customer service and work to resolve customer complaints and issues in a timely and professional manner
• Adhere to all HIPAA regulations and patient confidentiality guidelines

Qualifications

Education High School Diploma or Equivalent required Can this role accept experience in lieu of a degree? No experience in a healthcare setting, with a focus on patient access and registration 2-3 years required Knowledge, Skills and Abilities

• Knowledge of medical terminology and insurance verification procedures.
• Strong customer service skills, including the ability to resolve customer complaints and issues in a professional manner.
• Excellent communication skills, both written and verbal.
• Ability to work well in a fast-paced environment.
• Ability to work effectively in a team-oriented setting.

Additional Job Details (if applicable) Remote Type Remote Work Location 30 Locust Street Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $19.81 - $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: 0100 Mass General Brigham Incorporated 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.