Top 776 Patient records specialist Jobs in Boston Ma

Prior Authorization Specialist
Mass General Brigham Incorporated —Somerville, MA
- $28.30 an hour
- Full-time
- Remote
- HIPAA
- High school diploma or GED
- Organizational skills
- Opportunities for advancement
Quick Apply
3d
HIM Specialist II
FENWAY HEALTH —Boston, MA
- $23.64 - $26.10 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Paid holidays
- Health insurance
Quick Apply
Patient Information Specialist – Emergency Department (Full Time)
Beth Israel Lahey Health —Boston, MA
- $19.50 - $30.00 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- HIPAA
Data Coordinator II, Research_BIDMC
Beth Israel Lahey Health —Boston, MA
- $21.64 - $34.62 an hour
- Full-time
- Customer service
- Computer literacy
- English
Health Center - Phlebotomist I
Boston Medical Center —Boston, MA
- $18.27 - $25.72 an hour
- Part-time
- Writing skills
- English
- High school diploma or GED
- Health insurance
- Dental insurance
Lab Support Tech (1 pm-9:30pm rotating weekend and holidays)
Boston Medical Center —Boston, MA
- $20.12 - $26.02 an hour
- Weekends as needed
- Hospital
- High school diploma or GED
- Communication skills
- Health insurance
- Dental insurance
Health Science Specialist - Research
US Veterans Health Administration —Boston, MA
- $120,548 - $156,715 a year
- Online Application
- Background check
- Psychiatry
- Pass drug screening
- Life insurance
8d
Community Resource Specialist
WORK INCORPORATED —Dorchester, MA
- $22 an hour
- Full-time
- High school diploma or GED
- Driver's License
- 1 year
Quick Apply
Patient Records Specialist
Dana-Farber Cancer Institute —Boston, MA
- $42,100 - $47,300 a year
- Full-time
- Hybrid work
- Computer literacy
- Bachelor's degree
- Computer skills
Licensed Radiologic Technologist
Orthopaedic Specialists of Massachusettes —Norwood, MA
- $35 - $45 an hour
- Full-time
- Urgent Care
- Mid-level
- Organizational skills
- Health insurance
- 401(k)
Quick Apply
Lead Registered Dietitian
Harbor Health Services, Inc. —Dorchester, MA
- $64,063 - $96,145 a year
- Full-time
- Hybrid work
- Microsoft Word
- Microsoft Outlook
- Management
Quick Apply
Dental Hygienist
Waban Dental Specialists Group —Newton Highlands, MA
- $50 - $62 an hour
- Full-time
- Private practice
- Dental office
- In-person
- Paid holidays
- Health insurance
Quick Apply
14d
Physician Assistant- AFC Urgent Care
AFC Urgent Care —Boston, MA
- From $75 an hour
- Part-time
- Background check
- CPR Certification
- OSHA
- Health savings account
- Health insurance
Quick Apply
Medical Technologist Specialist, Hematology (Days)
Boston Medical Center —Boston, MA
- $40 - $52 an hour
- 8 hour shift
- 5 years
- English
- Bachelor's degree
- Disability insurance
- Health insurance
Quick Apply
Aesthetic Registered Nurse - Chestnut Hill
Next Health | Chestnut Hill —Chestnut Hill, MA
- $43 - $48 an hour
- Part-time
- Nursing
- Surgery
- RN License
Quick Apply
RN Manager
Lynn Community Health Center —Lynn, MA
- $90,000 - $110,000 a year
- Full-time
- Spanish
- Nursing
- RN License
Quick Apply
Associate Dentist
New England Dental Group-Southborough —Southborough, MA
- $250,000 - $300,000 a year
- Full-time
- Background check
- Anatomy knowledge
- Dental office
- Health savings account
- Health insurance
Quick Apply
Eyewear Specialist
InFocus Eyecare —Wellesley, MA
- $18 - $22 an hour
- Part-time
- HIPAA
- Mid-level
- Organizational skills
- Employee discount
Quick Apply
Veterinary Technician, ICU
Ethos Veterinary Health —Woburn, MA
- $28 - $45 an hour
- 12 hour shift
- Patient monitoring
- English
- Mid-level
- Health savings account
- AD&D insurance
Quick Apply
Military Service - U.S. Air Force, Biomedical Laboratory Officer
Military Service - U.S. Air Force —Boston, MA
- From $57,088.25 a year
- Full-time
- Bachelor's degree
- Senior level
- Health insurance

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Prior Authorization Specialist

Mass General Brigham Incorporated -
Somerville, MA

Quick Apply

Job Details

Full-time
$28.30 an hour
3 days ago

Benefits

Opportunities for advancement

Qualifications

Customer inquiry handling
High school diploma or GED
Video conferences (communication methods)
Video conferencing systems operation

Full Job Description

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

Reviews and processes prior authorization and referral requests for medical services in accordance with organizational policies and payer requirements. Ensures insurance eligibility, coordination of benefits, site‑of‑care compliance, and medical necessity by gathering and submitting complete medical documentation in alignment with HIPAA standards. Accurately documents authorization outcomes and all payer communications in the electronic health record.

Essential Functions

Work as part of a group to secure insurance authorizations in an appropriate timeframe. Collects and accurately enters information required by third parties for precertification for procedures, tests and imaging.

When unclear, collaborates with ordering clinicians to ensure the proper CPT codes are submitted for prior authorization or referrals.

Refer patients to financial counseling, as appropriate.

Inform patient of authorization concerns prior to admission/procedure, coordinating with appropriate parties to facilitate authorization as appropriate, collaborating with other departments/offices to resolve complex authorization issues.

Update authorization status in system and complete workflow.

Respond to internal and external inquiries regarding authorization decisions and provide explanations as needed.

Qualifications

Education

High School Diploma or Equivalent required

Experience

Medical authorization or related field experience 1-2 years preferred
Epic experience 0-1 year preferred

Knowledge, Skills and Abilities

- Excellent attention to detail and organizational skills.
- Strong communication and interpersonal skills.
- Knowledge of medical terminology and medical insurance benefits, including a complete understanding of the coordination of benefits.
- Familiarity with computer systems and databases.
- Ability to work independently and as part of a team.
- Ability to work in a fast-paced environment.

Additional Job Details (if applicable)

Remote Model Requirements

Remote
M-F Eastern business hours required
Employees must use a stable, secure, and compliant workstation in a quiet environment. Teams video is required and must be accessed using MGB-provided equipment.

Remote Type

Remote

Work Location

399 Revolution Drive

Scheduled Weekly Hours

Employee Type

Regular

Work Shift

Day (United States of America)

Pay Range

$ - $28.30/Hourly

Grade

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.

Quick Apply

Refine Your Search

patient records specialist jobs in boston ma

Prior Authorization Specialist

HIM Specialist II

Patient Information Specialist – Emergency Department (Full Time)

Data Coordinator II, Research_BIDMC

Health Center - Phlebotomist I

Lab Support Tech (1 pm-9:30pm rotating weekend and holidays)

Health Science Specialist - Research

Community Resource Specialist

Patient Records Specialist

Licensed Radiologic Technologist

Lead Registered Dietitian

Dental Hygienist

Physician Assistant- AFC Urgent Care

Medical Technologist Specialist, Hematology (Days)

Aesthetic Registered Nurse - Chestnut Hill

RN Manager

Associate Dentist

Eyewear Specialist

Veterinary Technician, ICU

Military Service - U.S. Air Force, Biomedical Laboratory Officer

I want to receive the latest job alert for patient records specialist in boston ma

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