Top 560 Prior authorization Jobs in Boston, Ma

Billing Specialist (160)
Lifeworks, Inc. —Westwood, MA
- $27 - $30 an hour
- Part-time
- Background check
- Working with individuals with developmental disabilities
- CPR Certification
- Dental insurance
10d
Specialty Pharmacy Technician - BONUS - No Nights/Weekends
MinuteClinic —Boston, MA
- $17.00 - $34.15 an hour
- Full-time
- High school diploma or GED
- Fair chance
- In-person
- Free parking
- Employee stock purchase plan
Quick Apply
20h
Hospital Admissions / Prior Authorization Coordinator
Optum —Quincy, MA
- $17.98 - $32.12 an hour
- Full-time
- Surgery
- Pass drug screening
- HIPAA
- AD&D insurance
- Employee stock purchase plan
Prior Authorization Supervisor
Dana-Farber Cancer Institute —Brookline, MA
- $96,500 - $109,100 a year
- Full-time
- Nursing
- RN License
- Writing skills
Lead, Imaging & Prior Authorization
NeighborHealth —Boston, MA
- Online Application
- Bilingual
- Background check
- Oracle
Sr Prior Authorization Specialist – Winchester Hospital
Beth Israel Lahey Health —Winchester, MA
- $21.53 - $28.98 an hour
- Full-time
- Hybrid work
- Hospital
- English
- Research
Prior Authorization Specialist
Beth Israel Lahey Health —Beverly, MA
- $20.50 - $27.59 an hour
- Full-time
- Microsoft Outlook
- Hospital
- English
13d
Prior Authorization Specialist
CareMed Specialty Pharmacy —Waltham, MA
- $23 - $28 an hour
- Full-time
- Customer service
- HIPAA
- Mid-level
- Paid holidays
- Disability insurance
Quick Apply
BILH Pharmacy Westwood – Patient Access Coordinator: M-F Days Full Time
Beth Israel Lahey Health —Westwood, MA
- $23.15 - $34.40 an hour
- Full-time
- English
- Mid-level
- High school diploma or GED
9d
Payor Authorization Operations Manager
Abby Care —Boston, MA
- Full-time
- Hybrid work
- Background check
- 5 years
- Office
- Commuter assistance
- Paid parental leave
12d
Registered Nurse (RN)
Harvard Street Neighborhood Health Center —Dorchester, MA
- $33 - $46 an hour
- Full-time
- Microsoft Word
- Spanish
- Nursing
- Health insurance
- Dental insurance
Quick Apply
Weekend Behavioral Health Nurse
Innovive Health —Hingham, MA
- $74,000 a year
- Full-time
- Ability to walk for extended periods
- Mid-level
- Home Health
- Continuing education credits
- Mileage reimbursement
Quick Apply
Medical Assistant
New England Inpatient Specialist —Wilmington, MA
- $18 - $24 an hour
- 8 hour shift
- CPR Certification
- Vital signs
- Primary Care
- Health insurance
- Dental insurance
Quick Apply
Behavioral Health Nurse Afternoons/Evenings
Innovive Health —Brockton, MA
- $74,000 - $80,000 a year
- Full-time
- Ability to walk for extended periods
- Mid-level
- Home Health
- Continuing education credits
- Mileage reimbursement
Quick Apply
Behavioral Health Nurse Afternoons/Evenings
Innovive Health —Brockton, MA
- $74,000 - $80,000 a year
- Full-time
- Ability to walk for extended periods
- Mid-level
- Home Health
- Continuing education credits
- Mileage reimbursement
Quick Apply
Behavioral Health Nurse Afternoons/Evenings
Innovive Health —Brockton, MA
- $74,000 - $80,000 a year
- Full-time
- Ability to walk for extended periods
- Mid-level
- Home Health
- Continuing education credits
- Mileage reimbursement
Quick Apply
Weekend Behavioral Health Nurse
Innovive Health —Brockton, MA
- $74,000 a year
- Multiple hires
- Ability to walk for extended periods
- Mid-level
- Home Health
Quick Apply
Registered Nurse Case Manager, RN
South Shore Support Services —Hingham, MA
- $40 an hour
- Part-time
- Microsoft Word
- Background check
- Working with individuals with developmental disabilities
- Health insurance
- Dental insurance
Quick Apply
Registered Nurse, Infectious Disease Clinic
Boston Children's Hospital —Boston, MA
- $60,809 - $130,939 a year
- Full-time
- Nursing
- RN License
- Mid-level
- Health insurance
- Dental insurance
Registered Nurse- Genetics
Boston Children's Hospital —Brookline, MA
- $81,078 - $174,585 a year
- 8 hour shift
- Nursing
- RN License
- Mid-level
- Health insurance
- Dental insurance

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Billing Specialist (160)

Lifeworks, Inc. -
Westwood, MA

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Job Details

Part-time | Full-time
$27 - $30 an hour
10 days ago

Benefits

Dental insurance

Qualifications

CPR Certification
Database systems
Spreadsheets
Administrative experience
High school diploma or GED
Driver's License
First Aid Certification
Data management
Electronic health record (EHR) management for billing and coding
Productivity software

Full Job Description

Position: Billing Specialist (Harbour Counseling)

Job ID: 160

Location: Westwood, MA

Shift: 20 hours weekly, flexible schedule

Salary: $27-$30/hr

As a team, the mission of Lifeworks is to provide advocacy, empowerment, and opportunity to those that we serve. As a member of our team, we are all here to support you as we provide creative opportunities and services to adults with developmental and intellectual disabilities. Lifeworks isn't just a job; it is an opportunity for a fulfilling career with a purpose. We offer competitive pay & excellent benefits in a rewarding and supportive environment.

Lifeworks is hiring a full time Billing Specialist. Harbor Counseling is seeking a detail-oriented, part-time Billing Specialist to support billing operations for our outpatient mental health clinic. This role is responsible for helping ensure accurate, timely, and compliant billing processes, with a focus on insurance verification, denial resolution, billing data maintenance, reporting, credentialing support, and coordination with clinical and administrative teams.

The Billing Specialist will work closely with the billing department, Clinical Director, clinicians, and administrative staff to resolve denied claims, clarify billing requirements, support process improvements, and maintain accurate client insurance and billing information in electronic medical record system, Ehana. This position also supports the development of billing standard operating procedures and provides guidance to program staff as needed.

The ideal candidate is organized, collaborative, and comfortable working across billing, clinical, and administrative functions in a regulated healthcare environment. This position must comply with all applicable Human Rights, DPPC, Department of Developmental Services, Division of Medical Assistance, payer, funding, and Lifeworks policies and regulations.

Essential Duties:

Review, research, and resolve denied or rejected insurance claims, with priority given to claims approaching timely filing limits.
Support billing operations for an outpatient mental health clinic serving individuals with intellectual and developmental disabilities.
Verify insurance coverage for new referrals, with emphasis on Medicare, MassHealth/Medicaid, and other Massachusetts payer requirements.
Confirm clinician eligibility, credentialing status, authorization requirements, and payer rules before client assignment or billing submission.
Enter, update, and maintain accurate billing, demographic, authorization, and insurance information in Ehana.
Run and monitor billing reports from Ehana, payers, clearinghouses, and other vendor systems to identify trends, errors, denials, and missed revenue opportunities.
Collaborate with the billing department, Clinical Director, clinicians, administrative staff, and families when appropriate to clarify coverage, billing requirements, claim issues, and loss-of-coverage concerns.
Assist with credentialing applications, payer enrollments, revalidations, and related follow-up needed to support clinic growth and provider participation.
Help develop, document, and improve standard operating procedures for billing, insurance verification, claim follow-up, denial management, and payer communication.
Provide billing-related training, guidance, and support to clinicians and program staff to promote accurate documentation, timely billing, and compliance with payer requirements.
Participate in regular denial review and billing performance meetings to identify root causes, recommend process improvements, and track action plans.
Work with leadership and billing partners to support scalable billing practices as the agency expands services, payer relationships, and outpatient clinic capacity.
Maintain confidentiality and comply with all applicable Human Rights, DPPC, DDS, MassHealth/Medicaid, Medicare, payer, funding, HIPAA, and Lifeworks requirements.
Perform other duties as assigned

Requirements:

High School Diploma or GED required; associate degree or coursework in accounting, business administration, healthcare administration, medical billing, or a related field preferred.
Minimum of five years of related experience in billing, accounting, claims processing, revenue cycle, or healthcare administrative support required; experience in outpatient behavioral health or mental health billing strongly preferred.
Working knowledge of Massachusetts insurance processes, including MassHealth/Medicaid, Medicare, managed care plans, eligibility verification, claim submission, denial follow-up, and timely filing requirements, preferred.
Experience supporting billing functions in a clinical or human services setting serving individuals with intellectual and developmental disabilities is preferred.
Strong computer skills required, including proficiency with Microsoft Office Suite, especially Excel, Word, and PowerPoint. Experience with spreadsheet tracking, database management, billing reports, and electronic health record or billing systems required.
CPR, First Aid certification, Medical Administration
Must be able to pass Fingerprint background check, CORI, DPPC and Driving background checks
Valid Driver's License in the state residing
Excellent verbal and written communication skills

Benefits:

Dental insurance
5 days of MA sick time

Lifeworks, Inc. believes diversity strengthens the value of our workplace and communities. We are proud to be an Equal Opportunity Employer.

Disclaimer:

This job profile identifies the general duties and minimum level of skills required to perform this job. It is not intended to represent a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned. The employee can be responsible for all other duties as assigned by supervisor. Employment at Lifeworks is on an at-will basis. This means that the employee or employer may terminate employment at any time, for any reason or for no reason and with or without prior notice. Nothing in this job description or employee handbook creates an employment agreement, express or implied, or any other agreement between an employee and Lifeworks.

Apply Now

Refine Your Search

prior authorization jobs in boston, ma

Billing Specialist (160)

Specialty Pharmacy Technician - BONUS - No Nights/Weekends

Hospital Admissions / Prior Authorization Coordinator

Prior Authorization Supervisor

Lead, Imaging & Prior Authorization

Sr Prior Authorization Specialist – Winchester Hospital

Prior Authorization Specialist

Prior Authorization Specialist

BILH Pharmacy Westwood – Patient Access Coordinator: M-F Days Full Time

Payor Authorization Operations Manager

Registered Nurse (RN)

Weekend Behavioral Health Nurse

Medical Assistant

Behavioral Health Nurse Afternoons/Evenings

Behavioral Health Nurse Afternoons/Evenings

Behavioral Health Nurse Afternoons/Evenings

Weekend Behavioral Health Nurse

Registered Nurse Case Manager, RN

Registered Nurse, Infectious Disease Clinic

Registered Nurse- Genetics

I want to receive the latest job alert for prior authorization in boston, ma

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