Top 111 Authorization specialist Jobs in Walpole, 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
2d
Authorization Specialist
Option Care Health —Boston, MA
- $19.57 - $32.63 an hour
- Full-time
- High school diploma or GED
- Travel
- Leadership
- Health savings account
- Health insurance
7d
Imaging Resource Specialist I
Optum —Weymouth, MA
- $16 - $29 an hour
- Full-time
- Hybrid work
- Medical office experience
- Pass drug screening
- Research
- AD&D insurance
- Employee stock purchase plan
Authorization Specialist
New England Life Care —Canton, MA
- $21 - $22 an hour
- Full-time
- Microsoft Word
- Microsoft Excel
- Customer service
- Disability insurance
- Health insurance
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Inpatient Authorization Specialist-2
Brown University Health —Providence, RI
- $22.04 - $36.37 an hour
- 8 hour shift
- HIPAA
- Mid-level
- Office
8d
Patient Service Specialist
Brown University Health —Foxborough, MA
- $18.13 - $29.90 an hour
- 8 hour shift
- Microsoft Excel
- Microsoft Outlook
- High school diploma or GED
Referral Specialist
Brown University Health —Providence, RI
- $19.03 - $31.39 an hour
- 8 hour shift
- Spanish
- Hospital
- Mid-level
Authorization Specialist
Option Care Enterprises, Inc. —Boston, MA
- $19.57 - $32.63 an hour
- Full-time
- High school diploma or GED
- Travel
- Leadership
- Health savings account
- Health insurance
Quick Apply
7d
Referral Specialist, Neurology
Beth Israel Lahey Health —Boston, MA
- $23.15 - $34.40 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Hospital
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
Referral Specialist Gastroenterology
Brown University Health —East Providence, RI
- $19.03 - $31.39 an hour
- 8 hour shift
- Computer literacy
- Mid-level
- High school diploma or GED
Financial Clearance Specialist
South Shore Health —Norwell, MA
- $22.20 - $31.75 an hour
- Full-time
- Hospital
- Customer service
- Computer literacy
8d
Pharmacist ($56$60/hour)
ProPivotal —Boston, MA
- $56 - $60 an hour
- Full-time
- Remote
- Mid-level
- Organizational skills
- 2 years
Quick Apply
6h
Medical Biller
Aspire Health and Community Services —Braintree, MA
- $26.94 an hour
- Mid-level
- Analysis skills
- 2 years
Health Information Specialist I
Datavant —Framingham, MA
- $15.76 - $19.24 an hour
- Overtime
- Microsoft Excel
- Computer literacy
- HIPAA
- Health insurance
- Dental insurance
Practice Coordinator II
Dana-Farber Cancer Institute —Attleboro, MA
- $47,800 - $71,700 a year
- Full-time
- Hospital
- Mid-level
- 3 years
Patient and Insurance Coordinator
Vascular Care Specialists —Brockton, MA
- Full-time
- HIPAA
- Mid-level
- High school diploma or GED
- AD&D insurance
- Paid holidays
Quick Apply
3d
Release of Information Specialist-Medical
Sturdy Health —Attleboro, MA
- $17.64 - $26.58 an hour
- Full-time
- Hospital
- HIPAA
- Mid-level
- Health insurance
- Dental insurance
1d
Patient Access Coordinator
Sturdy Health —Attleboro, MA
- $23.71 - $36.14 an hour
- Full-time
- HIPAA
- Mid-level
- Outpatient experience
- Health insurance
- Dental insurance
9d
Insurance Benefit Specialist
Highbar Physical Therapy —Providence, RI
- From $20 an hour
- Full-time
- High school diploma or GED
- Entry level
- Wellness program
- Paid holidays
Quick Apply

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Prior Authorization Specialist

Mass General Brigham Incorporated -
Somerville, MA

Quick Apply

Job Details

Full-time
$28.30 an hour
2 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.

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Refine Your Search

authorization specialist jobs in walpole, ma

Prior Authorization Specialist

Authorization Specialist

Imaging Resource Specialist I

Authorization Specialist

Inpatient Authorization Specialist-2

Patient Service Specialist

Referral Specialist

Authorization Specialist

Referral Specialist, Neurology

Sr Prior Authorization Specialist – Winchester Hospital

Referral Specialist Gastroenterology

Financial Clearance Specialist

Pharmacist ($56$60/hour)

Medical Biller

Health Information Specialist I

Practice Coordinator II

Patient and Insurance Coordinator

Release of Information Specialist-Medical

Patient Access Coordinator

Insurance Benefit Specialist

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