Insurance/Authorization Review

Mass General Brigham; Massachusetts; On-site; USD 29,000 - 35,000; Full time

Benefits offered by this job

Medical, dental, and vision insurance

Robust retirement savings program

Generous paid time off

Tuition assistance and professional开发

Job summary

Mass General Brigham is seeking a Health Insurance Authorization Specialist to verify coverage and obtain authorizations, ensuring accurate reimbursement for services. The role collaborates with patients, providers, and insurers, and does not provide direct patient care.

Responsibilities include verifying coverage, collecting policy details, and assisting billing and coding teams to ensure timely submissions, while guiding patients on benefits and requirements.

Qualifications

• High school diploma or equivalent required.
• Associate’s degree in Healthcare Management or related field preferred.
• 2–3 years of healthcare insurance billing experience required.

Responsibilities

• Verify insurance coverage for services to confirm plan coverage.
• Collect and update patient insurance information including policy numbers and dates.
• Obtain or clarify authorizations with insurance companies.
• Partner with billing and coding staff to support timely claim submissions.
• Coordinate prior authorizations for procedures, tests, surgeries, and services.
• Review denial notes and assist with appeals and resubmissions.
• Help patients understand their insurance coverage and benefits.

Skills

Insurance verification

Claims processing

Reimbursement knowledge

Attention to detail

Data entry accuracy

Communication skills

Independent work

Prioritization

Deadline management

Education

Associate degree in Healthcare Management or related field

High school diploma or equivalent

Job description

Site: Newton-Wellesley Hospital 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, MA
Hours: 8:00 am to 4:30 pm

Help patients navigate the insurance authorization process while supporting timely, accurate reimbursement for medical services. In this role, you’ll 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 You’ll Do

• Verify insurance coverage for services, procedures, and treatments to confirm they are covered under the patient’s 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.
• Associate’s degree in Healthcare Management or a related field preferred.
• Experience cannot substitute for the required education.
• 2–3 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

Remote Type: Onsite Work
Location: 159 Wells Avenue
Scheduled Weekly Hours: 40
Employee Type: Regular Work Shift Day (United States of America)
Pay Range: $21.00 - $25.28/Hourly
Grade: 2

Why Join Mass General Brigham? 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

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.

EEO Statement

4100 Newton-Wellesley Hospital 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.

Combat disease. Hold a hand. Help people. Impact the world. Mass General Brigham is a passionate, welcoming community where minds meet caring hearts. Are you ready? Our history includes New England hospitals founded over 200 years ago, some of the first and most prestigious hospitals in the world. Built on the legacy of two leading academic medical centers, we’re more than a system—we’re leaders in the practice of medicine. Mass General Brigham is committed to serving the community. We are dedicated to enhancing patient care, teaching and research, and taking a leadership role as an integrated health care system. We recognize that increasing value and continuously improving quality are essential to maintaining excellence.