Insurance/Authorization Review

The General Hospital Corporation; Newton (MA); On-site; USD 29,000 - 35,000; Full time

Job summary

Mass General Brigham’s Newton-Wellesley Hospital is seeking an Insurance Verification Clerk. You will verify coverage, collect patient insurance details, and coordinate prior authorizations to support timely reimbursements.

This onsite role requires a high school diploma, with an associate degree preferred, and 2–3 years of healthcare billing experience. Strong attention to detail and communication skills are essential.

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.
• Strong knowledge of insurance verification, claims processing, and reimbursement practices.
• Excellent attention to detail and effective communication skills.

Responsibilities

• Verify insurance coverage for services to confirm coverage under the patient’s plan.
• Collect and update patient insurance information, including policy numbers and dates.
• Obtain or clarify authorizations with insurance companies (pre-approvals/pre-certifications).
• Support accurate, timely claim submissions with billing and coding staff.
• Coordinate prior authorizations for procedures, tests, surgeries, and other services.
• Review denial-related documentation and assist with appeals and resubmission.

Skills

Insurance verification

Claims processing

Data entry

Communication skills

Education

High school diploma

Associate's degree preferred

Job description

Site: Newton-Wellesley Hospital

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

What You'll Bring

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 (if applicable)

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

Ready to make a difference? Join a supportive team where your work helps create an exceptional experience for patients every day. Come be part of the world's most powerful force in medicine-where every role matters in changing lives.

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

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.

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 perf