Neurology Prior Authorization Expert

2200 The Brigham and Women's Hospital, Inc.; Boston (MA); On-site; USD 55,000 - 75,000; Full time

Job summary

The Brigham and Women's Hospital, Inc. seeks a Prior Authorization Specialist II to support Neurology revenue cycle operations with authorizations, referrals, and eligibility verification.

You will work with providers and clinical staff to ensure timely processing of payer requirements and maintain accurate documentation within Epic. This role requires strong attention to detail, effective communication, and ability to navigate complex insurance processes while providing high-quality customer

Qualifications

• High School Diploma or Equivalent required.
• 2–3 years experience in medical authorization or related field.
• Epic experience preferred (0–1 year).

Responsibilities

• Obtain insurance authorizations prior to patient services.
• Manage referrals and verify eligibility in Epic and payer systems.
• Assist with denials, appeals, and documentation to support authorization requirements.
• Maintain accurate documentation of authorization and referral activity in Epic.
• Collaborate with providers and staff to gather necessary information for authorization requests.
• Back up other Specialists and administrative staff as needed.

Skills

Attention to detail

Communication

Medical terminology

Insurance benefits knowledge

Team collaboration

Fast-paced environment

Education

High School Diploma or Equivalent

Tools

Epic

Job description

The Brigham and Women's Hospital, Inc. seeks a Prior Authorization Specialist II to support Neurology revenue cycle operations with authorizations, referrals, and eligibility verification.

You will work with providers and clinical staff to ensure timely processing of payer requirements and maintain accurate documentation within Epic. This role requires strong attention to detail, effective communication, and ability to navigate complex insurance processes while providing high-quality customer