Neurology Prior Authorization Specialist — Hybrid

Mass General Brigham Incorporated; Boston (MA); Hybrid; USD 65,000 - 90,000; Full time

Benefits offered by this job

Hybrid work model

Job summary

Mass General Brigham Incorporated is seeking a Prior Authorization Specialist II in Neurology to support the department's revenue cycle. The role focuses on authorizations, referrals, eligibility verification, and denial management, ensuring timely processing and accurate documentation.

Collaborate with providers and clerical staff to obtain necessary information, process complex requests, and escalate issues as needed. Hybrid schedule with involvement across Boston sites.

Qualifications

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

Responsibilities

• Obtain insurance authorizations prior to patient services.
• Verify demographics and insurance details in payer systems.
• Process referrals and eligibility checks to support authorizations.

Skills

Attention to detail

Communication skills

Medical terminology

EHR systems

Teamwork

Independent work

Education

High School Diploma or Equivalent

Tools

Epic

NEHEN

Job description

Mass General Brigham Incorporated is seeking a Prior Authorization Specialist II in Neurology to support the department's revenue cycle. The role focuses on authorizations, referrals, eligibility verification, and denial management, ensuring timely processing and accurate documentation.

Collaborate with providers and clerical staff to obtain necessary information, process complex requests, and escalate issues as needed. Hybrid schedule with involvement across Boston sites.