Prior Authorization Specialist - Billing Coordinator

Mass General Brigham; Boston (MA); On-site; USD 27,290 - 38,986; Full time

Benefits offered by this job

Competitive base pay

Comprehensive benefits

Career advancement opportunities

Job summary

Mass General Brigham is seeking a professional for healthcare finance operations in Boston, MA. The role entails overseeing financial records, conducting audits, and responding to patient inquiries about insurance verification. Candidates should possess a high school diploma, ideally with an associate's degree in financial management, and have 1-2 years of experience in healthcare finance or related fields. Exceptional communication skills and attention to detail are essential for success in this fast-paced environment. This is an onsite position with comprehensive benefits.

Qualifications

• 1-2 years experience in healthcare finance, billing, auditing, or business administration is preferred.
• Strong understanding of dental benefits packages.
• Understanding of general accounting principles.

Responsibilities

• Oversee and administer financial/business records and systems.
• Perform financial audits in support of department operations.
• Prepare reports by gathering data and running queries.
• Identify significant data quality concerns to management.
• Respond promptly to customer inquiries.

Skills

Analytical skills

Mathematical skills

Communication skills

Attention to detail

Computer skills (MS Office)

Education

High School Diploma or Equivalent

Associate's Degree in Financial Management

Job description

Site: The General Hospital Corporation

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

The ideal candidate brings a strong background in healthcare or hospital financial operations, with proven experience in patient insurance verification, including confirming eligibility, benefits, and coverage details across multiple payers. They are comfortable working directly with patients and can navigate sensitive financial conversations with empathy and clarity, especially when discussing co‑pays, deductibles, and out‑of‑pocket costs. They will excel in a fast‑paced environment, demonstrate professionalism on the phone, and can manage a high volume of patient and customer calls with courtesy and confidence. Strong attention to detail, accuracy in data entry, and the ability to identify and resolve discrepancies are essential. The ideal candidate is collaborative, dependable, and committed to supporting both patients and internal teams through clear communication and sound financial understanding. Knowledge of dental surgery and terminology is a plus.

Essential Functions

• Oversees, coordinates and administers the financial/business records, systems and processes
• Performs financial/business data audits in support of department operations
• Prepares reports by running queries, gathering data from systems and compiling the information into useful forms
• Corrects and updates systems with appropriate data per department policies and procedures
• Identifies and escalates significant data quality concerns to management
• Responds to customer inquiries timely and courteously

Qualifications

Education: High School Diploma or Equivalent required and Associate's Degree in Financial Management preferred. Can this role accept experience in lieu of a degree? No.

Experience: Experience in healthcare finance, billing, auditing, or business administration 1‑2 years preferred.

Knowledge, Skills and Abilities

• Good analytical and mathematical skills.
• Strong understanding of dental benefits packages.
• Excellent communication skills.
• Basic computer skills and competency in MS Office Suite.
• Understanding of general accounting principles.
• Strong attention to detail and organization.

Physical Requirements

• Standing Occasionally (3‑33%)
• Walking Occasionally (3‑33%)
• Sitting Constantly (67‑100%)
• Lifting Occasionally (3‑33%) 20lbs - 35lbs
• Carrying Occasionally (3‑33%) 20lbs - 35lbs
• Pushing Rarely (Less than 2%)
• Pulling Rarely (Less than 2%)
• Climbing Rarely (Less than 2%)
• Balancing Occasionally (3‑33%)
• Stooping Occasionally (3‑33%)
• Kneeling Rarely (Less than 2%)
• Crouching Rarely (Less than 2%)
• Crawling Rarely (Less than 2%)
• Reaching Occasionally (3‑33%)
• Gross Manipulation (Handling) Constantly (67‑100%)
• Fine Manipulation (Fingering) Frequently (34‑66%)
• Feeling Constantly (67‑100%)
• Foot Use Rarely (Less than 2%)
• Vision - Far Constantly (67‑100%)
• Vision - Near Constantly (67‑100%)
• Talking Constantly (67‑100%)
• Hearing Constantly (67‑100%)

Remote Type: Onsite

Work Location: 165 Cambridge Street

Scheduled Weekly Hours: 40

Employee Type: Regular

Work Shift: Day (United States of America)

Pay Range: $19.81 - $28.30/Hourly

Grade: 3

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.

1200 The General Hospital Corporation 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 Veterans 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.