Prior Authorization Specialist - Contact Center (Fully Remote)

Baystate Health; United States; Remote; USD 45,000 - 60,000; Full time

Job summary

Baystate Health is hiring for a remote role serving Massachusetts and Connecticut. You will process referrals and prior authorizations, ensuring accurate documentation while monitoring denials and communicating decisions to providers and patients.

The position requires 1–3 years of medical insurance knowledge, proficiency with EMR, Excel, and Microsoft Office, and Spanish language skills are a plus. Fully remote work option is available for eligible candidates in the Northeast, with benefits

Qualifications

• 1–3 years of medical insurance knowledge required.
• Proficient in Microsoft Office, Excel and EMR systems.
• Bilingual Spanish is a plus.

Responsibilities

• Process referrals and prior authorizations with accurate, timely documentation.
• Monitor denials, manage referrals, and communicate decisions to providers and patients.

Skills

Medical Insurance

Medical Terminology

Tools

EMR

Microsoft Office

Excel

Job description

• Process referrals and prior authorizations, ensuring accurate, timely documentation.
• Monitor denials, manage referrals, and communicate decisions to providers and patients.

Who You Are:

• Bring 1-3 years of medical insurance knowledge and medical terminology skills.
• Proficient in Microsoft Office, Excel, and EMR; bilingual Spanish a plus.

Why Baystate Health:

• Fully remote role for candidates in Massachusetts and Connecticut.
• Enjoy medical, dental, vision, tuition assistance, and retirement savings.

Baystate Health

Baystate Health is an integrated healthcare system serving western Massachusetts. With 12,000 employees and a community-focused culture, it includes five hospitals and offers career growth.