Radiology Prior Authorization Specialist – Fast-Paced Impact

Dana-Farber Cancer Institute, Inc.; Brookline (MA); On-site; USD 44,000 - 48,000; Full time

Job summary

Dana-Farber Cancer Institute in Boston is seeking a Radiology Authorization Specialist to manage medical necessity-based authorizations for diagnostic imaging, applying payer guidelines, and retrieving clinical documents from the EMR.

The role requires strong knowledge of medical terminology, payer rules, and the ability to work independently in a fast-paced setting, with a focus on accuracy and customer service. Prior authorization experience in healthcare is preferred.

Qualifications

• High school diploma or equivalent; associate or bachelor’s degree preferred.
• 1 year of relevant hospital or ambulatory experience, including prior authorization and billing.

Responsibilities

• Review and manage all radiology prior authorization requests.
• Verify insurance eligibility and benefits.
• Prepare payer-specific requests and interpret medical policies.
• Assess medical documentation to meet policy criteria.
• Communicate with health plans to resolve issues.
• Follow up on denied/pended claims and appeals.
• Provide excellent patient service and document interactions.
• Perform other related duties as assigned.

Skills

Payer rules

Medical terminology

Analytical thinking

MS Office

Prior authorization

Education

High school diploma or equivalent

Associate or Bachelor's degree preferred

Tools

EMR systems

Job description

Dana-Farber Cancer Institute in Boston is seeking a Radiology Authorization Specialist to manage medical necessity-based authorizations for diagnostic imaging, applying payer guidelines, and retrieving clinical documents from the EMR.

The role requires strong knowledge of medical terminology, payer rules, and the ability to work independently in a fast-paced setting, with a focus on accuracy and customer service. Prior authorization experience in healthcare is preferred.