Remote Insurance Coordinator, Radiation Oncology

Brigham and Women's Hospital; Boston (MA); Hybrid; USD 26,000 - 50,000; Full time

Job summary

Brigham and Women's Hospital is seeking a detail-oriented Insurance Coordinator to support our Radiation Oncology program. This role offers the opportunity to become a subject matter expert in oncology authorizations, collaborate with multidisciplinary clinical teams, and ensure patients receive timely access to advanced radiation therapies.

This position is primarily REMOTE, but may require an on-site meeting once per quarter.

Qualifications

• High School Diploma or GED required; an Associate's degree or higher preferred.
• Minimum of 5 years of healthcare experience.
• Knowledge of third-party payers; ICD-10 and CPT knowledge a plus.
• Anatomy, physiology, and medical terminology knowledge desired.

Responsibilities

• Serve as the department's subject matter expert on insurance authorizations for radiation treatments (e.g., Proton, IMRT, VMAT, SRS, SBRT, 3D).
• Determine patient eligibility and secure prior authorizations and pre-determinations from third‑party payers.
• Collaborate with physicians to coordinate peer‑to‑peer reviews and draft letters of medical necessity.
• Proactively inform patients and providers of coverage issues before appointments are scheduled.
• Manage denied claims, guide staff on appeals, and overturn denials when possible.
• Maintain accurate records of referrals, authorizations, and billing using Epic and other systems.
• Attend weekly Proton rounds and managed care meetings to communicate updates.
• Optimize patient scheduling and treatment slot utilization using department tools.
• Support billing and charge review processes, including cost estimates for international patients.

Skills

Outlook

Word

Excel

Customer service

Communication

Organizational skills

Independent work

Education

High School Diploma or GED

Associates Degree or higher

Tools

Epic

Job description

Brigham and Women's Hospital is seeking a detail-oriented Insurance Coordinator to support our Radiation Oncology program. This role offers the opportunity to become a subject matter expert in oncology authorizations, collaborate with multidisciplinary clinical teams, and ensure patients receive timely access to advanced radiation therapies.

This position is primarily REMOTE, but may require an on-site meeting once per quarter.