Remote Insurance Verification & Authorization Specialist

Mass General Brigham Incorporated; Somerville (MA); On-site; USD 28,929 - 38,572; Full time

Job summary

Mass General Brigham Incorporated is seeking an Insurance Verification Representative to act as a liaison between the hospital, insurers, and patients to ensure proper coordination and reimbursement for healthcare services.

You will verify coverage, obtain pre-authorizations, and assist in navigating the claim process. The role emphasizes education for patients on benefits and financial responsibilities, while ensuring compliant billing practices and timely processing.

Qualifications

• Verify insurance coverage and eligibility before procedures and hospital admissions.
• Obtain pre-authorization for procedures, surgeries, and tests.
• Coordinate with providers to ensure accurate documentation for claims.

Responsibilities

• Verify insurance coverage and eligibility for procedures.
• Obtain pre-authorizations from insurers for medical services.
• Educate patients on insurance benefits, coverage limits, and costs.
• Process and submit claims accurately and timely per regulations.

Skills

Insurance verification

Pre-authorization

Medical billing

ICD-10 coding

CPT coding

Communication

Education

High School Diploma

Associate's Degree (Related Field)

Tools

Epic systems

Billing software

Job description

Mass General Brigham Incorporated is seeking an Insurance Verification Representative to act as a liaison between the hospital, insurers, and patients to ensure proper coordination and reimbursement for healthcare services.

You will verify coverage, obtain pre-authorizations, and assist in navigating the claim process. The role emphasizes education for patients on benefits and financial responsibilities, while ensuring compliant billing practices and timely processing.