Remote Prior Authorization Specialist – Part-Time

Boston Medical Center (BMC); United States; Remote; USD 36,000 - 43,000; Part time

Job summary

Boston Medical Center is seeking a Remote Prior Authorization Specialist I to join the Insurance Verification team. The role involves screening prior authorizations, coordinating services, and ensuring accurate patient data and referrals within Epic and payer systems.

The position emphasizes quality, productivity, and compliance while supporting clinicians and patients across multiple departments. Applicants should have a high school diploma or GED, with Associate degree preferred, and

Qualifications

• Handles high-volume data entry with accuracy.
• Experience with insurance verification and prior authorization workflows.

Responsibilities

• Prioritizes and processes pre-authorization requests.
• Verifies member eligibility and coordinates with clinicians and payers.
• Escalates complex cases to clinicians or supervisors as needed.
• Maintains knowledge of insurance requirements and referral processes.
• Demonstrates strong customer service while handling inquiries via phone and email.

Skills

Bilingual

Data entry

Education

High school diploma or GED

Associate degree or higher

Tools

Epic

Job description

Boston Medical Center is seeking a Remote Prior Authorization Specialist I to join the Insurance Verification team. The role involves screening prior authorizations, coordinating services, and ensuring accurate patient data and referrals within Epic and payer systems.

The position emphasizes quality, productivity, and compliance while supporting clinicians and patients across multiple departments. Applicants should have a high school diploma or GED, with Associate degree preferred, and