Remote Prior Authorization Specialist – Patient Access

Boston Medical Center; United States; Remote; USD 25,000 - 31,000; Part time

Benefits offered by this job

Flexible Spending Accounts

403(b) savings matches

Paid time off

Job summary

Boston Medical Center is seeking a part-time Prior Authorization Specialist to work remotely. The role involves screening prior authorization requests and coordinating with various stakeholders for financial clearance in the healthcare system.

Responsibilities include processing requests, managing patient information, and ensuring compliance with authorization standards to optimize hospital reimbursement. Ideal candidates will have customer service experience and knowledge of insurance verification processes.

Qualifications

• 4-5 years of office experience in a healthcare setting.
• Experience using insurance payer websites like Blue Cross Blue Shield, Medicare.
• Ability to handle high volume of requests with accuracy.

Responsibilities

• Process incoming Prior Authorization requests and authorize specified services.
• Coordinate with clinicians and staff for financial clearance.
• Ensure timely access to care while maximizing hospital reimbursement.

Skills

Customer service experience

Insurance verification

Data entry

Knowledge of medical terminology

Education

High school diploma or GED

Associate’s Degree or higher

Tools

Epic

Microsoft Suite (Excel, Word, Outlook)

Job description

Boston Medical Center is seeking a part-time Prior Authorization Specialist to work remotely. The role involves screening prior authorization requests and coordinating with various stakeholders for financial clearance in the healthcare system.

Responsibilities include processing requests, managing patient information, and ensuring compliance with authorization standards to optimize hospital reimbursement. Ideal candidates will have customer service experience and knowledge of insurance verification processes.