Prior Authorization Specialist, Neurology

Mass General Brigham Innovation
Boston, MA
Category Healthcare
Job Description
Role Overview

The Prior Authorization Specialist II supports the Department of Neurology's revenue cycle operations, with a primary focus on prior authorizations, referrals, insurance eligibility verification, and resolution of authorization-related denials.

What You Will Do

Obtain insurance authorizations, ensure accurate documentation, and facilitate referral and prior authorization requests with payers and specialty pharmacies.

Why It Might Be a Fit

The role requires strong attention to detail, effective communication skills, and the ability to navigate complex insurance and authorization processes.

Requirements

  • Experience in medical authorization or a related field 2-3 years required
  • Epic experience 0-1 year preferred
  • Excellent attention to detail and organizational skills
  • Strong communication and interpersonal skills
  • Knowledge of medical terminology and medical insurance benefits
  • Familiarity with computer systems and databases

Benefits

  • Comprehensive benefits
  • Career advancement opportunities
  • Differentials
  • Premiums
  • Bonuses
  • Recognition programs
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