Prior Authorization Specialist - Billing Coordinator

About the role

The ideal candidate brings a strong background in healthcare or hospital financial operations, with proven experience in patient insurance verification, including confirming eligibility, benefits, and coverage details across multiple payers. They are comfortable working directly with patients and can navigate sensitive financial conversations with empathy and clarity, especially when discussing co‑pays, deductibles, and out‑of‑pocket costs.

Responsibilities

• Oversees, coordinates and administers the financial/business records, systems and processes
• Performs financial/business data audits in support of department operations
• Prepares reports by running queries, gathering data from systems and compiling the information into useful forms
• Corrects and updates systems with appropriate data per department policies and procedures
• Identifies and escalates significant data quality concerns to management
• Respond to customer inquires timely and courteously

Requirements

• Experience in healthcare finance, billing, auditing, or business administration 1-2 years preferred
• Good analytical and mathematical skills
• Strong understanding of Dental Benefits packages
• Excellent communication skills
• Basic computer skills and competency in MS Office Suite
• Understanding of general accounting principles
• Strong attention to detail and organization

Qualifications

• High School Diploma or Equivalent required and Associate's Degree Financial Management preferred

Skills

• Good analytical and mathematical skills
• Strong understanding of Dental Benefits packages
• Excellent communication skills
• Basic computer skills and competency in MS Office Suite
• Understanding of general accounting principles
• Strong attention to detail and organization

Benefits

At Mass General Brigham, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth.

Pay

$21 - $28.30/Hourly Grade 3

Schedule

Day (United States of America)