What are the responsibilities and job description for the Prior Authorization Specialist - Billing Coordinator position at Massachusetts General Hospital?
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 copays, deductibles, and outofpocket costs.
They will excel in a fastpaced environment, demonstrate professionalism on the phone, and can manage a high volume of patient and customer calls with courtesy and confidence. Strong attention to detail, accuracy in data entry, and the ability to identify and resolve discrepancies are essential. The ideal candidate is collaborative, dependable, and committed to supporting both patients and internal teams through clear communication and sound financial understanding.
Knowledge of Dental surgery and terminology is a plus.
Does this position require Patient Care?
No
Essential Functions
-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
Physical RequirementsStanding Occasionally (3-33%)
Walking Occasionally (3-33%)
Sitting Constantly (67-100%)
Lifting Occasionally (3-33%) 20lbs - 35lbs
Carrying Occasionally (3-33%) 20lbs - 35lbs
Pushing Rarely (Less than 2%)
Pulling Rarely (Less than 2%)
Climbing Rarely (Less than 2%)
Balancing Occasionally (3-33%)
Stooping Occasionally (3-33%)
Kneeling Rarely (Less than 2%)
Crouching Rarely (Less than 2%)
Crawling Rarely (Less than 2%)
Reaching Occasionally (3-33%)
Gross Manipulation (Handling) Constantly (67-100%)
Fine Manipulation (Fingering) Frequently (34-66%)
Feeling Constantly (67-100%)
Foot Use Rarely (Less than 2%)
Vision - Far Constantly (67-100%)
Vision - Near Constantly (67-100%)
Talking Constantly (67-100%)
Hearing Constantly (67-100%)
The General Hospital Corporation is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.
Massachusetts General Hospital is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. Applications from protected veterans and individuals with disabilities are strongly encouraged.
Education
High School Diploma or Equivalent required and Associate's Degree Financial Management preferred
Can this role accept experience in lieu of a degree?
No
Licenses and Credentials
Experience
Experience in healthcare finance, billing, auditing, or business administration 1-2 years preferred
Knowledge, Skills and Abilities
- 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.
Physical Requirements
The General Hospital Corporation is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.
Massachusetts General Hospital is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. Applications from protected veterans and individuals with disabilities are strongly encouraged.