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Intake Prior Authorization Jobs in Boston, MA (NOW HIRING)

Vinfen

Intake Engagement & Billing Specialist

Lowell, MA · On-site +1

$51K/yr

Overview The Intake, Engagement & Billing Specialist plays a key role in supporting access to ... prior authorization and reauthorization activities, and supporting billing-related functions. This ...

OneDigital

Intake & Distribution Clerk

Beverly, MA

Unsolicited resumes or candidate profiles sent to OneDigital without a prior signed agreement will ... Coordinate collection of ACH authorization forms, banking information, and tax filing ...

OneDigital

Intake & Distribution Clerk

Beverly, MA · On-site

Unsolicited resumes or candidate profiles sent to OneDigital without a prior signed agreement will ... Coordinate collection of ACH authorization forms, banking information, and tax filing ...

OneDigital

Intake & Distribution Clerk

Beverly, MA · On-site

Unsolicited resumes or candidate profiles sent to OneDigital without a prior signed agreement will ... Coordinate collection of ACH authorization forms, banking information, and tax filing ...

UHS

Intake Clinician (MA/MSW)

Jamaica Plain, MA

$65K - $89K/yr

... and intake process, facilitates the admission process and maintains communication with referral ... The Admissions Clinician is responsible for the verification and prior authorization of insurance ...

UHS

Intake Clinician (MA/MSW)

Jamaica Plain, MA · On-site

$65K - $89K/yr

... and intake process, facilitates the admission process and maintains communication with referral ... The Admissions Clinician is responsible for the verification and prior authorization of insurance ...

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All JobsIntake Prior Authorization JobsIntake Prior Authorization Jobs in Boston, MA

Intake Prior Authorization information

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How much do intake prior authorization jobs pay per hour?

As of Aug 25, 2026, the average hourly pay for intake prior authorization in Boston, MA is $22.61, according to ZipRecruiter salary data. Most workers in this role earn between $18.56 and $24.81 per hour, depending on experience, location, and employer.

What is an intake prior authorization specialist?

An Intake Prior Authorization Specialist is a healthcare professional responsible for processing and obtaining prior authorizations for medical procedures, medications, or services. They review requests from healthcare providers to ensure that the necessary documentation is provided and that the requested services meet insurance guidelines. This specialist acts as a liaison between providers, patients, and insurance companies to facilitate timely approvals and avoid delays in patient care. Their work helps ensure insurance coverage and compliance with healthcare regulations.

What are the key skills and qualifications needed to thrive as an intake prior authorization specialist?

To thrive as an Intake Prior Authorization Specialist, you need a strong understanding of insurance policies, medical terminology, and healthcare processes, often supported by a background in healthcare administration or a related field. Familiarity with prior authorization software, electronic medical records (EMRs), and payer portals is essential. Attention to detail, problem-solving abilities, and effective communication are crucial soft skills for navigating complex insurance requirements and collaborating with providers. These skills ensure timely and accurate processing of prior authorizations, reducing delays in patient care and supporting organizational efficiency.

What are some common challenges faced in an intake prior authorization role, and how can they be managed?

Professionals in Intake Prior Authorization often navigate high volumes of requests, rapidly changing insurance guidelines, and tight turnaround times. Staying organized, maintaining up-to-date knowledge of payer requirements, and using strong communication skills can help manage these challenges. Collaborating closely with clinical and administrative teams is also key to ensuring timely and accurate processing of authorizations. Regular training and support from experienced colleagues can further ease the transition into this fast-paced environment.

What is the difference between Intake Prior Authorization vs Medical Office Assistant?

AspectIntake Prior AuthorizationMedical Office Assistant
CredentialsTypically requires knowledge of insurance policies, medical terminology, and sometimes certification in healthcare administrationHigh school diploma or equivalent; may have medical assisting certification
Work EnvironmentHealthcare facilities, insurance companies, or specialty clinicsMedical offices, clinics, hospitals
Primary ResponsibilitiesReviewing insurance requirements, obtaining prior authorizations, verifying patient insuranceScheduling appointments, patient check-in, data entry, administrative support

Intake Prior Authorization specialists focus on insurance approval processes, while Medical Office Assistants handle broader administrative tasks. Both roles are essential in healthcare settings but serve different functions related to patient intake and administrative support.

What are popular job titles related to Intake Prior Authorization jobs in Boston, MA?

For Intake Prior Authorization jobs in Boston, MA, the most frequently searched job titles are:

What job categories do people searching Intake Prior Authorization jobs in Boston, MA look for?

The top searched job categories for Intake Prior Authorization jobs in Boston, MA are:

Intake Prior Authorization jobs near you

Intake and Authorization Coordinator

Epic Nursing Services

Brockton, MA • On-site

$22 - $24/hr

Full-time

Re-posted 8 days ago

Job description

About Us
Epic Nursing Services, LLC is a growing home care agency providing Adult Foster Care (AFC) and Group Adult Foster Care (GAFC) services across Massachusetts. We are committed to delivering person-centered care while maintaining the highest standards of compliance and operational excellence.
Position Overview
We are seeking a highly organized and proactive Intake & Authorization Coordinator to manage the full intake process-from referral to enrollment-and ensure all members maintain continuous authorization for services.
This role is critical to the organization's growth and revenue, as it directly impacts admissions, compliance, and continuity of care.
Key Responsibilities
Referral Management & Follow-Up
  • Follow up with hospitals, physician offices, and referral sources
  • Collect required documentation (Provider Orders, clinical notes, etc.)
  • Ensure timely conversion of referrals into active members

Insurance Verification
  • Verify MassHealth and managed care eligibility
  • Confirm program eligibility (AFC / GAFC)
  • Identify and resolve eligibility issues early

Care Coordination
  • Coordinate with Nurse Case Managers to schedule:
    • Initial assessments
    • Reassessments
  • Ensure timely completion of required visits

Authorization & Compliance Tracking
  • Track initial and ongoing prior authorizations (PAs)
  • Monitor expiration dates and prevent lapses
  • Work closely with Compliance and Nursing teams

Documentation Management
  • Ensure all intake and member documentation is:
    • Complete
    • Accurate
    • Submitted on time

Key Performance Indicators (KPIs)
  • Referral → Admission Conversion Rate
  • Time from Referral to Admission
  • % of Complete Intake Packets (first submission)
  • Authorization Lapse Rate (target: 0%)

Qualifications
Required:
  • 1+ year experience in healthcare intake, coordination, or administrative role
  • Strong organizational and follow-up skills
  • Ability to manage multiple cases simultaneously
  • Excellent communication skills

Preferred:
  • Experience with MassHealth, AFC, GAFC, or home care
  • Familiarity with EHR systems (e.g., Ritiko)
  • Bilingual (Spanish, Portuguese, or Haitian Creole)

What We're Looking For
  • Someone who takes ownership and follows through
  • A problem-solver who doesn't need step-by-step direction
  • Ability to work independently and move tasks forward quickly
  • Strong attention to detail and compliance

Compensation & Benefits
  • Competitive hourly pay ($22-$24/hour)
  • Growth opportunities within a rapidly expanding organization

Apply