Prior Authorization Rn Jobs in Massachusetts (NOW HIRING)

Site: The General Hospital Corporation
Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.
Job Summary
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.
They will excel in a fast-paced 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
Qualifications
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.
Additional Job Details (if applicable)
Physical Requirements

Standing 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%)

Remote Type
Onsite
Work Location
165 Cambridge Street
Scheduled Weekly Hours
40
Employee Type
Regular
Work Shift
Day (United States of America)
Pay Range
$21 - $28.30/Hourly
Grade
3
At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, 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. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.
EEO Statement:
1200 The General Hospital Corporation is an Equal Opportunity Employer. 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. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.
Mass General Brigham Competency Framework
At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.