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Remote Prior Authorization Analyst Jobs in Boston, MA

Onco360

Pharmacy Prior Authorization Specialist

Waltham, MA · On-site +1

$22.25 - $29/hr

Remote work possible after initial on-site training. Why Join Us? * A career with purpose: Help ... Manage prior authorization requests and appeals with insurance carriers. * Collaborate with ...

YO AI Labs

AI Consulting Expert - Remote

Boston, MA · Remote

$100 - $200/hr

Remote Job Overview We are seeking experienced AI Consulting Domain Experts to contribute their ... No prior AI experience is required--your consulting expertise, analytical thinking, and ...

YO AI Labs

AI Consulting Expert - Remote

Boston, MA · Remote

$100 - $200/hr

Remote Job Overview We are seeking experienced AI Consulting Domain Experts to contribute their ... No prior AI experience is required--your consulting expertise, analytical thinking, and ...

YO AI Labs

AI Consulting Expert - Remote

Boston, MA · Remote

$100 - $200/hr

Remote Job Overview We are seeking experienced AI Consulting Domain Experts to contribute their ... No prior AI experience is required--your consulting expertise, analytical thinking, and ...

Huntington

Collateral Analyst Sr

Boston, MA · On-site +1

$27.40 - $62.50/hr

Prior ABL, Commercial Banking experience or Accounting experience #LI-DK1 #CML Exempt Status: (Yes ... Remote roles will also have the opportunity to come together in our offices for moments that matter.

Huntington

Collateral Analyst Sr

Boston, MA · On-site +1

$27.40 - $62.50/hr

Prior ABL, Commercial Banking experience or Accounting experience #LI-DK1 #CML Exempt Status: (Yes ... Remote roles will also have the opportunity to come together in our offices for moments that matter.

Huntington

Collateral Analyst Sr

Boston, MA · On-site +1

$27.40 - $54.33/hr

Prior ABL, Commercial Banking experience or Accounting experience #LI-DK1 #CML Exempt Status: (Yes ... Remote roles will also have the opportunity to come together in our offices for moments that matter.

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All JobsPrior Authorization Analyst JobsRemote Prior Authorization Analyst JobsRemote Prior Authorization Analyst Jobs in Boston, MA

Remote Prior Authorization Analyst information

See Boston, MA salary details

$33.7K

$79.6K

$141.2K

How much do remote prior authorization analyst jobs pay per year?

As of Aug 21, 2026, the average yearly pay for remote prior authorization analyst in Boston, MA is $79,591.00, according to ZipRecruiter salary data. Most workers in this role earn between $57,000.00 and $94,500.00 per year, depending on experience, location, and employer.

What is the difference between Remote Prior Authorization Analyst vs Remote Claims Processor?

AspectRemote Prior Authorization AnalystRemote Claims Processor
Required CredentialsHealthcare certifications, knowledge of insurance policiesBasic insurance knowledge, data entry skills
Work EnvironmentHome office, healthcare or insurance companiesHome office, insurance companies or third-party administrators
Employer & IndustryHospitals, insurance providers, healthcare organizationsInsurance companies, third-party claims firms
Common Search/ComparisonYesYes

The Remote Prior Authorization Analyst and Remote Claims Processor roles both operate in the healthcare insurance industry and often require knowledge of insurance policies. However, the analyst focuses on obtaining prior approvals for treatments, while the claims processor handles the processing of insurance claims after services are rendered. Both roles are typically remote, involve working within healthcare or insurance organizations, and are frequently compared by job seekers seeking similar positions in the industry.

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

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

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

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

What cities near Boston, MA are hiring for Remote Prior Authorization Analyst jobs?

Cities near Boston, MA with the most Remote Prior Authorization Analyst job openings:

Remote Prior Authorization Analyst jobs near you
Infographic showing various Remote Prior Authorization Analyst job openings in Boston, MA as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 18% Part Time, 1% Temporary, and 3% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $79,591 per year, or $38.3 per hour.

Prior Authorization Specialist

Massgeneralbrigham

Somerville, MA • Remote

$28.30/hr

Full-time

Medical

Posted 3 days ago

New

Job description

Site: Mass General Brigham Incorporated


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

Summary
Reviews and processes prior authorization and referral requests for medical services in accordance with organizational policies and payer requirements. Ensures insurance eligibility, coordination of benefits, siteofcare compliance, and medical necessity by gathering and submitting complete medical documentation in alignment with HIPAA standards. Accurately documents authorization outcomes and all payer communications in the electronic health record.
Essential Functions
-Work as part of a group to secure insurance authorizations in an appropriate timeframe. Collects and accurately enters information required by third parties for precertification for procedures, tests and imaging.
-When unclear, collaborates with ordering clinicians to ensure the proper CPT codes are submitted for prior authorization or referrals.
-Refer patients to financial counseling, as appropriate.
-Inform patient of authorization concerns prior to admission/procedure, coordinating with appropriate parties to facilitate authorization as appropriate, collaborating with other departments/offices to resolve complex authorization issues.
-Update authorization status in system and complete workflow.
-Respond to internal and external inquiries regarding authorization decisions and provide explanations as needed.


Qualifications

Education

  • High School Diploma or Equivalent required


Experience

  • Medical authorization or related field experience 1-2 years preferred
  • Epic experience 0-1 year preferred


Knowledge, Skills and Abilities

  • - Excellent attention to detail and organizational skills.
  • - Strong communication and interpersonal skills.
  • - Knowledge of medical terminology and medical insurance benefits, including a complete understanding of the coordination of benefits.
  • - Familiarity with computer systems and databases.
  • - Ability to work independently and as part of a team.
  • - Ability to work in a fast-paced environment.

Additional Job Details (if applicable)

Remote Model Requirements

  • Remote
  • M-F Eastern business hours required
  • Employees must use a stable, secure, and compliant workstation in a quiet environment. Teams video is required and must be accessed using MGB-provided equipment.


Remote Type

Remote


Work Location

399 Revolution Drive


Scheduled Weekly Hours

40


Employee Type

Regular


Work Shift

Day (United States of America)


Pay Range

$ - $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:

0100 Mass General Brigham Incorporated 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.

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