Prior Authorization Specialist - Beverly

BILH (Beth Israel Lahey Health)

Beverly, MA, US
Base: $20.50 - $27.59 ph; bonus/equity: not specif...
Verify insurance eligibility
Obtain payer authorizations
Use medical necessity protocols
When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives

Job Summary

  • When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.
  • This position completes all financial clearance activities for services rendered in outpatient departments and ensures medical necessity and authorization requirements are met.
  • Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.

Matching Summary

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.

Salary

Base: $20.50 - $27.59 per hour; Bonus/Equity: Not specified; Benefits: Not specified

Skills & Requirements

Must-have

  • Verify insurance eligibility
  • Obtain payer authorizations
  • Use medical necessity protocols
  • Coordinate with clinical and revenue teams
  • Maintain compliance with healthcare policies
  • Advanced Microsoft applications skills

Nice-to-have

  • Knowledge of payer policies
  • Experience with Craneware software
  • Team collaboration skills
  • High level customer service
  • Problem solving and decision making

Key Requirements

  • High School diploma or GED required
  • 1-3 years related work experience
  • Knowledge of CPT, HCPCS, ICD-9, ICD-10 coding
  • Associate's degree preferred
  • 3+ years related experience preferred
  • Prior experience in Financial Clearance activities
  • Must be vaccinated against influenza

Work Rights

Influenza vaccination required

Tailored Resume

Cover Letter