Insurance Coordinator

Mass General Brigham•Boston, MA

2d•$19 - $36•Hybrid

About The Position

Brigham and Women's Hospital is seeking a detail-oriented Insurance Coordinator to support our Radiation Oncology program. This role offers the opportunity to become a subject matter expert in complex oncology authorizations, collaborate with multidisciplinary clinical teams, and play an essential role in ensuring patients receive timely access to advanced radiation therapies. This position is primarily REMOTE, but may require an on-site meeting once per quarter. The full pay range is $19.37 - $27.71 - $36.05 hourly. Under the general supervision of the Administrative Manager and according to the established policies and procedures, the Insurance specialist is responsible for overseeing the Radiation Oncology authorization process. Working very closely with nurses, physicians and other clinical staff members to ensure a quality-based, customer-oriented flow of work throughout the practice. Handles all aspects of insurance issues and assists patients with all the financial aspects of their visit. Serves as the subject matter expert in radiation oncology authorizations, and is the resource person for support staff, intake manager and all clinical staff.

Requirements

High School Diploma or GED required.
Minimum of 5 years of healthcare experience
Knowledge of third party payers
Basic knowledge of Outlook, word and excel.
Ability of work independently and prioritize work.
Excellent customer service and communication skills
Good organizational skills required to handle multiple tasks in a busy environment
Must have basic knowledge of Anatomy and Physiology
Medical terminology and medical coding knowledge desired.
Willingness to continually learn and grow as a member of a Team and Department
The right candidate must have a positive attitude, quick mind, and thrive with working under strict timelines.

Nice To Haves

Associates Degree or higher preferred
Knowledge of ICD10 and CPT coding a plus

Responsibilities

Serve as the department’s subject matter expert on insurance authorizations for radiation treatments (e.g., Proton, IMRT, VMAT, SRS, SBRT, 3D).
Determine patient eligibility and secure prior authorizations and pre-determinations from third-party payers.
Collaborate with physicians to coordinate peer-to-peer reviews and draft letters of medical necessity.
Proactively inform patients and providers of coverage issues before appointments are scheduled.
Manage denied claims, guide staff on appeals, and work to overturn denials successfully.
Maintain accurate records of referrals, authorizations, and billing transactions using Epic and other systems.
Attend weekly Proton rounds and managed care meetings to communicate insurance updates and treatment availability.
Optimize patient scheduling and treatment slot utilization using departmental tools.
Support billing and charge review processes, including generating cost estimates for international patients.