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
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.
Key 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.
Qualifications
High School Diploma or GED required. Associates Degree or higher preferred
EXPERIENCE:
-Minimum of 5 years of healthcare experience
-Knowledge of third party payers Knowledge of ICD10 and CPT coding a plus
-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
SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:
-Basic knowledge of Outlook, word and excel. Will train in department database system.
-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
The right candidate must have a positive attitude, quick mind, and thrive with working under strict timelines.
Additional Job Details (if applicable)
Remote Type
Work Location
Pay Range
$19.37 - $27.71/HourlyGrade
4At 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:
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.
Skills Required
- High school diploma or GED
- Minimum of 5 years of healthcare experience
- Knowledge of third-party payers
- Basic knowledge of anatomy and physiology
- Medical terminology knowledge
- Ability to use Microsoft Outlook, Word, and Excel at a basic level
- Ability to work independently and prioritize work
- Excellent customer service and communication skills
- Good organizational skills and ability to manage multiple tasks
- Associate degree or higher
- Knowledge of ICD-10 and CPT coding
- Medical coding knowledge
What We Do
Mass General Brigham is an integrated academic health care system, uniting great minds to solve the hardest problems in medicine for our communities and the world. Mass General Brigham connects a full continuum of care across a system of academic medical centers, community and specialty hospitals, a health insurance plan, physician networks, community health centers, home care, and long-term care services. Mass General Brigham is a nonprofit organization that is committed to patient care, research, teaching, and service to the community. In addition, Mass General Brigham is one of the nation’s leading biomedical research organizations and a principal teaching affiliate of Harvard Medical School.
