Prior Authorization Specialist – Per Diem

Boston Medical Center (BMC)

Prior Authorization Specialist managing screening and coordination of services requests at Boston Medical Center. Responsible for financial clearance and collaboration with stakeholders for patient services access.

Posted 7/23/2026part-timeRemote • 🇺🇸 United StatesMid-LevelSenior💰 $25 - $31 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in the financial clearance process, including prior authorization, insurance verification, and referral authorizations. Proficient in navigating insurance payer websites and maintaining compliance with performance standards.

Highest-signal resume keywords

Prior Authorization ExperienceInsurance VerificationFinancial Clearance ProcessCustomer Service ExperienceBilingual

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Data EntryICD-9 CodingCPT CodingReferral AuthorizationsThird Party Billing Procedures

Soft Skills

CollaborationCommunication

Tools & Technologies

Microsoft ExcelMicrosoft WordMicrosoft OutlookZoomInsurance Payer Websites

Industry Keywords

Health Care OfficeHigh Volume Data EntryCustomer Service Call CenterMedical Terminology

About the role

Key responsibilities & impact

Responsible for screening prior-authorization and coordination of specialized services requests
Adheres to policies and procedures to comply with performance and compliance standards
Authorizes specified services under supervision according to departmental guidelines
Forwards specified requests to clinicians for review and processing
Answers ACD line calls from providers and departments and redirects as needed
Coordinates financial clearance activities by navigating pre-registration, obtaining referral authorizations
Maintains current knowledge of network resources for referrals and member needs
Collaborates with stakeholders in the financial clearance process

Requirements

What you’ll need

High school diploma or GED required
Associate’s Degree or higher preferred
4-5 years of office experience in high volume data entry, customer service call center, or health care office
Experience using Insurance payer websites (i.e Blue Cross Blue Shield, Medicare, etc.)
Customer service experience preferred
Experience with insurance verification, prior authorization, pre-certification, and financial clearance process.
Bilingual preferred
Knowledge of financial clearance process
Familiarity with insurances, referral authorizations and third party billing procedures.
Knowledge of basic medical terminology and ICD-9/CPT coding is helpful.
Basic computer proficiency including Microsoft Suite applications, specifically Excel, Word, Outlook, and Zoom.

Benefits

Comp & perks

Health insurance
Dental insurance
Vision insurance
Flexible Spending Accounts
403(b) savings matches
Earned time cash out
Paid time off
Career advancement opportunities
Resources to support employee and family wellbeing