Prior Authorization Specialist

Note: The compensation range(s) in the table below represent the base salaries for all positions at a given grade across the health system. Typically, a new hire can expect a starting salary somewhere in the lower part of the range. Actual salaries may vary by position and will be determined based on the candidate's relevant experience. No employee will be paid below the minimum of the range. Pay ranges are listed as hourly for non-exempt employees and based on assumed full time commitment for exempt employees.

Minimum - Midpoint - Maximum

Baystate Health, a nationally recognized leader in healthcare quality and safety, and home to Baystate Medical Practices, the largest multispecialty group in the region is looking for a part-time Prior Authorization Specialist to join our experienced Pulmonary team in Springfield, MA.

RESPONSIBILITIES:

The Prior Authorization Specialist is responsible for obtaining authorizations to ensure reimbursement for pulmonary specialty services and testing provided throughout Baystate Health. Demonstrates excellent communication, strong customer service, critical thinking, and problem-solving skills, insurance knowledge. Completes all appropriate forms, applications, and information for departmental statistics. Accurately manages the referral and authorization process. Able to secure authorization and necessary documentation to ensure patient care is not impacted and meets time-sensitive requests. Is pro-active in troubleshooting instances which could result in great financial loss. Demonstrates excellent customer service skills and works in a positive manner for collaboration and clear communication between providers, staff, insurers, and families. The specialist works closely with the appropriate clinical team members for information gathering and patient data. Participates in departmental meetings and meets all timelines for reports. Meets turnaround expectations for majority of prior authorization approvals.

SCHEDULE:

• Part-time, 20 hours a week, Monday through Friday
• 4 hrs/day, start and end time can be flexible
• NO weekends, NO holidays
• Hybrid opportunity; candidate must live in MA or CT

LOCATION:

• 3300 Main St.
• Springfield, MA

THE ADVANTAGES OF WORKING WITH BAYSTATE!

• Sign on bonus (Sign on Bonuses are paid to external hires only; not applicable for internal or company transfers, unless otherwise specified. Former employees are eligible after 1 year post separation from Baystate Health)
• Excellent Compensation High-quality, low-cost medical, dental and vision insurance
• Generous PTO – up to 25 days in the first year, with scheduled earned increases
• Continuing education support and reimbursement
• First Time Home Buyers Financial Packages
• Farm Share Memberships
• 403b retirement company match & annual company contribution increase based on years of service
• Free money coach advice from a certified professional
• Wellbeing programs that include but are not limited to mental, physical, and financial health
• Pet, home, auto and personal insurance
• Life insurance
• Reimbursement for a variety of wellbeing activities, included but limited to gym membership and equipment, personal trainer, massage and so much more!
• Wellbeing programs that include but are not limited to mental, physical, and financial health
• Baystate Health, western Massachusetts’ only academic center and tertiary care provider has a long and proud tradition of continuous learning and improvement. We educate and train hundreds of healthcare workers every year and advance knowledge about new approaches to care. At Baystate Health we know that treating one another with dignity and equity is what elevates respect for our patients and staff.  We are committed to increasing diverse representation across our organization. Together our inspired and compassionate teams manage the whole health needs of all communities in need.

QUALIFICATIONS: 

• High School diploma or GED
• 1-3 years of medical insurance knowledge/experience

Education:

Certifications:

Equal Employment Opportunity Employer