Located in Boston and the surrounding communities, Dana-Farber Cancer Institute brings together world renowned clinicians, innovative researchers and dedicated professionals, allies in the common mission of conquering cancer, HIV/AIDS and related diseases. Combining extremely talented people with the best technologies in a genuinely positive environment, we provide compassionate and comprehensive care to patients of all ages; we conduct research that advances treatment; we educate tomorrow's physician/researchers; we reach out to underserved members of our community; and we work with amazing partners, including other Harvard Medical School-affiliated hospitals.
The Prior Authorization Nurse Specialist will work within the Revenue Integrity & Billing Compliance team to bring additional clinical expertise to the prior authorization and appeals processes. The Nurse Specialist will be the clinical support person for high cost drug authorizations and off-label chemotherapy authorizations as well as have primary responsibility for appealing rejected claims to payers. The Nurse Specialist will serve as a liaison and patient advocate between the Dana-Farber and health insurance company representatives. This role requires a detail-oriented person who can manage multiple efforts to completion with minimal oversight.
Dana-Farber Cancer Institute is an equal opportunity employer and affirms the right of every qualified applicant to receive consideration for employment without regard to race, color, religion, sex, gender identity or expression, national origin, sexual orientation, genetic information, disability, age, ancestry, military service, protected veteran status, or other groups as protected by law.