Documentation & Prior Authorization Coordinator

Location: Boston, MA; full-time hybrid

Salary: $60,000–$70,000 per year

Company

hirify.global is an AI-native healthcare platform that combines clinical oversight and technology to support family caregivers and improve care delivery at home.

What you will do

• Collect, review, verify, and track IDs, caregiver certifications, MassHealth/MCO documentation, licenses, and clinical records such as 485s and LMNs.
• Guide families, caregivers, and provider offices through documentation and onboarding by phone, fax, text, and email.
• Check documents for accuracy, completeness, and compliance to help prevent denials.
• Maintain AbbyOS and Salesforce V3 records, monitor expiring documents, and send timely reminders.
• Handle approximately 50–70 inbound and outbound calls per day while maintaining empathy, professionalism, and efficiency.
• Collaborate with onboarding, credentialing, and family support teams while protecting patient and caregiver information under HIPAA requirements.

Requirements

• Experience in customer service, administrative support, healthcare operations, patient advocacy, insurance coordination, or a similar healthcare support role.
• Familiarity with HIPAA, Medicaid, and healthcare documentation standards.
• Ability to manage high-volume calls and perform repetitive documentation tasks accurately in a fast-paced environment.
• Strong attention to detail, organization, deadline management, and cross-checking of hours and dates across documents.
• Excellent verbal and written communication skills with a compassionate, professional approach to patients, families, and caregivers.
• Strong process improvement mindset and focus on operational efficiency.

Nice to have

• Prior authorization experience and broader healthcare industry exposure.
• Experience with Salesforce V3 and fax-based document workflows.
• Spanish fluency.
• Associate or bachelor’s degree in a healthcare-related field.
• Knowledge of medical and insurance authorization terminology.

Culture & Benefits

• Medical, dental, and vision coverage, including a $0-deductible PPO and company-funded HSA.
• Employer-paid life and disability insurance, plus HSA, optional FSA, and commuter benefits.
• Paid time off, 10 paid company holidays, and up to 10 weeks of paid parental leave based on tenure.
• 401(k) account fees are fully covered; no employer match is currently offered.
• Mission-driven startup culture centered on family-first care, urgency with precision, resourcefulness, positivity, and improving healthcare systems.