*New - Infusion Prior Authorization Specialist – Remote Position – (Experienced)

NYX Health Group; Dallas (TX); Remote; USD 29.000 - 32.000; Vollzeit

Benefits dieser Stelle

Health Insurance

Zusammenfassung

NYX Health Group is seeking an experienced Infusion Prior Authorization Specialist for a remote, full-time role within the Cancer Infusion Team. The ideal candidate has 4+ years of infusion PA experience, expert EPIC proficiency, and the ability to manage authorizations from submission to approval while maintaining HIPAA compliance.

You will verify insurance, gather documentation, coordinate with payors and clinicians, and monitor authorizations through to final approval in a fast-paced,

Qualifikationen

• 4+ years of infusion prior authorization experience required.
• Proven EPIC proficiency and prior authorization workflows.
• Strong communication, problem-solving, and organizational skills.

Aufgaben

• Perform insurance verifications and submit prior authorizations.
• Track and follow authorizations through to approval.
• Communicate with providers and payors regarding status.
• Ensure HIPAA compliance and support revenue cycle operations.

Kenntnisse

EPIC

TEAMS

Ausbildung

High School Diploma

Healthcare/Business education preferred

Tools

EMR Systems

Jobbeschreibung

Infusion Prior Authorization Specialist – Remote Position – Full Time

Position Summary

We’re looking for an EXPERIENCED U.S. based Infusion Prior Authorization Specialist with extensive, hands-on experience working prior authorizations in EPIC to join our Cancer Infusion Team. EPIC proficiency 4+ years is required. This is not an entry-level training position, and candidates who require basic training on EPIC will not be considered. You will be responsible for completing insurance verifications, submitting, and tracking prior authorizations, gathering required documentation, communicating with insurance payors and clinicians, and following authorizations through to approval while working within a dynamic team-oriented atmosphere.

Key Responsibilities:

• Extensive hands-on proficiency in EPIC, including prior authorization workflows.
• Extensive knowledge of Infusion PA management within a cancer center, including their authorization requirements, processes, and requirements.
• Ability to independently manage prior authorizations from submission through approval.
• Communicate with providers and insurance companies regarding authorization status.
• Maintain HIPAA compliance and support daily revenue cycle operations.

Skills & Qualifications

• 4+ years of infusion prior authorization experience -Required
• Strong communication, problem-solving, and organizational skills.
• Detail-oriented, analytical, and able to multitask in a fast-paced environment.
• Proficient in TEAMS

Education & Experience

• High School Diploma required; additional education in business or healthcare preferred.
• Experience in prior authorization, utilization review, insurance verification, and EMR systems.

[ preferred]

Work Environment & Physical Requirements

• Remote position
• Daily computer use during an 8 hr. shift; ability to lift up to 15 lbs.
• Reliable Internet
• Full Time M-F - 40 hour work week – NO WEEKENDS

Job Type, Schedule & Compensation

Pay: $21–$23 per hour, [With additional pay available for exceptional experience.]

High performers will also be eligible for a performance bonus incentive.

• Health Insurance