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

NYX Health Group; Dallas (TX); À distance; USD 29 000 - 32 000; Plein temps

Avantages offerts par ce poste

Health Insurance

Résumé du poste

NYX Health Group is seeking an experienced Infusion Prior Authorization Specialist for a remote, full-time role on our Cancer Infusion Team. EPIC proficiency (4+ years) is required; this is not an entry-level position.

You will complete insurance verifications, submit and track prior authorizations, collect documentation, and communicate with payors and clinicians while ensuring HIPAA compliance and supporting revenue cycle operations.

Qualifications

• 4+ years of infusion prior authorization experience -Required
• Experience with EPIC prior authorizations and workflows
• Knowledge of infusion PA management in a cancer center
• Ability to manage prior authorizations from submission to approval
• HIPAA compliance and revenue cycle support

Responsabilités

• Extensive hands-on proficiency in EPIC, including PA workflows
• Independent management of prior authorizations from submission to approval
• Communicate with providers and insurance companies regarding status
• Maintain HIPAA compliance and support daily revenue cycle operations

Connaissances

EPIC proficiency

Strong communication

Organizational skills

TEAMS

Formation

High School Diploma

Healthcare/business education preferred

Outils

TEAMS

Description du poste

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