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

NYX Health Group; Miami (FL); Remote; USD 44,000 - 48,000; Full time

Benefits offered by this job

Health Insurance

Job summary

NYX Health Group, a U.S.-based healthcare provider, seeks an experienced Infusion Prior Authorization Specialist for a remote, full-time position. EPIC proficiency and 4+ years of infusion prior authorization experience are required.

You will verify insurance, submit and track prior authorizations, gather documentation, and communicate with payors and clinicians while supporting daily revenue cycle operations in a team-oriented Cancer Infusion setting.

Qualifications

• 4+ years of infusion prior authorization experience required.
• Experience with insurance verification and prior authorizations.
• Proficient in EMR systems and utilization review.
• Strong communication and organizational skills.

Responsibilities

• Complete insurance verifications and submit prior authorizations.
• Track authorizations from submission to approval.
• Communicate with payors and clinicians about status.
• Support revenue cycle operations.

Skills

EPIC proficiency

Infusion PA management

Communication skills

Problem-solving

Organizational skills

Multitasking

Education

High School Diploma

Healthcare/Business education preferred

Tools

TEAMS

Job description

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