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

NYX Health Group; Philadelphia (Philadelphia County); Remote; USD 29,000 - 32,000; Full time

Benefits offered by this job

Health Insurance

Job summary

NYSE Health Group seeks an experienced Infusion Prior Authorization Specialist to join the Cancer Infusion Team. This U.S.-based, remote role requires 4+ years working with EPIC prior authorizations and excludes entry-level training.

You will verify insurance, submit and track PA requests, gather documents, communicate with payors and clinicians, and ensure approvals while supporting the revenue cycle in a team-driven environment.

Qualifications

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

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.
• 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

Communication

Problem-solving

Organizational skills

Detail-oriented

Multitasking

Education

High School Diploma

Tools

EPIC

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