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

NYX Health Group; Portland (OR); Remote; USD 29,000 - 32,000; Full time

Benefits offered by this job

Health Insurance

Job summary

NYX Health Group is seeking an experienced Infusion Prior Authorization Specialist based in the United States for a remote, full-time role. The candidate will handle insurance verifications, submit and track prior authorizations, gather documentation, and communicate with payors and clinicians, following authorizations through to approval in a fast-paced Cancer Infusion Team.

The ideal candidate has 4+ years infusion PA experience, EPIC proficiency, strong communication skills, and is able to

Qualifications

• 4+ years of infusion prior authorization experience -Required
• Extensive hands-on proficiency in EPIC and prior authorization workflows
• Strong communication, problem-solving, and organizational skills
• Detail-oriented, analytical, and able to multitask in a fast-paced environment

Responsibilities

• Complete insurance verifications, submit and track prior authorizations
• Gather required documentation and communicate with insurance payors and clinicians
• Follow authorizations through to approval while working within a team
• Maintain HIPAA compliance and support daily revenue cycle operations

Skills

Strong communication

Problem-solving

Organizational skills

Multitasking

TEAMS

Education

High School Diploma

Business or healthcare education preferred

Tools

EPIC

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