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

NYX Health Group; Seattle (WA); 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 US-based role. You will handle insurance verifications and prior authorizations in EPIC, guiding submissions through to approval in a cancer infusion setting.

This is not an entry-level position; EPIC proficiency 4+ years is required. The role includes daily revenue cycle support, HIPAA compliance, and collaboration with care providers.

Qualifikationen

• 4+ years of infusion prior authorization experience.
• EPIC proficiency 4+ years is required.
• Experience with insurance verification and prior authorizations.
• Experience with EMR systems.

Aufgaben

• Perform PA submissions from start to approval.
• Communicate with insurers and clinicians about status.
• Maintain HIPAA compliance and support revenue cycle operations.

Kenntnisse

EPIC proficiency

Prior Authorization experience

Strong communication

Problem-solving

Organizational skills

TEAMS

Ausbildung

High School Diploma

Business/Healthcare education preferred

Tools

TEAMS

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