*New - Radiology Prior Authorization Specialist – Remote Position – Full Time

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

Benefits offered by this job

Health Insurance

Job summary

NYX Health Group is seeking an experienced Radiology Prior Authorization Specialist for a remote, full-time role in the United States. You will handle prior authorizations in EPIC, verify insurance, and communicate with payors and clinicians to move cases to approval.

The position requires 4+ years of radiology PA experience and EPIC proficiency. Strong organization, communication, and problem-solving skills are essential, with adherence to HIPAA and revenue cycle processes.

Qualifications

• 4+ years of Radiology prior authorization experience within EPIC required.
• Experience with prior authorization, utilization review, insurance verification and EMR systems.
• High attention to detail and the ability to multitask in a fast-paced environment.

Responsibilities

• Extensive hands-on proficiency in EPIC, including prior authorization and insurance verification.
• Independently manage prior authorizations from submission through to approval.

Skills

Communication

Problem-solving

Organizational skills

Detail-oriented

Multitasking

HIPAA compliance

Education

High School Diploma

Business or healthcare education preferred

Tools

EPIC

TEAMS

Job description

Radiology Prior Authorization Specialist – Remote Position – Full Time

Position Summary

We’re looking for an EXPERIENCED U.S. based Radiology Prior Authorization Specialist with extensive, hands‑on experience working prior authorizations in EPIC to join our Prior Authorization 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 and insurance verification.
• Extensive knowledge of Radiology PA management within a Hospital, including their authorization requirements, processes, and requirements.
• Proven experience navigating complex insurance authorization requirements for Ultrasound, MRI, CT, Nuclear Med and PET.
• 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 Radiology prior authorization experience within EPIC -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