Patient Access Specialist - Healthcare Account

Neolytix; United States; Remote; USD 25,000 - 36,000; Full time

Job summary

Neolytix is hiring a Healthcare Associate to manage the authorization lifecycle across payer portals and EHR/EMR systems. You will collect clinical data, confirm details, and communicate with healthcare professionals to ensure timely approvals.

The role requires experience in prior authorization and strong data entry with HIPAA compliance. This remote, full-time position follows a fixed schedule aligned with 9PM-6AM PHT, suitable for US operations.

Qualifications

• Experience with prior authorization workflows in healthcare settings.
• Proficient data entry with attention to detail and accuracy.
• Familiarity with HIPAA regulations and privacy practices.

Responsibilities

• Own the authorization lifecycle from submission to resolution.
• Navigate across EHR/EMR systems and payer portals to collect needed information.
• Track follow-ups, escalations, and deadlines to prevent delays.
• Assist with reviews, denials, reconsiderations, and appeals when needed.

Skills

Prior authorization

Data entry

HIPAA compliance

EHR/EMR systems

Payer portals

Customer service

Multi-queue management

SLA awareness

Documentation accuracy

Job description

REMOTE (WFH) | FULL-TIME | 9PM-6AM PHT (FIXED SCHEDULE)

Neolytix is looking for a Healthcare Associate who already knows the prior authorization world inside and out— in a healthcare BPO, a hospital, a clinic, a payer-services team, or a revenue cycle department — and can step in already knowing how the work goes.

WHAT YOU WILL DO:

Own the authorization lifecycle

• Submit authorization requests through payer portals and other approved channels, and track them through to resolution.
• Collect and validate clinical documentation and patient information needed to support each request.
• Manage payer follow-up, status tracking, escalations, and deadlines so nothing slips through the cracks.
• Support peer-to-peer reviews, denials, reconsiderations, and appeals when a request needs a second look.

Navigate the systems that keep care moving

• Work confidently across EHR/EMR systems, payer portals, communication tools, and multi-queue work environments.
• Enter data accurately, spot errors before they become problems, complete forms correctly the first time, and keep documentation audit-ready.
• Take inbound calls from healthcare professionals — nurses, physicians, and office staff — with authorization-related questions, and professionally assist insurance members who need help or clarification.
• Explain billing, benefits, and account details to callers clearly and professionally, verifying caller and account information against records before processing any request.

Keep the queue under control

• Manage a high-volume, multi-queue workload with strong organization, time prioritization, and SLA awareness.
• Document every interaction completely and accurately, and resolve issues patiently — including with callers who need extra time or a simpler explanation.
• Maintain confidentiality and professionalism at all times, and complete required HIPAA and security training.