Patient Call Agent - Prior Authorization

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

Benefits offered by this job

Remote work

Fixed night shift

Job summary

Neolytix is seeking a Healthcare Associate to own the authorization lifecycle in a remote setting. You will submit, track, and support approvals through payer portals, collecting required clinical data and ensuring timely resolutions.

You will navigate EHR/EMR systems, manage inquiries from providers and members, and maintain audit-ready documentation. HIPAA training and confidentiality are essential in this fast-paced, multi-queue role.

Qualifications

• Prior authorization experience in healthcare settings.
• Familiarity with payer portals and EMR/EHR systems.
• Strong organizational skills and ability to meet deadlines.
• Excellent communication with providers and patients.

Responsibilities

• Submit authorization requests through payer portals and track to resolution.
• Collect and validate clinical docs and patient information.
• Manage payer follow-up, status tracking, escalations, and deadlines.
• Support peer-to-peer reviews, denials, reconsiderations, and appeals.
• Work across EHR/EMR systems and payer portals.
• Enter data accurately and keep documentation audit-ready.
• Take inbound calls from healthcare professionals with questions.
• Explain billing, benefits, and account details to callers clearly.
• Manage high-volume, multi-queue workload with SLA awareness.
• Document every interaction completely and accurately.
• Maintain confidentiality and complete HIPAA/security training.

Skills

Prior authorization

Healthcare experience

BPO/Healthcare setting

Customer service

Tools

EHR/EMR systems

Payer portals

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.

WHY APPLY?

Gain a meaningful work, as you're the person standing between a patient and the care they need. This is arole built around the skills you already have. If prior authorization is a language you already speak fluently, we'd love to hear from you!