Prior Authorization Specialist at Diverse Lynx United States

Diverse Lynx; United States; Remote; USD 19,000 - 28,000; Full time

Job summary

Diverse Lynx LLC is seeking a detail-oriented Prior Authorization Specialist to support provider enablement activities in a remote, work-from-home environment. The role focuses on pre-authorization processes and administrative support in healthcare operations.

Ideal candidates have experience with ICD-10, Medicare/Medicaid, and strong computer skills (Outlook, Teams, Word, Excel). This full-time position requires 40 hours weekly with weekend shifts within CST hours.

Qualifications

• High School Diploma or equivalent (documentation required).
• Working knowledge of medical terminology, ICD-10 and Eligible to work codes, Medicare and/or Medicaid services.
• Professional experience in clerical or administrative support roles.
• Ability to quickly learn and adapt to new systems and applications.
• Proficiency in using computers/laptops and tools such as Outlook, Microsoft Teams (including screen sharing), Word, and Excel.

Responsibilities

• Handle pre-authorization processes and related back-office operations.
• Perform backend administrative tasks and outbound/inbound calling activities as required.
• Work with medical platforms and authorization systems to process requests.
• Review and verify healthcare documentation and coding (ICD-10, Eligible to work).
• Coordinate with internal teams and providers to ensure timely approvals.
• Maintain accurate records and documentation.
• Perform administrative and clerical support tasks as needed.
• Utilize multiple systems and applications efficiently in a remote setup.

Skills

Medical terminology

ICD-10

Medicare/Medicaid knowledge

Clerical/administrative support

Education

High School Diploma or equivalent

Tools

Outlook

Microsoft Teams

Word

Excel

Job description

Prior Authorization Specialist

Location: Remote (Work from Home)

Employment Type: Full-Time

Pay rate: $17/hour

Work Schedule: This is a full-time role requiring 40 hours per week. Candidates must be flexible to work Saturday shifts as part of the weekly schedule. Operational Hours: Monday to Sunday, 7:00 AM – 7:00 PM CST (shift will be assigned within this window). Training Schedule: Monday to Friday, 9:30 AM – 6:00 PM CST.

Job Summary: We are seeking a detail-oriented and experienced Pre-Authorization Specialist to support provider enablement activities. The ideal candidate will have a strong background in healthcare operations, authorization processes, and administrative support, along with the ability to work efficiently in a remote environment.

Key Responsibilities

• Handle pre-authorization processes and related back-office operations
• Perform both backend administrative tasks and outbound/inbound calling activities as required
• Work with medical platforms and authorization systems to process requests
• Review and verify healthcare documentation and coding (ICD-10, Eligible to work)
• Coordinate with internal teams and providers to ensure timely approvals
• Maintain accurate records and documentation
• Perform administrative and clerical support tasks as needed
• Utilize multiple systems and applications efficiently in a remote setup

Basic Requirements

• High School Diploma or equivalent (documentation required)
• Working knowledge of medical terminology, ICD-10 and Eligible to work codes, Medicare and/or Medicaid services
• Professional experience in clerical or administrative support roles
• Ability to quickly learn and adapt to new systems and applications
• Proficiency in using computers/laptops and tools such as Outlook, Microsoft Teams (including screen sharing), Word, and Excel

Disclaimer: Diverse Lynx LLC is an Equal Opportunity Employer. All applicants and employees are evaluated without discrimination, based solely on their qualifications, ability, competence and performance.

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