Remote Prior Authorization Specialist

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

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.