Remote Prior Authorization Specialist

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

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.