Remote Prior Authorization Specialist

Healing Strides Counseling; 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

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.