Remote Prior Authorization Specialist – Night Shift

Neolytix; United States; Remote; USD 25,000 - 39,000; Full time

Benefits offered by this job

Remote work

Job summary

Neolytix is seeking 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.

This remote, full-time role requires owning the authorization lifecycle and navigating across EHR/EMR systems and payer portals to keep care moving. You will handle questions, data entry, and case management with HIPAA compliance.

Responsibilities

• 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.
• 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.
• 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.

Skills

Prior authorization knowledge

Job description

Neolytix is seeking 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.

This remote, full-time role requires owning the authorization lifecycle and navigating across EHR/EMR systems and payer portals to keep care moving. You will handle questions, data entry, and case management with HIPAA compliance.