Remote Prior Authorization Specialist | Provider CSR

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

Job summary

Diverse Lynx, LLC is seeking a detail-oriented Prior Authorization Specialist / Provider CSR to support provider enablement activities in a remote (work from home) setup. The role focuses on pre-authorization processes, back-office operations, and administrative support within healthcare workflows.

The ideal candidate will have experience with medical platforms, ICD-10/CPT coding, and strong documentation skills, enabling efficient remote collaboration with providers and internal teams.

Qualifications

• High School Diploma or equivalent (documentation required).
• Minimum 1 year of work-from-home experience with high-speed internet.
• At least 1 year of experience with back-office medical platforms and/or authorization systems.
• Minimum 1 year of experience in the healthcare industry (hospital, physician’s office, or clinical setting).
• Working knowledge of medical terminology, ICD-10 and CPT 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, CPT).
• 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

Healthcare terminology

ICD-10 codes

CPT codes

Administrative support

Remote work experience

Education

High School Diploma

Tools

Outlook

Microsoft Teams

Word

Excel

Job description

Diverse Lynx, LLC is seeking a detail-oriented Prior Authorization Specialist / Provider CSR to support provider enablement activities in a remote (work from home) setup. The role focuses on pre-authorization processes, back-office operations, and administrative support within healthcare workflows.

The ideal candidate will have experience with medical platforms, ICD-10/CPT coding, and strong documentation skills, enabling efficient remote collaboration with providers and internal teams.