[Hiring] Infusion Prior Authorization Specialist @Nyx Health

Role Description

We’re looking for an EXPERIENCED U.S. based Infusion Prior Authorization Specialist with extensive, hands-on experience working prior authorizations in EPIC to join our Cancer Infusion Team. EPIC proficiency 4+ years is required. This is not an entry-level training position, and candidates who require basic training on EPIC will not be considered.

You will be responsible for:

• Completing insurance verifications
• Submitting and tracking prior authorizations
• Gathering required documentation
• Communicating with insurance payors and clinicians
• Following authorizations through to approval while working within a dynamic team-oriented atmosphere

Key Responsibilities:

• Extensive hands-on proficiency in EPIC, including prior authorization workflows
• Extensive knowledge of Infusion PA management within a cancer center, including their authorization requirements, processes, and requirements
• Proven experience navigating complex insurance authorization requirements
• Ability to independently manage prior authorizations from submission through approval
• Communicate with providers and insurance companies regarding authorization status
• Maintain HIPAA compliance and support daily revenue cycle operations

Qualifications

• 4+ years of infusion prior authorization experience - Required
• Proficient in EPIC
• Strong communication, problem-solving, and organizational skills
• Detail-oriented, analytical, and able to multitask in a fast-paced environment
• Proficient in TEAMS

Requirements

• High School Diploma required; additional education in business or healthcare preferred
• Experience in prior authorization, utilization review, insurance verification, and EMR systems [preferred]
• Remote position
• Daily computer use during an 8 hr. shift; ability to lift up to 15 lbs.
• Reliable Internet
• Full Time M-F - 40 hour work week – NO WEEKENDS

Job Type, Schedule & Compensation

• Full-time, Monday–Friday, 8-hour day shift
• Pay: $21–$23 per hour, [With additional pay available for exceptional experience]
• High performers will also be eligible for a performance bonus incentive

Benefits

• Dental insurance
• Health Insurance
• Accrued Paid Time Off