[Hiring] Prior Authorization & Benefits Verification Specialist @Infinx

Role Description

This remote Prior Authorization Specialist supports the Patient Access Onshore department in various functions, insurance verification, and coordinating prior authorization requests for medical services. This position is critical in facilitating timely patient access to healthcare by managing prior authorization processes. This role involves:

• Contacting payers for eligibility and benefit information to include authorization requirements
• Obtaining prior authorizations and pre-certifications
• Submitting complete and accurate authorization requests
• Following up and resolving pending authorization requests
• Maintaining documentation of authorization activity
• Staying current on payer prior authorization requirements

Qualifications

• High School Diploma or equivalent
• 2+ years of experience in prior authorization and insurance eligibility/benefits verification
• Experience verifying coverage, deductibles, copays, coinsurance, and authorization requirements
• Ability to submit and track authorization requests, follow up with payers, and coordinate supporting documentation with provider offices
• Familiarity with medical terminology, CPT/ICD-10 codes, payer portals, and electronic health record systems
• Strong attention to detail, communication, organization, and follow-up skills
• Ability to manage multiple requests, meet turnaround times, and maintain patient confidentiality
• Experience with radiology/imaging and laboratory services preferred
• Experience resolving authorization denials and supporting appeals preferred

Benefits

• Access to a 401(k) Retirement Savings Plan
• Comprehensive Medical, Dental, and Vision Coverage
• Paid Time Off
• Paid Holidays
• Additional benefits, including Pet Care Coverage, Employee Assistance Program (EAP), and discounted services