Remote Prior Authorization Representative - 259406
$26 - $28 per hourMedix™
Yonkers, NY
- Remote job
Job Description
Remote Prior Authorization Representative
\n$26–$28/hr | Fully Remote | Monday–Friday, 9:00 AM–6:00 PM EST
\n \nMedix is hiring a Prior Authorization Representative to support a Growing HealthTech company and its outpatient specialty practice clients.
\n \nThis is a hands-on authorization role for someone who already understands the process and is comfortable working in a fast-moving environment.
\nThe team supports prior authorization workflows across a variety of outpatient specialties, including gastroenterology, endocrinology, behavioral health, neurology, telehealth, cardiology, imaging, specialty medications, and other specialty services .
\n \nWhat You’ll Be Doing
\n- \n
- Review physician orders and medical documentation \n
- Submit prior authorization requests for specialty procedures, services, imaging, and medications \n
- Work with commercial and government insurance plans \n
- Follow up with payers on pending authorizations \n
- Resolve authorization issues and documentation gaps \n
- Track cases through completion \n
- Document all authorization activity accurately \n
- Work with internal clinical and operations teams when questions or escalations come up \n
The team’s long-term goal is approximately 40 cases per day , with productivity ramping after training.
\n \nWhat We Need
\n- \n
- 3+ years of prior authorization experience \n
- Strong commercial insurance experience \n
- Medicare/Medicaid experience is a plus \n
- Experience with outpatient specialty authorizations \n
- Comfortable working directly with payers \n
- Strong computer skills \n
- Able to manage a high-volume queue and stay organized \n
- Comfortable working independently and asking questions when needed \n
eClinicalWorks experience is preferred.
\n \nWhat to Expect
\nTraining is expected to be about one to two week , followed by a fairly quick transition into the actual workload.
\nThesis moves quickly. You’ll have support, but the expectation is to ask questions, learn the workflow, apply feedback, and become more independent as you get comfortable.
\n \nPosition Details
\nPay: $26–$28/hour
\nSchedule: Monday–Friday, 9:00 AM–6:00 PM EST
\nLocation: Fully remote
\nContract: Initial 3-month W-2 contract through Medix
\nPayroll: Weekly
\nBenefits: Eligibility after 30 days
\nEquipment: Company-provided
\nVacancy posted 12 days ago
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