Remote Prior Authorization Representative - 259406
$26 - $28 per hourMedix
Remote Prior Authorization Representative
$26–$28/hr | Fully Remote | Monday–Friday, 9:00 AM–6:00 PM EST
Please ensure you read the below overview and requirements for this employment opportunity completely.
Medix is hiring 3 Prior Authorization Representatives to support Thesis Care and its outpatient specialty practices.
This is a hands-on authorization role for someone who already understands the process and is comfortable working in a fast-moving environment.
The 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
What You'll Be Doing
- Review physician orders and medical documentation
- Submit prior authorization requests for specialty procedures, services, imaging, and medications
- Work with commercial and government insurance plans
- Follow up with payers on pending authorizations
- Resolve authorization issues and documentation gaps
- Track cases through completion
- Document all authorization activity accurately
- Work with internal clinical and operations teams when questions or escalations come up
The team's long-term goal is approximately 40 cases per day , with productivity ramping after training.
What We Need
- 3+ years of prior authorization experience
- Strong commercial insurance experience
- Medicare/Medicaid experience is a plus
- Experience with outpatient specialty authorizations
- Comfortable working directly with payers
- Strong computer skills
- Able to manage a high-volume queue and stay organized
- Comfortable working independently and asking questions when needed
eClinicalWorks experience is preferred.
What to Expect
Training is expected to be about one week , followed by a fairly quick transition into the actual workload.
Thesis 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. xhyhwjd
Position Details
Pay: $26–$28/hour
Schedule: Monday–Friday, 9:00 AM–6:00 PM EST
Location: Fully remote
Contract: Initial 3-month W-2 contract through Medix
Payroll: Weekly
Benefits: Eligibility after 30 days
Equipment: Company-provided
Remote working/work at home options are available for this role.
Vacancy posted 2 days ago
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