Prior Authorization Specialist

Summary

Join Infinx, a rapidly growing technology company, as a remote Prior Authorization Specialist supporting the Patient Access Onshore department. You will be responsible for insurance verification and coordinating prior authorization requests for medical services, ensuring timely patient access to care. This critical role involves contacting payors, checking authorization requirements, collecting documentation, submitting requests, and tracking status. Experience in physical therapy, occupational therapy, or speech therapy is essential. Infinx offers a comprehensive benefits package including flexible work hours, 401k, medical, dental, vision, paid time off, paid holidays, and additional perks.

Requirements

• 2+ years of experience in healthcare administration or prior authorization processes
• 1+ years of prior authorization experience in physical therapy, occupational therapy, and/or speech therapy
• Experience reviewing and processing prior authorization requests for medical procedures and services
• Ability to collaborate with healthcare providers and payers to resolve prior authorization issues and appeals

Responsibilities

• Contacting payors for eligibility and benefit information to include authorization requirements
• Obtain prior authorizations and pre-certifications
• Submit complete and accurate authorization requests
• Follow up and resolve pending authorization requests
• Maintain documentation of authorization activity
• Stay current on payer prior authorization requirements

Preferred Qualifications

Medical Assistant Certification or 5 years experience in a providers office setting processing prior authorizations

Benefits

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