Prior Authorization Specialist

Summary

Join Infinx, a fast-growing company delivering innovative technology solutions to healthcare providers, as a remote Prior Authorization Specialist. You will support the Patient Access department by verifying insurance and coordinating prior authorization requests for medical services, ensuring timely patient access to care. Responsibilities include contacting payors for benefit information, submitting authorization requests, tracking status, and maintaining documentation. Experience in physical therapy, occupational therapy, or speech therapy is essential. Infinx offers a supportive and inclusive workplace culture, along with competitive benefits.

Requirements

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

Responsibilities

• Contact 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
• Assist in other duties as assigned

Preferred Qualifications

• Medical Assistant Certification or 5 years experience in a providers office setting processing prior authorizations
• Bachelor's degree in Healthcare Administration, Business Administration, or a related field

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
• Flexible work hours when possible