Neolytix
51 - 200 employees
💼 Consulting
📣 Marketing
📦 Logistics
Consulting • Marketing • Logistics
Neolytix is a Management Service Organization (MSO) dedicated to optimizing healthcare organizations through revenue and cost transformation. With over 11 years of experience, Neolytix supports independent healthcare providers by offering services such as Revenue Cycle Management, medical billing, practice marketing, and remote patient monitoring. Their goal is to enhance monthly collections, streamline office administration, and improve patient experiences, allowing physicians to focus more on providing quality care.
Patient Call Agent – Prior Authorization
🔥 4 minutes ago
Where this job comes from
Posted on Neolytix's careers page, not through a job board
First seen by Remote Rocketship 4 minutes ago
Neolytix
51 - 200 employees
💼 Consulting
📣 Marketing
📦 Logistics
Consulting • Marketing • Logistics
Neolytix is a Management Service Organization (MSO) dedicated to optimizing healthcare organizations through revenue and cost transformation. With over 11 years of experience, Neolytix supports independent healthcare providers by offering services such as Revenue Cycle Management, medical billing, practice marketing, and remote patient monitoring. Their goal is to enhance monthly collections, streamline office administration, and improve patient experiences, allowing physicians to focus more on providing quality care.
📋 Description
• Own the prior authorization lifecycle from submission through resolution • Submit authorization requests through payer portals and approved channels • Track requests, follow up with payers, manage escalations and deadlines • Collect and validate supporting clinical documentation and patient information • Support peer-to-peer reviews, denials, reconsiderations, and appeals • Work across EHR/EMR systems, payer portals, communication tools, and multiple queues • Enter data accurately, identify errors, complete forms, and maintain audit-ready documentation • Take inbound authorization-related calls from healthcare professionals • Assist insurance members with questions and clarification • Explain billing, benefits, and account details while verifying caller and account information • Manage high-volume queues and resolve issues patiently • Complete required HIPAA and security training while maintaining confidentiality and professionalism
🎯 Requirements
• Prior authorization experience in a healthcare BPO, hospital, clinic, payer-services team, or revenue cycle department • Experience with submitting authorization requests through payer portals and approved channels • Ability to collect and validate clinical documentation and patient information • Experience with payer follow-up, status tracking, escalations, deadlines, peer-to-peer reviews, denials, reconsiderations, and appeals • Proficiency with EHR/EMR systems, payer portals, communication tools, and multi-queue work environments • Accurate data entry and form completion • Ability to take inbound calls from nurses, physicians, office staff, and insurance members • Ability to explain billing, benefits, and account details clearly and professionally • Experience managing high-volume, multi-queue workloads with organization, prioritization, and SLA awareness • Ability to document interactions accurately and completely • Ability to maintain confidentiality and professionalism • Completion of required HIPAA and security training • US healthcare experience
🏖️ Benefits
• Meaningful work helping patients access needed care • Remote work from home • Fixed overnight schedule: 9PM–6AM PHT • Full-time employment
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