Patient Care Agent – Blended Account

🔥 5 minutes ago

🇵🇭 Philippines – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

✨ Patient Care

👻 Ghost score 20%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Neolytix

WebsiteLinkedInAll Job Openings

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 authorization lifecycle from request submission through resolution • Submit authorization requests through payer portals and approved channels • Track requests, manage payer follow-up, escalations, and deadlines • Collect and validate clinical documentation and patient information • Support peer-to-peer reviews, denials, reconsiderations, and appeals • Work across EHR/EMR systems, payer portals, communication tools, and multi-queue environments • Enter data accurately, complete forms, and maintain audit-ready documentation • Take inbound authorization-related calls from nurses, physicians, and office staff • Assist insurance members with questions and clarification • Explain billing, benefits, and account details clearly and professionally • Verify caller and account information before processing requests • Manage high-volume queues while meeting SLAs • Document every interaction and resolve issues patiently • Maintain confidentiality and professionalism

🎯 Requirements

• Prior authorization experience in a healthcare BPO, hospital, clinic, payer-services team, or revenue cycle department • Experience with prior authorization workflows and the authorization lifecycle • Ability to submit 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 • Confidence using EHR/EMR systems, payer portals, communication tools, and multi-queue work environments • Accurate data entry and form completion; ability to identify errors • Ability to take inbound calls from healthcare professionals and assist insurance members • Knowledge of billing, benefits, and account details • Ability to manage high-volume, multi-queue workloads with organization, prioritization, and SLA awareness • Ability to document interactions accurately and maintain audit-ready records • Ability to maintain confidentiality and professionalism • Completion of required HIPAA and security training • Experience in US healthcare

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