Patient Care Agent - Blended Account

REMOTE (WFH) | FULL-TIME | 9PM-6AM PHT (FIXED SCHEDULE)

Neolytix is looking for a Healthcare Associate who already knows the prior authorization world inside and out — in a healthcare BPO, a hospital, a clinic, a payer-services team, or a revenue cycle department — and can step in already knowing how the work goes.

WHAT YOU WILL DO:

Own the authorization lifecycle
- Submit authorization requests through payer portals and other approved channels, and track them through to resolution.

- Collect and validate clinical documentation and patient information needed to support each request.

- Manage payer follow-up, status tracking, escalations, and deadlines so nothing slips through the cracks.

- Support peer-to-peer reviews, denials, reconsiderations, and appeals when a request needs a second look.

Navigate the systems that keep care moving
- Work confidently across EHR/EMR systems, payer portals, communication tools, and multi-queue work environments.

- Enter data accurately, spot errors before they become problems, complete forms correctly the first time, and keep documentation audit-ready.

- Take inbound calls from healthcare professionals — nurses, physicians, and office staff — with authorization-related questions, and professionally assist insurance members who need help or clarification.

- Explain billing, benefits, and account details to callers clearly and professionally, verifying caller and account information against records before processing any request.

Keep the queue under control
- Manage a high-volume, multi-queue workload with strong organization, time prioritization, and SLA awareness.

- Document every interaction completely and accurately, and resolve issues patiently — including with callers who need extra time or a simpler explanation.

- Maintain confidentiality and professionalism at all times, and complete required HIPAA and security training.

WHY APPLY? Gain a meaningful work, as you're the person standing between a patient and the care they need. This is a role built around the skills you already have. If prior authorization is a language you already speak fluently, we'd love to hear from you!
Originally posted on Himalayas