Help healthcare providers get patients the treatments they need by handling the behind-the-scenes work that actually makes care possible. This fully remote Prior Authorization Specialist role lets you use your medical assistant and insurance experience without stepping back into a clinic.
About Infinx
Infinx partners with physician groups, hospitals, pharmacies, and dental organizations to solve revenue cycle challenges using automation and intelligent tech. Their tools help providers get reimbursed accurately and on time so they can stay focused on patient care. Infinx is growing fast, leans into process improvement, and centers diversity, inclusion, and collaboration across the team.
Schedule
- Full time
- Preferred hours: Monday–Friday, 8:00am–5:00pm CT
- Fully remote (must live in the United States)
What You’ll Do
- Obtain timely prior authorizations and pre-determinations for procedures and medications across commercial, Medicaid, Medicare, and Medicare Advantage plans
- Review EMR records to pull accurate, relevant clinical documentation and demographics for auth submissions
- Verify insurance information and eligibility to support clean, complete requests
- Submit all required clinical information to payers to facilitate approvals and reduce delays
- Document all prior auth activity, follow-ups, and determinations in company software and/or client EMRs
- Maintain and update an internal reference list of payer requirements, workflows, contacts, and authorization rules
- Help coordinate scheduling for outpatient testing or services when needed
- Protect PHI and follow all HIPAA and clinic privacy requirements at all times
What You Need
- High school diploma or GED (additional education a plus)
- At least 2 years of experience as a Medical Assistant in a clinic, doctor’s office, or hospital
- Minimum 2+ years of hands-on prior authorization processing experience
- At least 2 years of frequent phone communication with insurance companies
- Familiarity with medical terminology; oncology experience strongly preferred
- Comfort working in EMRs and basic computer literacy
- Strong attention to detail, reliability, and follow-through
- Ability to work well on a remote team while managing your own tasks and priorities
- Preferred: 5+ years performing prior auths, experience with genetic lab test PAs, remote-work experience, and a Medical Assistant certification
Benefits
- Fully remote role with stable full-time hours
- Medical, dental, and vision insurance
- 401(k) retirement plan
- Paid time off and paid holidays
- Additional perks such as pet care coverage, EAP access, and discounted services
- Inclusive, diverse culture with room to grow in a scaling organization
Roles like this are perfect if you know prior auth cold and want to stay in healthcare without going back to the floor. Don’t sit on it.
Happy Hunting,
~Two Chicks…