Key Facts

Remote From:

Full time

Senior (5-10 years)

English

Hard Skills

Prior Authorization Event Scheduling Medical Abbreviations Commercial Insurances Medicare Advantage Medicaid Fraud Analysis Fax Servers Physician Data Query Clinical Documentation Remote Administration

Other Skills

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Training And Development
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Communication
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Teamwork
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Reliability
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Computer Literacy
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Self-Motivation

Roles & Responsibilities

High School Diploma or GED
5+ years of experience processing prior authorizations
2+ years of calling and communicating with insurance companies by phone
Familiarity with medical terminology

Requirements:

Obtain timely pre-certifications and prior authorizations for procedures and medications from all insurance plans (commercial, Medicaid, and Medicare Advantage) following company policies
Select accurate and pertinent medical records from patients' charts in the client's EMR and verify demographic and insurance information
Provide all required clinical information to insurance companies to facilitate the authorization process and perform complete documentation of follow-ups and determinations
Maintain and update the internal listing of insurance carriers that require authorization, their processes, and contact numbers while ensuring HIPAA confidentiality

Job description

About Our Company:
At Infinx, we're a fast-growing company focused on delivering innovative technology solutions to meet our clients' needs. We partner with healthcare providers to leverage automation and intelligence, overcoming revenue cycle challenges and improving reimbursements for patient care. Our clients include physician groups, hospitals, pharmacies, and dental groups.
We're looking for experienced associates and partners with expertise in areas that align with our clients' needs. We value individuals who are passionate about helping others, solving challenges, and improving patient care while maximizing revenue. Diversity and inclusivity are central to our values, fostering a workplace where everyone feels valued and heard.

A 2025 Great Place to Work®

In 2025, Infinx was certified as a Great Place to Work® in both the U.S. and India, underscoring our commitment to fostering a high-trust, high-performance workplace culture. This marks the fourth consecutive year that Infinx India has achieved certification and the first time the company has earned recognition in the U.S.

Location: Fully remote role with preferred work hours 8am-5pm CT.

Summary Description:
Under general direction, this position is responsible for obtaining pre-certifications and pre-authorizations for procedures and medications, and could include scheduling appointments for outpatient testing with other providers, coordinates patient appointments/orders

Daily Responsibilities:

Obtain timely prior authorization or pre-determinations from all insurances, to include commercial plans, Medicaid, Medicaid and Medicare Advantage plans, following the company's established policies and protocols.
Selecting accurate and pertinent medical records from patients' charts from client's EMR.
Obtaining demographic information and verifying insurance information.
Provide all required clinical information to insurance companies necessary to facilitate the authorization process.
Perform complete documentation (within company software or client's EMR) on all prior authorizations follow-ups and determinations appropriately and in a timely manner.
Maintain and update internal listing of insurance carriers that require authorization, their processes, and phone and fax numbers.
Maintain the strictest confidentiality in accordance with HIPAA regulations and clinic requirements.

Skills and Education:

High School Diploma or GED as a basic qualification
Proficiency in processing prior authorizations, with at least 5+ years of experience
Minimum of 2 years calling and communication with insurance companies via phone
Familiarity with medical terminology
Strong teamwork capabilities, self-motivation, and reliability
Basic computer literacy
Reliable, must have the ability to work well in a team setting, and be a self-starter

Preferred Experience, Skills, and Education:

Experience processing PAs for acute hospital outpatient ancillary services
Experience training and working remotely

Company Benefits and Perks:
Joining Infinx comes with an array of benefits, flexible work hours when possible, and a genuine sense of belonging to a dynamic and growing organization.

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.

If you are a dedicated and experienced PA Specialist ready to contribute to our mission and be part of our diverse and inclusive community, we invite you to apply and join our team at Infinx.

Ready to apply?

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