Job Description

Prior Authorization Specialist

Location: Remote (Work from Home) Employment Type: Full-Time Pay rate: $17/hour Work Schedule: This is a full-time role requiring 40 hours per week. Candidates must be flexible to work Saturday shifts as part of the weekly schedule. Operational Hours: Monday to Sunday, 7:00 AM – 7:00 PM CST (shift will be assigned within this window). Training Schedule: Monday to Friday, 9:30 AM – 6:00 PM CST.

Job Summary

We are seeking a detail-oriented and experienced Pre-Authorization Specialist to support provider enablement activities. The ideal candidate will have a strong background in healthcare operations, authorization processes, and administrative support, along with the ability to work efficiently in a remote environment. Key Responsibilities:

• Handle pre-authorization processes and related back-office operations
• Perform both backend administrative tasks and outbound/inbound calling activities as required
• Work with medical platforms and authorization systems to process requests
• Review and verify healthcare documentation and coding (ICD-10, Eligible to work)
• Coordinate with internal teams and providers to ensure timely approvals
• Maintain accurate records and documentation
• Perform administrative and clerical support tasks as needed
• Utilize multiple systems and applications efficiently in a remote setup

Basic Requirements

• High School Diploma or equivalent (documentation required)
• Working knowledge of medical terminology, ICD-10 and Eligible to work codes, Medicare and/or Medicaid services
• Professional experience in clerical or administrative support roles
• Ability to quickly learn and adapt to new systems and applications
• Proficiency in using computers/laptops and tools such as Outlook, Microsoft Teams (including screen sharing), Word, and Excel

Disclaimer: Diverse Lynx LLC is an Equal Opportunity Employer. All applicants and employees are evaluated without discrimination, based solely on their qualifications, ability, competence and performance. This email and its attachments may contain confidential or proprietary information and is intended only for the recipient(s). If you received this message in error, please disregard it and notify the sender. If you no longer wish to receive our communications, you may unsubscribe at any time.

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