Prior Authorization Specialist

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: Remote

Summary Description:

This remote Prior Authorization Specialist supports the Patient Access - Onshore department in various functions, insurance verification and coordinating prior authorization requests for medical services. This role is critical in facilitating timely patient access to healthcare by managing prior authorization processes. This role involves contacting payors for benefit information, checking authorization requirements, collecting required documentation, submitting requests to payers, and tracking authorization status. It is vital that you have experience in physical therapy, occupational therapy or speech therapy to meet the needs of our patients.

Daily Responsibilities:

  • Contact payors for eligibility and benefit information to include authorization requirements
  • Obtain prior authorizations and pre-certifications
  • Submit complete and accurate authorization requests
  • Follow up and resolve pending authorization requests
  • Maintain documentation of authorization activity
  • Stay current on payer prior authorization requirements
  • Assist in other duties as assigned

Skills and Education:

  • 2+ years of experience in healthcare administration or prior authorization processes
  • Experience reviewing and processing prior authorization requests for medical procedures and services
  • 1+ years of prior authorization experience in physical therapy, occupational therapy, and/or orthopedics
  • Ability to collaborate with healthcare providers and payers to resolve prior authorization issues and appeals
  • Medical Assistant Certification or 5 years experience in a providers office setting processing prior authorizations is preferred but not required
  • Bachelor’s degree in Healthcare Administration, Business Administration, or a related field is preferred but not required

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 Prior Authorization 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.

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