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[Hiring] Prior Authorization Specialist @Diverse Lynx LLC
Role Description
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
Qualifications
- 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
Requirements
- 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
Benefits
- Pay rate: $17/hour
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.
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