Customer Experience Associate - Healthcare
New
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NeolytixHealthcare administration
Source API remote eligibility restrictions: Philippines, 9PM-6AM PHT (FIXED SCHEDULE)Full-Time
Salary not disclosed
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Job Details
- Required Skills
- Customer serviceHIPAAData entry
Requirements
- Prior authorization experience in a healthcare BPO, hospital, clinic, payer-services team, or revenue cycle department.
- Ability to submit and track authorization requests through payer portals and approved channels.
- Ability to collect and validate clinical documentation and patient information.
- Familiarity with EHR/EMR systems, payer portals, and communication tools.
- Accuracy in data entry, form completion, and documentation.
- Ability to manage a high-volume, multi-queue workload with organization, time prioritization, and SLA awareness.
- Ability to handle calls with healthcare professionals and insurance members professionally.
- Ability to explain billing, benefits, and account details and verify caller and account information.
- Ability to maintain confidentiality and complete required HIPAA and security training.
- Availability for a fixed 9PM-6AM PHT schedule.
Responsibilities
- Submit authorization requests through payer portals and approved channels, and track them through resolution.
- Collect and validate clinical documentation and patient information for authorization requests.
- Manage payer follow-up, status tracking, escalations, and deadlines.
- Support peer-to-peer reviews, denials, reconsiderations, and appeals.
- Work across EHR/EMR systems, payer portals, communication tools, and multi-queue environments.
- Enter data accurately, complete forms, identify errors, and maintain audit-ready documentation.
- Take inbound calls from healthcare professionals and assist insurance members with authorization-related questions.
- Explain billing, benefits, and account details, verifying caller and account information against records.
- Manage a high-volume, multi-queue workload, document interactions, and resolve caller issues.
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