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 medications. This position and is critical in facilitating timely patient access to healthcare by managing prior authorization processes. This role involves contacting payers for benefit information, checking authorization requirements, collecting required documentation, submitting requests to payers, and tracking authorization status.
Daily Responsibilities:
- Contacting payers 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
- High School Diploma or GED
- Must be able to work from 8am - 5pm Central
- 2 years of experience working in a physician's office, pharmacy, or healthcare facility
- 2 years of experience processing medication prior authorizations (Commercial, Medicare, Medicaid, and marketplace plans)
- 5 years of experience processing medication prior authorizations preferred
- Strong computer literacy, including Microsoft Office Suite and EMR/EHR systems
- Ability to read, interpret, and apply medical terminology and clinical documentation
- Ability to multitask and work effectively in a high-volume, fast-paced, and deadline-driven environment
- Strong communication skills with the ability to interact with insurance companies via phone, fax, and electronic portals
- Strong organizational skills and attention to detail
- Ability to maintain confidentiality and follow HIPAA regulations
- Problem-solving ability to investigate denials and determine next steps
- Comfort navigating payer websites and electronic authorization systems
- Experience with Cerner preferred
- Medical Assistant or Pharmacy Technician preferred
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.
Top Skills
What We Do
Infinx Healthcare provides innovative and scalable prior authorization and revenue cycle management solutions for healthcare providers, hospitals, imaging centers, and laboratories. Combining intelligent, cloud-based software driven by artificial intelligence and automation, with exception handling by our certified prior authorization and billing specialists, Infinx helps clients preserve and capture more revenue, enabling them to shift focus from burdensome administrative details to billable patient care.
