New - Radiology Prior Authorization Specialist – Remote Position – Full Time

NYX Health, LLC•Cincinnati, OH

3d•$21 - $23•Remote

About The Position

We’re looking for an experienced, U.S.-based Radiology Prior Authorization Specialist with extensive hands-on experience working prior authorizations in EPIC to join the Prior Authorization Team. EPIC proficiency of 4+ years is required. This is not an entry-level training position; candidates who require basic EPIC training will not be considered. The specialist completes insurance verifications, submits and tracks prior authorizations, gathers required documentation, communicates with insurance payors and clinicians, and follows authorizations through to approval. The role supports daily revenue cycle operations and requires maintaining HIPAA compliance while working in a dynamic, team-oriented atmosphere. This is a remote, full-time position working Monday through Friday on an 8-hour day shift, for a 40-hour work week, with no weekends. Pay is $21–$23 per hour, with additional pay available for exceptional experience. High performers are eligible for a performance bonus incentive.

Requirements

At least 4 years of Radiology prior authorization experience within EPIC; extensive hands-on EPIC proficiency is required.
Extensive knowledge of radiology prior authorization management within a hospital, including authorization requirements and processes.
Experience navigating complex insurance authorization requirements for Ultrasound, MRI, CT, Nuclear Med, and PET.
Ability to independently manage prior authorizations from submission through approval.
Strong communication, problem-solving, and organizational skills.
Detail-oriented and analytical, with the ability to multitask in a fast-paced environment.
Proficiency in TEAMS.
High school diploma required.
Experience in prior authorization, utilization review, insurance verification, and EMR systems.
U.S.-based; reliable internet access.
Ability to use a computer daily during an 8-hour shift and lift up to 15 lbs.

Nice To Haves

Additional education in business or healthcare is preferred.

Responsibilities

Complete insurance verifications and prior authorizations in EPIC.
Gather required documentation and submit, track, and manage authorizations through approval.
Navigate authorization requirements and processes for radiology services, including Ultrasound, MRI, CT, Nuclear Med, and PET.
Communicate with providers and insurance companies regarding authorization status.
Maintain HIPAA compliance and support daily revenue cycle operations.