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

NYX Health, LLC•Philadelphia, PA

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 as part of a dynamic, team-oriented environment. The role requires knowledge of radiology prior authorization management within a hospital, including authorization processes and requirements for Ultrasound, MRI, CT, Nuclear Medicine, and PET. The specialist supports daily revenue cycle operations while maintaining HIPAA compliance. This is a remote, full-time position working Monday through Friday on an 8-hour day shift, totaling 40 hours per week, with no weekends. Pay is $21–$23 per hour, with additional pay available for exceptional experience and eligibility for a performance bonus incentive for high performers. Benefits include dental insurance, health insurance, and accrued paid time off.

Requirements

At least 4 years of radiology prior authorization experience within EPIC.
Extensive hands-on proficiency in EPIC, including prior authorization and insurance verification.
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 Medicine, and PET.
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.
Experience in prior authorization, utilization review, insurance verification, and EMR systems.
U.S.-based candidate.
Reliable internet access.
Ability to use a computer daily during an 8-hour shift and lift up to 15 pounds.

Nice To Haves

Additional education in business or healthcare.
Exceptional experience may qualify for additional pay.

Responsibilities

Complete insurance verifications using EPIC.
Submit, track, and independently manage radiology prior authorizations from submission through approval.
Gather required authorization documentation.
Navigate authorization requirements for Ultrasound, MRI, CT, Nuclear Medicine, and PET.
Communicate with providers and insurance companies regarding authorization status.
Maintain HIPAA compliance.
Support daily revenue cycle operations.