Remote opportunity at
InfinxPrior Authorization & Benefits Verification Specialist
Infinx is hiring a remote Prior Authorization & Benefits Verification Specialist to join the Patient Access Onshore department on a full-time basis. This role plays a…
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About This Role
Infinx is hiring a remote Prior Authorization & Benefits Verification Specialist to join the Patient Access Onshore department on a full-time basis. This role plays a vital part in helping patients access healthcare promptly by overseeing prior authorization procedures. Infinx delivers technology solutions and automation to healthcare providers, including hospitals, physician groups, dental groups, and pharmacies, to address revenue cycle challenges and enhance patient care reimbursements. Recognized as a 2025…
Job Description
Infinx is hiring a remote Prior Authorization & Benefits Verification Specialist to join the Patient Access Onshore department on a full-time basis. This role plays a vital part in helping patients access healthcare promptly by overseeing prior authorization procedures. Infinx delivers technology solutions and automation to healthcare providers, including hospitals, physician groups, dental groups, and pharmacies, to address revenue cycle challenges and enhance patient care reimbursements. Recognized as a 2025 Great Place to Work in both the U.S. and India, Infinx provides a collaborative work environment that emphasizes diversity and inclusivity.
This position is well-suited for professionals experienced in insurance eligibility, benefits verification, and handling prior authorizations. Key duties involve communicating with insurance payers to determine eligibility, gathering necessary paperwork, submitting authorization requests, and monitoring pending statuses. Candidates must maintain meticulous documentation, protect patient confidentiality, and keep up-to-date with evolving payer rules.
Responsibilities
- Contact insurance payers to verify patient eligibility, benefits, and authorization mandates
- Secure necessary prior authorizations and pre-certifications for medical services
- Submit accurate and thorough authorization paperwork
- Monitor and resolve pending authorization cases
- Keep detailed records of all authorization tasks and activities
- Stay informed regarding payer prior authorization guidelines
Requirements
- High School Diploma or equivalent
- Minimum of two years of background in prior authorization and insurance eligibility or benefits verification
- Demonstrated ability to verify coverage, copays, deductibles, coinsurance, and authorization rules
- Capacity to submit, track, and follow up on authorization requests while coordinating documentation with provider offices
- Familiarity with electronic health record systems, payer portals, CPT/ICD-10 codes, and medical terminology
- Strong organizational, communication, follow-up, and attention-to-detail skills
- Ability to handle multiple requests simultaneously, meet deadlines, and preserve patient confidentiality
Qualifications
- Prior background working with laboratory services and radiology or imaging
- Experience in managing authorization denials and assisting with appeals
Core Skills
Benefits
- Comprehensive Dental, Vision, and Medical Coverage
- 401(k) Retirement Savings Plan
- Paid Time Off
- Paid Holidays
- Employee Assistance Program
- Pet Care Coverage
- Discounted services and flexible work hours where possible
Frequently Asked Questions
Answers are based only on the employer’s listing; where it doesn’t say, neither do we.
Is this position remote?
Yes, the posting specifies that this is a remote role.
What is the employment type?
The position is full-time.
What experience is required for this role?
Candidates need a High School Diploma or equivalent alongside a minimum of two years of experience in insurance eligibility and benefits verification or prior authorization.
What salary does Infinx offer for this position?
The job posting does not specify the salary for this role.
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