About the Role

Neolytix is hiring a Patient Call Agent to specialize in prior authorizations within their revenue cycle management division. This role supports independent healthcare providers by managing administrative workflows to ensure patients obtain timely medical care. The position focuses on revenue optimization and requires a commitment to a full-time, remote schedule based in the Philippines, working fixed overnight hours.

Requirements

• The ideal candidate will have substantial experience with prior authorization workflows, gained through work in healthcare BPOs, hospitals, clinics, or revenue cycle departments.
• Proficiency in navigating EHR/EMR systems and various payer portals is essential, alongside a strong ability to collect and validate sensitive clinical and patient information.
• Candidates must possess professional communication skills to effectively handle inbound calls from physicians, nurses, and insurance members, clearly explaining complex billing and benefit information.
• Experience in managing high-volume, multi-queue workloads with strict adherence to deadlines and service level agreements is required.
• Furthermore, the role demands high accuracy in data entry and form completion, as well as a firm commitment to maintaining patient confidentiality and completing all required HIPAA and security training.
• Direct experience within the US healthcare sector is a necessary qualification.

Responsibilities

• The Patient Call Agent is responsible for managing the full lifecycle of prior authorization requests, from initial submission through to final resolution.
• This includes tracking request statuses, following up with insurance payers, and navigating escalations to meet critical deadlines.
• A core part of the role involves supporting complex processes such as peer-to-peer reviews, denials, reconsiderations, and appeals.
• You will be expected to work across multiple digital platforms, including various EMR systems and communication tools, while maintaining audit-ready documentation for every interaction.
• In addition to administrative duties, the agent will handle high-volume inbound calls, verifying caller identities and providing detailed explanations regarding account details, benefits, and billing issues.
• Maintaining a high standard of professionalism and confidentiality while balancing these competing tasks within a fast-paced environment is vital.

Benefits & Perks

• This role offers the flexibility of remote work from home and provides the opportunity to engage in meaningful work that directly helps patients access the medical care they need.
• Employees will be hired on a full-time basis with a fixed overnight shift schedule from 9 PM to 6 AM Philippine Time.