Patient Care Agent – Blended Account
Posted 3 days ago
You'll complete your application on Neolytix's career site.
About the Role
In this hybrid position, you will act as a vital contributor to a group assisting private medical providers with administrative tasks and revenue cycle improvements. Your work centers on overseeing the authorization process and offering crucial aid to both clinical personnel and patients. By maintaining accuracy in medical billing and authorization workflows, you allow doctors to focus on delivering superior medical care. This role takes place in a fast-paced, multi-queue setting where your contributions directly influence the smooth operation of clinical practices. You will act as a primary communication liaison, blending administrative duties with professional outreach to facilitate efficient business operations.
Requirements
- You should possess previous experience managing authorization lifecycles, whether acquired in a medical BPO, hospital, outpatient clinic, or revenue cycle division.
- Direct, practical experience working with prior authorization workflows is necessary, specifically concerning portal submissions, tracking escalations, and navigating intricate appeals.
- You are required to be proficient with EHR and EMR platforms and must be capable of verifying and gathering clinical documentation with high accuracy.
- Strong organizational capabilities are needed to handle large-scale, multi-queue responsibilities while meeting established service level agreements.
- You must exhibit high-level communication abilities to manage phone interactions with healthcare providers and insurance members.
- Finally, you must demonstrate a dedication to protecting patient privacy and must successfully complete all mandated security and HIPAA training.
Responsibilities
- You will oversee the complete authorization process, starting from the initial application until the final outcome is reached.
- Your daily tasks include sending requests via authorized insurance channels, monitoring current progress, and managing follow-up actions or escalations to adhere to strict timelines.
- It is your duty to gather and confirm clinical records while providing assistance for peer-to-peer reviews, rejected claims, and appeals.
- Furthermore, you will manage incoming inquiries from medical staff and clinicians, in addition to helping insurance plan members with questions regarding their accounts, coverage, and billing.
- Precise record-keeping is required through exact data entry and thorough logging of every communication, ensuring that all files are kept professional and prepared for potential audits.
Note: This listing is summarized and paraphrased by WorkNow from a publicly posted role. For the original wording and full details, please refer to the employer's official posting.
Similar Jobs
Inpatient Coding Supervisor – Mid-Shift
Med-Metrix
This leadership position is centered on leading and refining the output of an inpatient coding group. In this virtual capacity, you will handle daily functions to guarantee that output and precision goals are hit on a regular basis. You will act as a primary point of contact, handling task lists, verifying that Service Level Agreements are respected, and assigning tasks based on coder availability and account urgency. By building a supportive setting, you will be instrumental in upholding superior performance standards and assisting with the career growth of your personnel. Furthermore, you will focus on increasing efficiency and ensuring regulatory adherence within the unit. Your duties involve tracking performance indicators, performing routine evaluations, and working alongside quality control groups to resolve error patterns and launch correction methods. You will also participate in workflow enhancements, assist with automation programs, and ensure your staff stays current with changing coding mandates. Using analytical findings and consistent communication with management and client partners, you will guarantee that every inpatient coding task is performed with accuracy, honesty, and a dedication to excellence.
Senior Manager – Regional Head, Regulatory APAC
Cencora
In this Senior Manager and Regional Head position for Regulatory APAC, you are responsible for offering high-level regulatory guidance and directing complex international, regional, and domestic initiatives. You play a central role in ensuring premium service delivery that supports the organization’s commercial goals. Your mandate includes overseeing regulatory workflows to secure and preserve marketing approvals for a broad portfolio, covering human and animal drugs, medical equipment, beauty products, nutritional supplements, and botanical items. You are also tasked with advancing regional expansion by managing client growth, handling proposals, and pursuing business development. Additionally, you will participate in defining the practice's long-term aims, while seeking ways to enhance innovation, streamline operations, and broaden service offerings. By cultivating teamwork, you will maintain functional excellence, manage staffing requirements, and serve as a primary consultant regarding team potential and scalability within the worldwide enterprise.
Senior Art Director
Construct Digital
This agency focuses on building data-backed brand stories that produce tangible commercial success. Through a mix of artistic flair and sophisticated technical solutions, the firm drives growth in sales, lead acquisition, and ROI. The service offering includes data analysis, UX design, content marketing, and modern AI integration to optimize engagement and performance. As a Senior Art Director, you will work alongside creative technologists, planners, and strategists to deliver impactful solutions for clients throughout the Asia-Pacific territory. This pivotal position requires a blend of aesthetic leadership, hands-on production, and strategic guidance within an environment that promotes experimentation and continuous workflow improvement.