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Location: Philippines REMOTE (WFH) | FULL-TIME | 9PM-6AM PHT (FIXED SCHEDULE) Neolytix is looking for a Healthcare Associate who already knows the prior authorization world inside and out  — in a healthcare BPO, a hospital, a clinic, a payer-services team, or a revenue cycle department — and can step in already knowing how the work goes. WHAT YOU WILL DO: Own the authorization lifecycle Submit authorization requests through payer portals and other approved channels, and track them through to resolution. Collect and validate clinical documentation and patient information needed to support each request. Manage payer follow-up, status tracking, escalations, and deadlines so nothing slips through the cracks. Support peer-to-peer reviews, denials, reconsiderations, and appeals when a request needs a second look. Navigate the systems that keep care moving Work confidently across EHR/EMR systems, payer portals, communication tools, and multi-queue work environments. Enter data accurately, spot errors before they become problems, complete forms correctly the first time, and keep documentation audit-ready. Take inbound calls from healthcare professionals — nurses, physicians, and office staff — with authorization-related questions, and professionally assist insurance members who need help or clarification. Explain billing, benefits, and account details to callers clearly and professionally, verifying caller and account information against records before processing any request. Keep the queue under control Manage a high-volume, multi-queue workload with strong organization, time prioritization, and SLA awareness. Document every interaction completely and accurately, and resolve issues patiently — including with callers who need extra time or a simpler explanation. Maintain confidentiality and professionalism at all times, and complete required HIPAA and security training. WHY APPLY? Gain a meaningful work, as you're the person standing between a patient and the care they need. This is a role built around the skills you already have. If prior authorization is a language you already speak fluently, we'd love to hear from you!

Location: Philippines REMOTE (WFH) | FULL-TIME | 9PM-6AM PHT (FIXED SCHEDULE) Neolytix is specifically looking for people who've already done hybrid clinical-operations work and been both things at once: have completed a nursing degree, and who also knows how to work on queues, productivity targets, multiple systems, and service-level expectations. WHAT YOU WILL DO: Review clinical documentation and chart notes for completeness, medical necessity, and accuracy in support of authorization, utilization review, or documentation workflows. Apply clinical judgment to prior authorization, precertification, or utilization review requests, working within established clinical and payer review criteria. Navigate structured, high-volume queues and multiple systems — EHR/EMR, payer portals, and case management or workflow tools — while meeting daily productivity and turnaround expectations. Document findings, decisions, and communications completely and accurately, keeping records audit-ready. Coordinate with physicians, nurses, and other clinical staff on cases that need additional information or a peer-to-peer review. Escalate complex or time-sensitive cases appropriately and track them through to resolution. Maintain compliance with HIPAA, payer requirements, and internal quality standards. Required: A completed nursing degree, combined with healthcare BPO experience. WHY APPLY? This role allows you to do work that actually uses your clinical training! If you've done clinical work inside a structured, queue-driven operations environment before, you got what we need!

Location: Philippines REMOTE (WFH) | FULL-TIME | 9PM-6AM PHT (FIXED SCHEDULE) Neolytix is looking for a Healthcare Associate who already knows the prior authorization world inside and out  — in a healthcare BPO, a hospital, a clinic, a payer-services team, or a revenue cycle department — and can step in already knowing how the work goes. WHAT YOU WILL DO: Own the authorization lifecycle Submit authorization requests through payer portals and other approved channels, and track them through to resolution. Collect and validate clinical documentation and patient information needed to support each request. Manage payer follow-up, status tracking, escalations, and deadlines so nothing slips through the cracks. Support peer-to-peer reviews, denials, reconsiderations, and appeals when a request needs a second look. Navigate the systems that keep care moving Work confidently across EHR/EMR systems, payer portals, communication tools, and multi-queue work environments. Enter data accurately, spot errors before they become problems, complete forms correctly the first time, and keep documentation audit-ready. Take inbound calls from healthcare professionals — nurses, physicians, and office staff — with authorization-related questions, and professionally assist insurance members who need help or clarification. Explain billing, benefits, and account details to callers clearly and professionally, verifying caller and account information against records before processing any request. Keep the queue under control Manage a high-volume, multi-queue workload with strong organization, time prioritization, and SLA awareness. Document every interaction completely and accurately, and resolve issues patiently — including with callers who need extra time or a simpler explanation. Maintain confidentiality and professionalism at all times, and complete required HIPAA and security training. WHY APPLY? Gain a meaningful work, as you're the person standing between a patient and the care they need. This is a role built around the skills you already have. If prior authorization is a language you already speak fluently, we'd love to hear from you!