Remote Prior Authorization Representative - 259406

Remote Prior Authorization Representative
$26–$28/hr | Fully Remote | Monday–Friday, 9:00 AM–6:00 PM EST
Medix is hiring 3 Prior Authorization Representatives to support Thesis Care and its outpatient specialty practices.
This is a hands-on authorization role for someone who already understands the process and is comfortable working in a fast-moving environment.
The team supports prior authorization workflows across a variety of outpatient specialties, including gastroenterology, endocrinology, behavioral health, neurology, telehealth, cardiology, imaging, specialty medications, and other specialty services.
What You’ll Be Doing
Review physician orders and medical documentation
Submit prior authorization requests for specialty procedures, services, imaging, and medications
Work with commercial and government insurance plans
Follow up with payers on pending authorizations
Resolve authorization issues and documentation gaps
Track cases through completion
Document all authorization activity accurately
Work with internal clinical and operations teams when questions or escalations come up
The team’s long-term goal is approximately 40 cases per day, with productivity ramping after training.
What We Need
3+ years of prior authorization experience
Strong commercial insurance experience
Medicare/Medicaid experience is a plus
Experience with outpatient specialty authorizations
Comfortable working directly with payers
Strong computer skills
Able to manage a high-volume queue and stay organized
Comfortable working independently and asking questions when needed
eClinicalWorks experience is preferred.
What to Expect
Training is expected to be about one week, followed by a fairly quick transition into the actual workload.
Thesis moves quickly. You’ll have support, but the expectation is to ask questions, learn the workflow, apply feedback, and become more independent as you get comfortable.
Position Details
Pay: $26–$28/hour
Schedule: Monday–Friday, 9:00 AM–6:00 PM EST
Location: Fully remote
Contract: Initial 3-month W-2 contract through Medix
Payroll: Weekly
Benefits: Eligibility after 30 days
Equipment: Company-provided

Work arrangement
Yes