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Authorization Specialist Remote Jobs in Puerto Rico

OncoHealth

Case Review Specialist - PR

Guaynabo, PR · On-site +1

Intake Pre-Authorization requests and/or inquiries on existing pre-authorizations via phone, email ... Remote/hybrid experience preferred * A minimum of 2-4 years' administrative experience and/or ...

Deloitte

Epic Denials Management Operator

San Juan, PR · Remote

$17.75 - $23.50/hr

This is a primarily remote role supporting enterprise Epic support, with minimal travel and ... eligibility, authorizations, claim edits, coordination of benefits, and missing documentation.

Firstsource

Customer Service Representative

Mayaguez, PR · Remote

$16 - $21.75/hr

Remote-NearShore Job Type: Full-time About Firstsource Firstsource Solutions is a leading provider of customized Business Process Management (BPM) services. Firstsource specialises in helping ...

All JobsAuthorization Specialist JobsAuthorization Specialist Remote JobsAuthorization Specialist Remote Jobs in Puerto Rico

Authorization Specialist Remote information

What does an authorization specialist do when working remotely?

An Authorization Specialist working remotely is responsible for obtaining pre-approvals or authorizations from insurance companies or payers for medical procedures, tests, or medications. They review patient records, verify insurance coverage, and ensure that all documentation meets payer requirements. The role often involves communicating with healthcare providers, insurance representatives, and patients via phone, email, or electronic health record systems. Remote Authorization Specialists must be detail-oriented and able to work independently while maintaining patient confidentiality and meeting deadlines.

What are the key skills and qualifications needed to thrive as an authorization specialist remote?

To thrive as a Remote Authorization Specialist, you need a solid understanding of medical terminology, insurance verification, and healthcare regulations, often supported by a high school diploma or equivalent and experience in medical billing or authorization. Familiarity with electronic health records (EHR) systems, payer portals, and authorization management software is typically required. Excellent attention to detail, organizational skills, and effective communication are vital soft skills for managing complex cases and collaborating remotely with patients and healthcare teams. These competencies are crucial to ensure accurate and timely insurance authorizations, minimize claim denials, and maintain efficient workflow in a remote healthcare setting.

What are the typical daily responsibilities of a remote authorization specialist and how do they collaborate with other teams?

A remote Authorization Specialist is primarily responsible for verifying patient insurance coverage, obtaining prior authorizations for medical procedures, and ensuring all necessary documentation is submitted accurately. Daily tasks often include communicating with insurance companies, reviewing patient records, and updating internal systems. Collaboration is key, as Authorization Specialists work closely with healthcare providers, billing departments, and sometimes patients to resolve issues and prevent delays in care. Strong communication skills and attention to detail are essential for success in this role.

What is the difference between Authorization Specialist Remote vs Medical Billing Specialist?

AspectAuthorization Specialist RemoteMedical Billing Specialist
Required CredentialsCertification in medical authorization or related fields, high school diploma or equivalentCertification in medical billing or coding, high school diploma or equivalent
Work EnvironmentRemote, office-based, healthcare settingsRemote or in-office, healthcare facilities or billing companies
Industry UsageUsed in healthcare providers, insurance companies, hospitalsUsed in healthcare providers, billing companies, insurance firms
Common Search/ComparisonYesYes

The main difference between an Authorization Specialist Remote and a Medical Billing Specialist lies in their primary responsibilities. Authorization Specialists focus on obtaining prior authorizations for procedures and treatments, ensuring insurance approval. Medical Billing Specialists handle coding, billing, and claims processing. Both roles often require similar certifications and work in healthcare environments, but their core functions differ, making them distinct yet related roles in healthcare administration.

What are popular job titles related to Authorization Specialist Remote jobs in Puerto Rico?

For Authorization Specialist Remote jobs in Puerto Rico, the most frequently searched job titles are:

What job categories do people searching Authorization Specialist Remote jobs in Puerto Rico look for?

The top searched job categories for Authorization Specialist Remote jobs in Puerto Rico are:

What cities in Puerto Rico are hiring for Authorization Specialist Remote jobs?

Cities in Puerto Rico with the most Authorization Specialist Remote job openings:

Authorization Specialist Remote jobs near you
Infographic showing various Authorization Specialist Remote job openings in Puerto Rico as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution.

Senior Billing Specialist (Remote)

Capitol Bridge, LLC

PR • Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 13 days ago

Job description

Senior Billing Specialist (Remote)

Capitol Bridge is currently seeking a candidate for a full-time Senior Billing Specialist role. This role will be a significant addition to the accounting team with responsibilities for complex government invoicing and accounting practices. Prepare invoices for all types of Government contracts, research and resolve billing discrepancies to ensure invoice accuracy and completeness, work closely with customers, payroll, and contracts departments to resolve any invoicing and collection issues, while collaborating with the Controller and the accounting team on AR Aging, billing, and balance sheet reconciliations. This position requires an individual to thrive and lead in a fast-paced environment where workflows change and move rapidly, forcing you to quickly adapt to new circumstances or juggle multiple daily tasks and deadlines.

Responsibilities:
  • Ownership of the full-cycle invoicing process to ensure timely and accurate customer billings and collections.
  • Work with project staff to ensure that bills go forward as quickly as possible, following up on needed approvals to finalize bills.
  • Review and analyze Job Cost Reports for invoice validation and research discrepancies.
  • Establish procedures, routines, and related documentation regarding billing and contract maintenance.
  • Identify and research invoicing issues, including customer rejections and short paid invoices, and provide guidance and resolution, as appropriate.
  • Assist in managing the collection of customer invoices, including contacting customers to resolve delays in invoices and payment processing.
  • Analyze and reconcile receivables and unapplied receipts monthly and ensure timely resolution.
  • Assists in implementing processes and procedures that will improve efficiency and strengthen internal controls.
  • Excellent customer service skills, positive attitude, attention to detail, accountability to complete work assigned independently with urgency, and the ability to balance multiple tasks.
  • Support internal & external audits related to the A/R function and other functions as needed.
  • Support the Controller and the accounting team with month end activities and other general accounting duties as assigned.
Basic Qualifications:
  • At least 5 years’ Government Contract Billings experience.
  • Must have proven experience ensuring that all allowable costs are invoiced to the customers.
  • At least 3 years of experience in billings on different types of government contracts, such as Time & Materials (T&M), Cost Plus Fixed Fees (CPFF), Cost Plus Award Fees (CPAF), Firm Fixed Price (FFP), Estimate to Complete (ETC)
  • Minimum 5 years’ experience in accounting for a government contractor
  • Minimum 5 years’ experience with Jamis or Unanet  accounting systems.
  • Bachelors’ degree in related field or equivalent work experience
  • Must have proven initiative and ability to multi-task, solve problems, and self-prioritize.


Preferred Qualifications:
  • Ability to handle impromptu requests in a timely manner.
  • Excellent verbal and written communications skills
  • Excellent organizational and time management skills
  • Strong working knowledge of Microsoft Office Suite applications, specifically Excel
  • Flexibility and ability to meet deadlines and perform in a fast-paced collaborative work environment.
Excellent Benefits Plan Includes:

  • Health Insurance- medical, dental, vision & pharmacy benefits. (Employer contribution included)
  • Company sponsored Life Insurance.
  • 401K Retirement plan.
  • Generous PTO
  • Employee Assistance Program
  • Paid Holidays


Successful candidates will be subject to a background check and/or drug screening.
Reasonable Accommodation:
If you require alternative application or screening methods, don't hesitate to contact us directly to request accommodation. We strive to ensure that all individuals can perform their job duties satisfactorily, and reasonable accommodation will be made to enable individuals with disabilities to perform the essential functions of the role. Other duties may be assigned as necessary.
EEO Statement:
Capitol Bridge is an Equal Opportunity Employer. All employment decisions at Capitol Bridge are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion or belief, national, social or ethnic origin, sex (including pregnancy), age, physical, mental, or sensory disability, HIV status, sexual orientation, gender identity and/or expression, marital, civil union, or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate.
Federal Contractor and E-Verify compliant.


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