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Evening Remote Prior Authorization Jobs in Oregon

Pelago

Medical Assistant

OR · On-site +1

$17.75 - $22.75/hr

... prior authorization workflows, helping ensure members have timely access to treatment while ... remote-first environment. -Previous experience working remotely and collaborating across ...

CLEAResult

Remote Outbound Sales Specialist

OR · On-site +1

$18/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... prior relevant experience, certain degrees and certifications (e.g. JD/technology), for example ... Applicants must be authorized to work in the country where the position is located without the need ...

Umpqua Health

Utilization Review Nurse

Roseburg, OR · On-site +1

$85K - $105K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR ... This role conducts prior authorizations, facilitates care coordination, and supports safe ...

Healthcare

CDI Outsourcing Manager - Remote (Solventum)

OR · On-site +1

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Bachelor's Degree or higher (completed and verified prior to start) from an accredited institution ... Not authorized Must be legally authorized to work in country of employment without sponsorship for ...

LearnWell

$45K - $48K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... submissions, prior authorizations, insurance appeals, and reprocessing efforts. This detail ... This position entails a 40 hour a week commitment, Monday through Friday remote. * Starting annual ...

SOLV Energy

Project Scheduler (Remote)

OR · On-site +1

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Prior Scheduling experience in an EPC environment is highly desired. * Ability to read and ... Applicants must be legally authorized to work in the U.S. without requiring employer sponsorship ...

SOLV Energy

Project Controls Scheduler (Remote)

OR · On-site +1

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Prior Scheduling experience in an EPC environment is highly desired. * Ability to read and ... Applicants must be legally authorized to work in the U.S. without requiring employer sponsorship ...

Legion Health

$150K - $300K/yr

... prior authorizations, pharmacy coordination, etc. * Patient Acquisition: Unlike with a private ... Fully remote within the United States. * Schedule: Full-time or part-time positions are available.

New

Bakertilly

Temporary Tax Preparer - BT Prep

OR · On-site +1

$18 - $41/hr

In order to be an authorized recruitment agency ("search firm") for Baker Tilly Advisory Group, LP ... Remote | Seasonal January 2027 - April 2027 Join Baker Tilly's Seasonal Tax Preparer team to ...

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Evening Remote Prior Authorization information

What is an evening remote prior authorization specialist?

An Evening Remote Prior Authorization specialist is a healthcare professional who works outside traditional business hours to review and process prior authorization requests for medical procedures, medications, or services. They work remotely, usually from home, using electronic systems to communicate with healthcare providers, insurance companies, and patients. Their main responsibility is to ensure that the requested treatments meet the insurance provider's requirements for coverage before services are rendered. This role helps to expedite patient care and reduce delays in treatment by providing authorization decisions during evening hours.

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

To thrive as an Evening Remote Prior Authorization Specialist, you need a strong understanding of healthcare insurance processes, medical terminology, and prior authorization protocols, usually backed by experience in medical billing or a related field. Familiarity with electronic health record (EHR) systems, payer portals, and insurance verification software is typically required. Excellent communication, attention to detail, and the ability to work independently during off-hours are vital soft skills in this role. These competencies ensure timely and accurate processing of authorizations, minimize claim denials, and support efficient patient care outside standard business hours.

What are the main challenges of working as an evening remote prior authorization specialist, and how can I prepare for them?

Working as an Evening Remote Prior Authorization specialist often involves handling urgent requests and communicating with healthcare providers outside of traditional business hours. This can mean managing a higher volume of time-sensitive cases and troubleshooting issues when fewer support staff are available. To prepare, it's helpful to be highly organized, comfortable with independent problem-solving, and proactive in seeking clarification from providers or supervisors as needed. Familiarity with electronic health record (EHR) systems and strong written communication skills are also valuable for effectively managing remote work and ensuring timely approvals.

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

AspectEvening Remote Prior AuthorizationEvening Remote Medical Billing Specialist
CredentialsTypically requires healthcare-related certifications (e.g., CPC, CCA)Requires billing and coding certifications (e.g., CPC, CCS)
Work EnvironmentRemote, healthcare provider offices, insurance companiesRemote, healthcare clinics, billing companies
Industry UsageUsed in healthcare insurance and provider organizationsUsed in healthcare billing and revenue cycle management
Primary FocusSecuring prior authorization for treatments or proceduresProcessing and submitting medical claims for reimbursement

While both roles operate remotely within the healthcare industry, Evening Remote Prior Authorization focuses on obtaining approval for treatments, whereas Evening Remote Medical Billing Specialists handle claims processing. Understanding these differences helps job seekers identify the right position based on their skills and career goals.

What are the most commonly searched types of Remote Prior Authorization jobs in Oregon?

The most popular types of Remote Prior Authorization jobs in Oregon are:

What are popular job titles related to Evening Remote Prior Authorization jobs in Oregon?

For Evening Remote Prior Authorization jobs in Oregon, the most frequently searched job titles are:

What job categories do people searching Evening Remote Prior Authorization jobs in Oregon look for?

The top searched job categories for Evening Remote Prior Authorization jobs in Oregon are:

What cities in Oregon are hiring for Evening Remote Prior Authorization jobs?

Cities in Oregon with the most Evening Remote Prior Authorization job openings:

Evening Remote Prior Authorization jobs near you
Infographic showing various Evening Remote Prior Authorization job openings in Oregon as of August 2026, with employment types broken down into 91% Full Time, and 9% Part Time. Highlights an 100% Remote job distribution.

Medical Assistant

Pelago

OR • On-site, Remote

$17.75 - $22.75/hr

Full-time

Posted 14 days ago

Job description

Medical Assistant - Clinical Operations

Remote | Full-Time

About Pelago

Pelago is the world's leading virtual clinic for Substance Use Management. Our program provides guidance, support and treatment for members seeking to overcome their tobacco, alcohol and opioid use. From unhealthy habits to active substance use disorders, Pelago delivers a personalized solution based on individual health, habits, genetics, and goals, providing care for members wherever they might be on the substance use spectrum.

Pelago's suite of virtual services ranges from education, to cognitive behavioral therapy (CBT) to comprehensive medication-assisted treatment (MAT). Pelago enables employers and health plans to deliver accessible, affordable, and effective treatment for substance misuse.

Pelago has scaled to helping hundreds of employers and health plans and has already helped more than 750,000 members manage their substance use better. We have recently closed our Series C and raised over $151m from leading global investors. If you are passionate about making an impact on the health of others, join us and make it happen!

About the Role

As a Medical Assistant at Pelago Health, you'll play a central role in our members' care journeys by providing compassionate support, medication coordination, and seamless care navigation for individuals receiving treatment for substance use disorders. Embedded within a cross-functional care team, you'll serve as the primary coordinator for medication management and prior authorization workflows, helping ensure members have timely access to treatment while partnering closely with providers, pharmacies, and internal teams to deliver an exceptional care experience.

What You'll Do
- Manage medication-assisted treatment (MAT) workflows, including medication refills, fulfillment coordination, adherence support, and medication-related member outreach.

-Coordinate prior authorization workflows across prescribed medications, including preparing submissions, tracking status, supporting appeals, and ensuring timely resolution.

-Communicate directly with members, providers, pharmacies, and internal care teams to help ensure timely access to medications and a seamless care experience.

-Support providers with medication management activities, serving as a key clinical support partner throughout the member's treatment journey.

-Partner with counselors and other members of the care team to coordinate care, address member concerns, and promote positive treatment outcomes.

-Collaborate with clinical, product, and operations teams to help build and improve scalable medication management workflows.

-Maintain accurate documentation and ensure medication-related tasks are completed in accordance with clinical protocols and organizational standards.

What We're Looking For

- Active Medical Assistant (MA) certification or equivalent experience, as required by state regulations.

-Experience with prior authorizations, medication coordination, care coordination, or clinical operations.

-Familiarity with substance use disorder (SUD), behavioral health, or addiction medicine, or a strong interest in developing expertise in these areas.

-Strong organizational skills with the ability to manage multiple priorities in a fast-paced environment.

-Excellent written and verbal communication skills, with the ability to collaborate effectively across multidisciplinary teams.

-Self-motivated and comfortable working independently in a remote-first environment.

-Previous experience working remotely and collaborating across distributed teams is a plus, but not required.

Apply