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Evening Remote Prior Authorization Jobs (NOW HIRING)

Pacer Group

Prior Authorization Pharmacist (Remote)

$59.50 - $71.75/hr

Prior Authorization Pharmacist (Remote) Location: Remote (Must be able to work EST hours) Duration: 3 months Schedule: Monday - Friday | 10:00 AM - 6:30 PM EST Weekend Rotation: Possible Saturday ...

A-Line Staffing Solutions

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Prior Authorization Pharmacist

Phoenix, AZ · Remote

$53/hr

Remote Clinical Pharmacist - Specialty Medical Prior Authorization Pay: $53.00 per hour Job Type: Remote Contract Opportunity Schedule: Flexible 8-hour shifts between 7:00 AM - 10:00 PM CST Training ...

Managed Staffing

Prior Authorization Techician

RI · Remote

$21 - $22/hr

Fully Remote (U.S. based) - West Coast candidates preferred Seeking Pharmacy Technician I (Prior Authorization) professionals to join their remote Caremark team. This role is responsible for ...

Ohm Systems, Inc

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Prior Authorization Technician - Remote

Philadelphia, PA · Remote

$26.50 - $28.50/hr

Shift Position is remote. No time zone preference but shift times offered will be in EST time so ... Reporting directly to the Supervisor, Prior Authorization Technicians, the Prior Authorization ...

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PainPoint

Prior Authorization Team Lead

$23/hr

Prior Authorization Team Lead Full-Time | Remote | $23/hr Schedule: Monday-Friday 8:00 AM-4:30 PM About DxTx DxTx Pain & Spine is a physician-aligned partner organization dedicated to supporting ...

WELLDYNE

Prior Authorization Technician II

$28K - $40K/yr

Prior Authorization Technician II This position is fully remote. The required working schedule is 8:00 AM - 5:00 PM Mountain Time (MST) or 10:00 AM - 7:00 PM Eastern Time (EST) , depending on ...

WellDyne

Prior Authorization Technician II

$18 - $21.75/hr

Prior Authorization Technician II This position is fully remote. The required working schedule is 8:00 AM - 5:00 PM Mountain Time (MST) or 10:00 AM - 7:00 PM Eastern Time (EST) , depending on ...

PainPoint

Prior Authorization Team Lead

Atlanta, GA · On-site +1

$23/hr

Prior Authorization Team Lead Full-Time | Remote | $23/hr Schedule: Monday-Friday 8:00 AM-4:30 PM About DxTx DxTx Pain & Spine is a physician-aligned partner organization dedicated to supporting ...

Onco360

Pharmacy Prior Authorization Specialist

Buffalo, NY · On-site +1

$19.75 - $25.75/hr

Pharmacy Prior Authorization Specialist - Onco360 Pharmacy Buffalo, NY | Full-Time | Starting at ... Remote work possible after initial on-site training. Company Benefits * Medical; Dental; Vision ...

Onco360

Pharmacy Prior Authorization Specialist

Louisville, KY · On-site +1

$18.75 - $24.25/hr

Remote work possible after initial on-site training. Why Join Us? * A career with purpose: Help ... Manage prior authorization requests and appeals with insurance carriers. * Collaborate with ...

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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.

More about Evening Remote Prior Authorization jobs

What cities are hiring for Evening Remote Prior Authorization jobs?

Cities with the most Evening Remote Prior Authorization job openings:

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

The most popular types of Remote Prior Authorization jobs are:

What states have the most Evening Remote Prior Authorization jobs?

States with the most job openings for Evening Remote Prior Authorization jobs include:

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

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

Evening Remote Prior Authorization jobs near you
Infographic showing various Evening Remote Prior Authorization job openings in the United States as of August 2026, with employment types broken down into 94% Full Time, 2% Part Time, 2% Temporary, and 2% Contract. Highlights an 100% Remote job distribution.

Prior Authorization Pharmacist (Remote)

Pacer Group

Remote

$59.50 - $71.75/hr

Other

Posted 10 days ago

Job description

Prior Authorization Pharmacist (Remote)

Location: Remote (Must be able to work EST hours)

Duration: 3 months Schedule: Monday – Friday | 10:00 AM – 6:30 PM EST Weekend Rotation: Possible Saturday rotation based on business needs

Job Summary

We are seeking a licensed Pharmacist to join the Prior Authorization team. In this role, you will review and determine prior authorization requests for pharmaceutical products by evaluating medical necessity, benefit coverage, and clinical appropriateness. This is a fully remote position requiring candidates to work an Eastern Time schedule.

Key Responsibilities
  • Review and process prior authorization requests for prescription drug coverage.
  • Make medical necessity and benefit determinations using established pharmacy guidelines and clinical criteria.
  • Apply sound clinical judgment while ensuring compliance with industry regulations and company policies.
  • Work independently while collaborating with senior pharmacists and leadership as needed.
  • Provide clinical support to the Customer Care Center.
  • Engage with healthcare providers regarding prior authorization determinations.
  • Support Fraud, Waste, and Abuse program oversight.
  • Stay current on industry trends, regulatory updates, and operational guidelines.
  • Meet quality standards and customer performance metrics.
  • Participate in rotating weekend coverage if business needs require.
Required Qualifications
  • Bachelor's Degree in Pharmacy (PharmD preferred).
  • Current active Pharmacist license.
  • Strong clinical decision-making and communication skills.
  • Proficiency with Windows-based computer applications.
  • Ability to work independently in a remote environment.
Preferred Qualifications
  • Prior Authorization or Coverage Determination experience.
  • Experience in managed care, PBM, or health plan environment.
  • Knowledge of pharmacy benefit management and utilization review.
Work Environment
  • Fully remote position.
  • Must be available to work Monday–Friday, 10:00 AM–6:30 PM EST.
  • Occasional Saturday rotation based on business needs.
  • Collaborative team environment with opportunities for long-term growth.

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