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Evening Remote Prior Authorization Jobs (NOW HIRING)

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 ...

A-Line Staffing Solutions

Be Seen First

REMOTE Pharmacy Technician/Prior Authorization

Tampa, FL · Remote

$20 - $21/hr

A-Line Staffing is actively searching for Multiple REMOTE Pharmacy Techs/Prior Authorization reps for a major healthcare company located anywhere in the United States surrounding area. This is an ...

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

Thrive in a collaborative remote environment. Qualifications * High School Diploma or GED required. * At least one (1) year of prior authorization experience in a clinical setting required.

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 ...

ICONMA

Prior Authorization Clinician

Our Client, a Medical Center company, is looking for a Prior Authorization Clinician for their Remote location. Responsibilities: * Determines medical appropriateness of inpatient and outpatient ...

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

Woodridge, IL · On-site +1

$20.25 - $26.25/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 ...

US Tech Solutions

Pharmacist - Prior Authorization #

$59.50 - $71.75/hr

Remote Duration: 12+ Months As a Clinical Pharmacist Advisor Medicare, you will be directly ... Prior Authorization Pharmacy Benefit Management Medicare Part D Education: Bachelor's degree in ...

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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

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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:

What other helpful pages are available for Evening Remote Prior Authorization?

Other pages related to Evening Remote Prior Authorization:

Evening Remote Prior Authorization jobs near you
Infographic showing various Evening Remote Prior Authorization job openings in the United States as of September 2026, with employment types broken down into 1% As Needed, 77% Full Time, 19% Part Time, 1% Temporary, and 2% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution.

Specialist I, Prior Authorization-Lumicera

Remote

Navitus Health Solutions
Health Care and Social Assistance • 501 - 1,000 employees
Learn more about Navitus Health Solutionsexternal

$18.67 - $21/hr

Other

Medical, Dental, Vision, Retirement, PTO

Re-posted 22 days ago

Navitus Health Solutions rating

7.0

Company rating: 7.0 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

272nd of 500 rated business services

Job description

Company
Lumicera
About Us
Lumicera - Lumicera Health Services Powered by Navitus - Innovative Specialty Pharmacy Solutions- Lumicera Health Services is defining the "new norm" in specialty pharmacy to optimize patient well-being through our core principles of transparency and stewardship. Here at Lumicera, our team members work in an environment that celebrates creativity and fosters diversity. .. Current associates must use SSO login option at https://employees-navitus.icims.com/ to be considered for internal opportunities. We are committed to providing equal employment opportunity to all applicants and employees and comply with all applicable nondiscrimination regulations, including those related to protected veterans and individuals with disabilities. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, or handicap.
Pay Range
USD $18.67 - USD $21.00 /Hr.
STAR Bonus % (At Risk Maximum)
0.00 - Ineligible
Work Schedule Description (e.g. M-F 8am to 5pm)
M-F 8 hr shift in between
Remote Work Notification
ATTENTION: Lumicera is unable to offer remote work to residents of Alaska, Connecticut, Delaware, Hawaii, Idaho, Kansas, Kentucky, Maine, Massachusetts, Mississippi, Montana, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, Vermont, Washington DC, West Virginia, and Wyoming.
Overview
Lumicera Health Services is seeking a Prior Authorization Specialist I to join our team!
Under direction from the Supervisor, Specialty Pharmacy Services, and pharmacists in the Specialty Pharmacy, the Prior Authorization Specialist I is primarily responsible for obtaining information and assisting providers and insurance companies in triaging prior authorizations for patients of the specialty pharmacy. The Prior Authorization Specialist's main objective is to answer phone calls and contact the doctors and patients via fax or phone or other communication means to facilitate and document prior authorization approval. The Prior Authorization Specialist may also be responsible for ensuring that all pertinent patient information is contained within the record. Patient information shall include demographics, allergies, medication history, comorbidities, and payer information. This position will function with and assist any other area in the facility as needed with regard to prior authorization type duties.
Is this you? Find out more below!
Responsibilities
How do I make an impact on my team?
  • Responsible for answering the inbound calls from patients, prescribers, and other healthcare professionals
  • Responsible for contacting doctors to obtain necessary information
  • Responsible for managing the assigned workflow queues
  • Responsible for accurate and thorough documentation of information and prescription order set up
  • The Employee will act in accordance with all applicable federal and state laws and with the highest ethical standards that we consistently strive to achieve. Thus, legal and ethical compliance is an essential duty of each employee
  • Other duties as assigned
Qualifications
What our team expects from you?
  • High school diploma or GED
  • Some college preferred
  • CPhT Preferred
  • Pharmacy technician license or pharmacy technician trainee license is strongly preferred in states requiring pharmacy technician licensure
  • Minimum two years pharmacy support experience or healthcare environment experience preferred
  • Ability to work scheduled hours, shifts may vary based on department needs. Hours of operation are 8am to 7pm Monday thru Thursday and 8am to 6pm on Friday
  • Participate in, adhere to, and support compliance program objectives
  • The ability to consistently interact cooperatively and respectfully with other employees
What can you expect from Navitus?
  • Top of the industry benefits for Health, Dental, and Vision insurance
  • 20 days paid time off
  • 4 weeks paid parental leave
  • 9 paid holidays
  • 401K company match of up to 5% - No vesting requirement
  • Adoption Assistance Program
  • Flexible Spending Account
  • Educational Assistance Plan and Professional Membership assistance
  • Referral Bonus Program - up to $750!

#LI-Remote
Location : Address
Remote
Location : Country
US

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