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Evening Remote Prior Authorization Jobs (NOW HIRING)

Onco360

Pharmacy Prior Authorization Specialist

Scottsdale, AZ · On-site +1

$20.75 - $26.75/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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 ...

Onco360

Pharmacy Prior Authorization Specialist

Waltham, MA · On-site +1

$22.25 - $29/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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 ...

Onco360

Pharmacy Prior Authorization Specialist

Woodridge, IL · On-site +1

$20.25 - $26.25/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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 ...

Onco360

Pharmacy Prior Authorization Specialist

Houston, TX · On-site +1

$19.50 - $25.25/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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 ...

Onco360

Pharmacy Prior Authorization Specialist

Albuquerque, NM · Remote

$19.75 - $25.75/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Remote work if licensed in State of New Mexico. Why Join Us? * A career with purpose: Help patients ... Manage prior authorization requests and appeals with insurance carriers. * Collaborate with ...

Humata Health

Prior Authorization Workflow Consultant

  • Medical

  • Life

  • Retirement

  • PTO

The Prior Authorization Workflow Consultant plays a critical role in Humata Health's customer ... Remote, US or Hybrid - Orlando, Florida, US • Responsibilities * Own the operational workstream ...

Onco360

Pharmacy Prior Authorization Specialist

New Hyde Park, NY · On-site +1

$21.75 - $28.25/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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 ...

University of Utah

Prior Authorization Representative I

$17.50 - $22.25/hr

Overview This position is primarily remote work, but candidate must reside within the state of Utah for this one. Top candidates will also have some prior working experience in Prior Authorizations.

New

Oak St. Health

Clinical Pharmacist - Prior Authorization

$50.48 - $84.62/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

This is a remote role open to candidates within the United States. Required Qualifications • 2 ... Preferred Qualifications • PGY1/PGY2 • Prior authorization, call center and clinical experience ...

CVS Health

Clinical Pharmacist - Prior Authorization

$50.48 - $84.62/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

This is a remote role open to candidates within the United States. Required Qualifications 2 years ... Current experience working with commercial Prior Authorizations within Caremark PBM Experience ...

Availity

Senior Product Director, Prior Authorization (Remote)

$238K - $249K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Remote, US Why you want to work on this team: * Work oncutting-edgesolutions that have the potential to reshape prior authorization processes across the healthcare industry. * Engage in meaningful ...

CVS Health

Clinical Pharmacist - Prior Authorization

$45.43 - $76.15/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

This is a remote role open to candidates within the United States. Required Qualifications 2 years ... Current experience working with commercial Prior Authorizations within Caremark PBM Experience ...

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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.

Pharmacy Prior Authorization Specialist

Onco360

Scottsdale, AZ • On-site, Remote

$20.75 - $26.75/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 3 days ago

Onco360 rating

7.7

Company rating: 7.7 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

19th of 112 rated pharmacies

Job description

Pharmacy Prior Authorization Specialist – Onco360 Pharmacy
Scottsdale, AZ | Full-Time | Starting at $23.00/hr and up
Sign-On Bonus: $5,000 for employees starting before September 30, 2026!
Join a mission-driven team making a difference in the lives of cancer patients.
Onco360 Pharmacy is seeking a Pharmacy Prior Authorization Specialist to join our dedicated team in Scottsdale, AZ. This is a full-time position ideal for candidates local to the area. Remote work possible after initial on-site training.
Why Join Us?
  • A career with purpose: Help patients access life-saving medications.
  • Supportive culture: We value teamwork, respect, integrity, and passion.
  • Growth opportunities: We invest in your professional and personal development.
Company Benefits
  • Medical; Dental; Vision
  • 401k with a match
  • Paid Time Off and Paid Holidays
  • Tuition Reimbursement
  • Quarterly Incentive Bonus
  • Paid Volunteer Day
  • Referral Incentive Program
  • Company Paid Life Insurance; and Short/Long-Term Disability
What You’ll Do
The Pharmacy Prior Authorization Specialist will ensure patients receive the medication that requires pre-authorizations from insurance carriers by receiving prescriptions, addressing and rectifying rejected claims and conducting necessary third party authorization requests.
How You’ll Do This
  • Manage prior authorization requests and appeals with insurance carriers.
  • Collaborate with physicians, pharmacists, and other departments.
  • Ensure HIPAA compliance while handling sensitive patient information.
  • Maintain accurate documentation of authorization details.
  • Proactively monitor and renew expiring authorizations.
What You Bring
Required:
  • High School Diploma or GED
  • 1+ years of pharmacy or prior authorization experience
  • Registration with Board of Pharmacy (as required by state law)
  • Strong communication, organizational, and customer service skills
  • Self-motivated, organized, detail-oriented, and adaptable to changing priorities
  • Knowledge of pharmacy terminology, pharmacy insurance claims, Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, experience with CoverMyMeds
Preferred:
  • Associate degree or Certified Pharmacy Technician (PTCB)
  • 3+ years of experience in pharmacy or prior authorizations
  • Specialty pharmacy experience
Ready to make a meaningful impact? Apply today and help us better the lives of those battling cancer.
#Company Values: Teamwork, Respect, Integrity, Passion

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