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Freelance Cvs Prior Authorization Jobs (NOW HIRING)

1840 & Company

$16.75 - $22.25/hr

Prior Authorization Specialist We are seeking a detail-oriented and experienced Prior Authorization ... We specialize in connecting companies with world-class freelance professionals and delivering top ...

1840 & Company

$16.75 - $22.25/hr

Prior Authorization Specialist We are seeking a detail-oriented and experienced Prior Authorization ... We specialize in connecting companies with world-class freelance professionals and delivering top ...

CVS Health

Clinical Pharmacist - Prior Authorization

$45.43 - $76.15/hr

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... This position is for a Clinical Pharmacist working in the Prior Authorization team. - Collaborates ...

CVS Health

Technician I, Prior Authorizations

$17 - $28.46/hr

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Enters prior authorization requests submitted by healthcare providers, ensuring all required ...

CVS Health

Technician I, Prior Authorizations

$17 - $28.46/hr

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Enters prior authorization requests submitted by healthcare providers, ensuring all required ...

CVS Health

Authorization Specialist

$17 - $31.30/hr

Authorization Specialist Coram/CVS Health is looking for a high-energy healthcare professional to ... In this dynamic and fast-paced role, you will be responsible to obtain prior authorization for both ...

CVS Health

Authorization Specialist

$17 - $31.30/hr

Authorization Specialist Coram/CVS Health is looking for a high-energy healthcare professional to ... In this dynamic and fast-paced role, you will be responsible to obtain prior authorization for both ...

CVS Health

Authorization Specialist

$17 - $31.30/hr

Authorization Specialist Coram/CVS Health is looking for a high-energy healthcare professional to ... In this dynamic and fast-paced role, you will be responsible to obtain prior authorization for both ...

CVS Health

Authorization Specialist

Saint Paul, MN · On-site

$17 - $31.30/hr

At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... In this dynamic and fast-paced role, you will be responsible to obtain prior authorization ...

CVS Health

Authorization Specialist

Home, PA · On-site

$17 - $31.30/hr

At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... In this dynamic and fast-paced role, you will be responsible to obtain prior authorization ...

CVS Health

Authorization Specialist

$17 - $31.30/hr

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... In this dynamic and fast-paced role, you will be responsible to obtain prior authorization for both ...

CVS Health

Authorization Specialist

$17 - $31.30/hr

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... In this dynamic and fast-paced role, you will be responsible to obtain prior authorization ...

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Freelance Cvs Prior Authorization information

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How much do freelance cvs prior authorization jobs pay per hour?

As of Aug 26, 2026, the average hourly pay for freelance cvs prior authorization in the United States is $47.71, according to ZipRecruiter salary data. Most workers in this role earn between $24.28 and $61.78 per hour, depending on experience, location, and employer.

What is the difference between Freelance Cvs Prior Authorization vs Freelance Cvs Medical Reviewer?

AspectFreelance Cvs Prior AuthorizationFreelance Cvs Medical Reviewer
CredentialsTypically requires pharmacy or healthcare certificationsRequires medical or clinical certifications and experience
Work EnvironmentRemote, administrative task-focusedRemote, clinical review-focused
Employer & Industry UsageUsed by healthcare providers, insurance companies, pharmaciesUsed by insurance companies, healthcare organizations, clinical review firms
Common Search & ComparisonYesYes

Freelance Cvs Prior Authorization involves obtaining approval for medications or treatments before they are provided, focusing on administrative approval processes. Freelance Cvs Medical Reviewer, on the other hand, involves evaluating clinical information to determine medical necessity, requiring more clinical expertise. Both roles are remote and industry-related but differ in their focus and required credentials.

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Freelance Cvs Prior Authorization jobs near you
Infographic showing various Freelance Cvs Prior Authorization job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 16% Part Time, 1% Temporary, and 2% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $99,230 per year, or $47.7 per hour.

Prior Authorization Specialist

Remote

1840 & Company
Strategic Planning Consulting Services • 1 - 5K employees
Learn more about 1840 & Companyexternal

$16.75 - $22.25/hr

Full-time

Re-posted 3 days ago

Job description

Prior Authorization Specialist

We are seeking a detail-oriented and experienced Prior Authorization Specialist to manage the full lifecycle of prior authorizations (PAs) for medical services. The ideal candidate will be responsible for timely submission, meticulous follow-up, and effective resolution of all prior authorization requests and subsequent appeals. This role is critical in ensuring patients receive necessary services without delay and in maximizing reimbursement for the practice.

Key Responsibilities

  • Prior Authorization Submission and Monitoring:
  • Monitor the Prior Authorization queue and manage an organized list of outstanding and in-progress PAs
  • Review patient and service data provided by the biller/clinical team for completeness and accuracy
  • Submit new prior authorizations to the correct insurance company and plan efficiently via the required method, including insurance portals, fax, or telephone
  • Status Follow-Up:
  • Proactively and consistently call insurance companies to check on the status of submitted prior authorizations to prevent processing delays
  • Document all communication and status updates clearly and promptly in the patient management system
  • Denial Management and Appeals:
  • Identify, prepare, and submit prior authorization denial appeals in a timely manner, gathering all necessary clinical and administrative documentation
  • Track the status of all submitted appeals through resolution
  • System and Documentation Updates:
  • Monitor the designated fax inbox or electronic queue for prior authorization approvals, denials, and requests for additional information
  • Promptly update the patient management system with the final PA status, authorization number, and expiration date upon receipt of approval

Key Skills

  • Exceptional Attention to Detail: Crucial for accurately submitting data and preparing appeals.
  • Strong Communication Skills: Excellent verbal and written communication skills for professional interaction with insurance representatives and clinical staff
  • English Speaking: Fluency in English is required to effectively communicate with insurance representatives and team members.
  • Organizational and Time Management Skills: Ability to prioritize a high volume of PA requests and follow-up tasks under deadlines
  • Problem-Solving: Resourcefulness in troubleshooting issues with insurance company portals or processes.
  • Team Player: Ability to work collaboratively with billing and clinical teams to achieve patient care goals.
  • Medical billing experience
  • Familiarity with various commercial and government payer systems (e.g., Medicare, Medicaid, and major commercial insurers)
  • Proven knowledge of medical terminology, CPT codes, and ICD-10 codes

$4 - $5.50 an hour

About 1840 & Company

1840 & Company is a global leader in Business Process Outsourcing (BPO) and remote talent solutions, dedicated to propelling businesses forward through our comprehensive suite of services. We specialize in connecting companies with world-class freelance professionals and delivering top-tier outsourcing services, across over 150 countries worldwide.

Our mission is to empower growth for forward-thinking businesses, seamlessly bridging any skill or resource gaps with our expertly vetted talent pool. We firmly believe in fostering an environment where exceptional individuals can achieve an optimal work-life balance, working remotely from any location, while maximizing their professional growth and earning potential.

We are headquartered in Overland Park, KS, USA with service delivery facilities in the Philippines, India, Ukraine, South Africa and Argentina.

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