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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 ...

Managed Staffing

Pharmacist Operations Advisor

AL · Remote

$57 - $58/hr

Pharmacist Operations Advisor - Prior Authorization (Remote) Location: Remote (Excludes residents ... Maintain up-to-date clinical and technical knowledge for CVS Specialty and Non-Specialty programs.

CVS Health

Pharmacy Technician

Collierville, TN · On-site

$17 - $25.65/hr

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Prior authorization experience * 6+ months experience required in a customer service position ...

CVS Health

Specialty Pharmacy Technician

Washington, DC

$17 - $34.15/hr

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Prior Authorization experience. - Previous Pharmacy Claim Adjudication experience. Education ...

CVS Health

Specialty Pharmacy Technician

Washington, DC

$17 - $34.15/hr

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Prior Authorization experience. - Previous Pharmacy Claim Adjudication experience. Education ...

Avera Health

Preadmissions Representative

Sioux Center, IA · On-site

$15.25 - $19/hr

S. News & World Report and CVS Health, reflecting the high quality of life and strong community ... Appropriately documents prior authorization and communicates information to performing facility ...

CVS Health

Benefits Verification Representative

$17 - $31.30/hr

... prior authorization information for both new and existing patients in order to process patient ... This position is eligible for a CVS Health bonus, commission or short-term incentive program in ...

New

CVS Health

Medical Director - Commercial

New York, NY · Remote

$174K - $374K/yr

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... This includes Prior Authorization/Pre-Certification/Concurrent Reviews/Peer to Peer calls/First ...

CVS Health

Benefits Verification Specialist

$17 - $31.30/hr

At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... prior authorization information for both new and existing patients in order to process patient ...

CVS Health

Specialty Pharmacy Technician

Atlanta, GA

$17 - $28.46/hr

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... You'll also support prior authorizations and help enroll patients in financial assistance programs.

CVS Health

Specialty Pharmacy Technician

Fort Worth, TX

$17 - $28.46/hr

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... In addition, you will work closely with others to process prior authorizations and enroll patients ...

Ascension

Pharmacy Technician Advocate

Burleson, TX · Remote

$21.63 - $30.15/hr

CVS, Walgreens, Optum, etc) (Required) * Proficiency in insurance claim adjudication, including troubleshooting and prior authorization processing. (Required) * Experience with cold calling patients ...

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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 Jul 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.

More about Freelance Cvs Prior Authorization jobs
What cities are hiring for Freelance Cvs Prior Authorization jobs? Cities with the most Freelance Cvs Prior Authorization job openings:
What are the most commonly searched types of Cvs Prior Authorization jobs? The most popular types of Cvs Prior Authorization jobs are:
What states have the most Freelance Cvs Prior Authorization jobs? States with the most job openings for Freelance Cvs Prior Authorization jobs include:
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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 July 2026, with employment types broken down into 64% Full Time, 18% Part Time, and 18% Contract. Highlights an 65% In-person, and 35% Remote job distribution, with an average salary of $99,230 per year, or $47.7 per hour.
Prior Authorization Specialist

Prior Authorization Specialist

1840 & Company

Remote

$16.75 - $22.25/hr

Full-time

Posted 25 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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