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From Home Prior Authorization Jobs (NOW HIRING)

MDxHealth

Prior Authorization Specialist

Irvine, CA · On-site

$19.26 - $23/hr

The Prior Authorization Specialist is responsible for all aspects of the prior authorization ... Applicant must be able to work from home. * Minimum 2 years of customer service experience in the ...

Curant Health

Prior Authorization Specialist

Smyrna, GA · On-site

$18 - $24/hr

... home delivery of prescription drugs. The Prior Authorization specialist responsibilities includes: taking in-bound calls from providers, PBM, etc. providing phone assistance to all callers through ...

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How much do from home prior authorization jobs pay per hour?

As of Jun 12, 2026, the average hourly pay for from home prior authorization in the United States is $20.89, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $23.08 per hour, depending on experience, location, and employer.

What is the difference between From Home Prior Authorization vs From Home Medical Coder?

AspectFrom Home Prior AuthorizationFrom Home Medical Coder
CredentialsTypically requires healthcare administration or insurance-related certificationsRequires coding certifications like CPC or CCS
Work EnvironmentRemote, healthcare or insurance companiesRemote, healthcare facilities or billing companies
Industry UsageUsed in insurance, healthcare administration, and patient servicesUsed in medical billing, coding, and health information management
Search/Comparison IntentPeople comparing remote insurance authorization rolesPeople exploring medical coding careers

From Home Prior Authorization involves reviewing and approving insurance requests remotely, focusing on healthcare administration. From Home Medical Coder specializes in translating medical records into billing codes remotely. While both roles are healthcare-related and remote, they differ in required certifications and daily tasks.

What cities are hiring for From Home Prior Authorization jobs? Cities with the most From Home Prior Authorization job openings:
What are the most commonly searched types of Prior Authorization jobs? The most popular types of Prior Authorization jobs are:
What states have the most From Home Prior Authorization jobs? States with the most job openings for From Home Prior Authorization jobs include:
From Home Prior Authorization jobs near you
Prior Authorization

Prior Authorization

Urology Centers of Alabama

Birmingham, AL

$16.75 - $22.50/hr

Other

Posted 25 days ago

Job description

General Summary

The Prior Authorization Specialist coordinates and secures insurance authorization for medications, in-office injections, and imaging when needed to support timely patient care. This role involves reviewing payer requirements, gathering appropriate clinical documentation, and communicating with insurance companies, pharmacies, and internal staff to facilitate authorization approvals. The ideal candidate demonstrates strong time management, attention to detail, integrity, and the ability to manage multiple requests while maintaining organization and professionalism in a high-volume environment. 

Key Responsibilities 

  • Complete authorization submissions through electronic platforms, payer portals, and telephone communications with insurance representatives when required. 

  • Review patient charts to obtain relevant clinical documentation needed to support authorization requests 

  • Communicate professionally with insurance companies, pharmacies, patients, and internal staff regarding authorization requirements and status updates. 

  • Track and update prior authorization requests and outcomes using internal tracking tools and insurance portals to ensure timely processing and follow-up. 

  • Demonstrate accountability for assigned authorization requests by monitoring status and following up with payers when necessary.  

  • Actively monitor PA Pool and EHR inbox communications to ensure timely response to authorization requests and related inquiries. 

  • Ensure all prior authorization submissions and supporting documentation accurately reflect the patient’s medical record and comply with payer requirements. 

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; stoop, kneel, crouch, or crawl; and talk or hear.  The employee must occasionally lift and/or move more than 45 pounds.

  • Familiarity with medical terminology and working knowledge of medical coding systems (CPT, ICD-10) relevant to prior authorization requests. 

  • Strong organizational and time management skills, with the ability to prioritize urgent requests and meet deadlines in a high-volume environment. 

  • Excellent written and verbal communication skills when interacting with patients, insurance representatives, pharmacies, and internal clinical staff. 

  • Ability to work both independently and collaboratively within a team while managing multiple tasks simultaneously. 

  • Demonstrates integrity, professionalism, and ethical decision-making when handling patient information and submitting prior authorization requests. 

  • HS Diploma or GED  required. 

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