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From Home Prior Authorization Jobs (NOW HIRING)

Prior Authorization

Eugene, OR ยท On-site

$18 - $24/hr

Partner with the RCM Prior Authorization Supervisor and Team Lead to analyze denied claims resulting from prior authorization and referral errors by identifying the root cause and provide the ...

Prior Authorization

Savannah, GA

$16.75 - $22.25/hr

Prior Authorization (Full Time) Department: Cardiology Location: 1326 Eisenhower Drive, Savannah, GA SouthCoast Health Is Looking for A Full-time Prior Authorization (Medical Assistant/CNA) ...

Prior Authorization Specialist

Irvine, CA ยท 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 ...

... 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 ...

Prior Authorization Specialist

Battle Creek, MI ยท On-site

$17 - $22.75/hr

Grace Health is currently seeking an individual that will obtain prior authorizations for patients and assist with the managed care process. We offer competitive wages based on experience and up to 3 ...

$23 - $25/hr

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 ...

Prior Authorization Specialist

Battle Creek, MI ยท On-site

$17 - $22.75/hr

Grace Health is currently seeking an individual that will obtain prior authorizations for patients and assist with the managed care process. We offer competitive wages based on experience and up to 3 ...

Prior Authorization Specialist

Smyrna, GA ยท 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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From Home Prior Authorization information

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

As of Jun 10, 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:

Prior Authorization

Slocum

Eugene, OR โ€ข On-site

$18 - $24/hr

Other

This job post hasย expired today.ย Applications are no longer accepted.


Job description

  • Submits, tracks, and manages prior authorization requests for medical and ancillary procedures, within strict timeframes.
  • Researches and resolves authorization and referral claim denials, while coordinating with physicians, providers, and insurance payers to file appeals or facilitate a P2P.
  • Reviews patient medical records and clinical documentation to ensure they meet payer coverage criteria.
  • Collaborate with the RCM Prior Authorization Supervisor and Team Lead to develop and update authorization policies and procedures.
  • Maintain knowledge of payer guidelines (Medicare, Medicaid, Commercial, etc.) and ensuring regulatory compliance.
  • Partner with the RCM Prior Authorization Supervisor and Team Lead to analyze denied claims resulting from prior authorization and referral errors by identifying the root cause and provide the corrected data to the billing team for the purpose of appealing or resubmitting a corrected claim.
  • Interacts with insurance payers, physicians, providers, and Slocum departments to clarify coverage requirements to expedite approvals.
  • Work in collaboration with the RCM Prior Authorization Supervisor and Team Lead to monitor prior authorization related utilization trends, claim denials, denial rates, and provide performance improvement suggestions to senior leadership.
  • Communicate cross-functionally with providers and other Slocum departments regarding patient questions or referral and authorization concerns.
  • Perform other duties as assigned.