Prior Authorization
$16.75 - $22.50/hr
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 ...
$16.75 - $22.50/hr
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 ...
$16.75 - $22.50/hr
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 ...
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Atlanta, GA · Remote
$53 - $58/hr
MUST HAVE PREVIOUS PBM PRIOR AUTHORIZATION EXPERIENCE*** Remote / Work from Home Pharmacist Compensation * The pay for this position is $53.00 - $58.00 per hour * Benefits are available to full-time ...
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Atlanta, GA · Remote
$53 - $58/hr
MUST HAVE PREVIOUS PBM PRIOR AUTHORIZATION EXPERIENCE*** Remote / Work from Home Pharmacist Compensation * The pay for this position is $53.00 - $58.00 per hour * Benefits are available to full-time ...
... Prior Authorization Specialist at our Edina, MN business office (3 days in office / 2 days ... work from home). If you have a passion for providing exceptional patient care, are highly ...
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... Prior Authorization Specialist at our Edina, MN business office (3 days in office / 2 days ... work from home). If you have a passion for providing exceptional patient care, are highly ...
Atlanta, GA · On-site +1
$20 - $23/hr
The Prior Authorization Coordinator ensures seamless patient care by maintaining prior ... home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our ...
Atlanta, GA · On-site +1
$20 - $23/hr
The Prior Authorization Coordinator ensures seamless patient care by maintaining prior ... home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our ...
Atlanta, GA · On-site +1
$20 - $23/hr
Soleo Health is seeking a Prior Authorization Coordinator to support our Specialty Infusion ... home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our ...
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Atlanta, GA · On-site +1
$20 - $23/hr
Soleo Health is seeking a Prior Authorization Coordinator to support our Specialty Infusion ... home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our ...
Atlanta, GA · On-site
$20 - $23/hr
Soleo Health is seeking a Prior Authorization Coordinator to support our Specialty Infusion ... home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our ...
Quick apply
Atlanta, GA · On-site
$20 - $23/hr
Soleo Health is seeking a Prior Authorization Coordinator to support our Specialty Infusion ... home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our ...
Louisville, KY · On-site
$17.25 - $23/hr
Prior Authorization Specialist Job Locations US-KY-LOUISVILLE ID 2026-193322 Line of Business ... Operating long-term care, home infusion, and specialty pharmacies across the nation, we combine the ...
Louisville, KY · On-site
$17.25 - $23/hr
Prior Authorization Specialist Job Locations US-KY-LOUISVILLE ID 2026-193322 Line of Business ... Operating long-term care, home infusion, and specialty pharmacies across the nation, we combine the ...
Atlanta, GA · On-site +1
$20 - $23/hr
The Prior Authorization Coordinator ensures seamless patient care by maintaining prior ... home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our ...
Atlanta, GA · On-site +1
$20 - $23/hr
The Prior Authorization Coordinator ensures seamless patient care by maintaining prior ... home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our ...
Waltham, MA · On-site +1
$23 - $28/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 ...
Waltham, MA · On-site +1
$23 - $28/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 ...
$18.13 - $21.78/hr
The Prior Authorization Specialist handles all prior authorizations, third party appeals, and pending third party payer issues across all Equitas Health medical centers. This individual will work ...
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$18.13 - $21.78/hr
The Prior Authorization Specialist handles all prior authorizations, third party appeals, and pending third party payer issues across all Equitas Health medical centers. This individual will work ...
Saint Paul, MN · On-site
Requests and collects required clinical documentation from providers to support authorization approvals. Prepares and submits prior authorization requests to commercial and government payers.
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Saint Paul, MN · On-site
Requests and collects required clinical documentation from providers to support authorization approvals. Prepares and submits prior authorization requests to commercial and government payers.
Louisville, KY · On-site
$16.50 - $22/hr
The Prior Authorization Coordinator is responsible for striving to complete either approval for ... Operating long-term care, home infusion, and specialty pharmacies across the nation, we combine the ...
Louisville, KY · On-site
$16.50 - $22/hr
The Prior Authorization Coordinator is responsible for striving to complete either approval for ... Operating long-term care, home infusion, and specialty pharmacies across the nation, we combine the ...
$17.50 - $23.50/hr
The Prior Authorization Specialist verifies insurance coverage and gathers clinical information to ... Flexible position, work from home 2 days, in person (Munster, IN) 3 days. * Monday through Friday 8 ...
New
$17.50 - $23.50/hr
The Prior Authorization Specialist verifies insurance coverage and gathers clinical information to ... Flexible position, work from home 2 days, in person (Munster, IN) 3 days. * Monday through Friday 8 ...
New
Middletown, NY · On-site
$21/hr
Fields phone calls from staff and service providers and resolves inquiries related to prior authorizations. * Easily manages multiple authorization requests at once. * Exemplifies excellent customer ...
Middletown, NY · On-site
$21/hr
Fields phone calls from staff and service providers and resolves inquiries related to prior authorizations. * Easily manages multiple authorization requests at once. * Exemplifies excellent customer ...
$17.75 - $23.50/hr
Initiate, monitor, and secure prior authorizations from third-party payers. * Maintain electronic documentation for all prior authorization activities in accordance with organizational standards.
$17.75 - $23.50/hr
Initiate, monitor, and secure prior authorizations from third-party payers. * Maintain electronic documentation for all prior authorization activities in accordance with organizational standards.
Columbus, OH · On-site
$18.13 - $21.78/hr
The Prior Authorization Specialist handles all prior authorizations, third party appeals, and ... from the Department of Labor.
Columbus, OH · On-site
$18.13 - $21.78/hr
The Prior Authorization Specialist handles all prior authorizations, third party appeals, and ... from the Department of Labor.
$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 ...
$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 ...
Fields phone calls from staff and service providers and resolves inquiries related to prior authorizations. * Easily manages multiple authorization requests at once. * Exemplifies excellent customer ...
Fields phone calls from staff and service providers and resolves inquiries related to prior authorizations. * Easily manages multiple authorization requests at once. * Exemplifies excellent customer ...
New York, NY · On-site
$19.75 - $26.25/hr
... home health and hospice. Prior authorization is one of the largest operational bottlenecks for ... Identify recurring failure points and determine whether issues stem from payer requirements ...
New York, NY · On-site
$19.75 - $26.25/hr
... home health and hospice. Prior authorization is one of the largest operational bottlenecks for ... Identify recurring failure points and determine whether issues stem from payer requirements ...
Louisville, KY · On-site
$16.50 - $22/hr
The Prior Authorization Coordinator is responsible for striving to complete either approval for ... Operating long-term care, home infusion, and specialty pharmacies across the nation, we combine the ...
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Louisville, KY · On-site
$16.50 - $22/hr
The Prior Authorization Coordinator is responsible for striving to complete either approval for ... Operating long-term care, home infusion, and specialty pharmacies across the nation, we combine the ...
$13.70 - $15.38
6% of jobs
$15.38 - $17.07
14% of jobs
$17.49 is the 25th percentile. Wages below this are outliers.
$17.07 - $18.75
20% of jobs
The median wage is $19.69 / hr.
$18.75 - $20.43
18% of jobs
$20.43 - $22.12
16% of jobs
$22.31 is the 75th percentile. Wages above this are outliers.
$22.12 - $23.80
12% of jobs
$23.80 - $25.48
7% of jobs
$25.48 - $27.16
5% of jobs
$27.16 - $28.85
2% of jobs
$28.85 - $30.53
0% of jobs
$30.53 - $32.21
0% of jobs
$13
$20
$32
| Aspect | From Home Prior Authorization | From Home Medical Coder |
|---|---|---|
| Credentials | Typically requires healthcare administration or insurance-related certifications | Requires coding certifications like CPC or CCS |
| Work Environment | Remote, healthcare or insurance companies | Remote, healthcare facilities or billing companies |
| Industry Usage | Used in insurance, healthcare administration, and patient services | Used in medical billing, coding, and health information management |
| Search/Comparison Intent | People comparing remote insurance authorization roles | People 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.
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.Â
Key ResponsibilitiesÂ
Complete authorization submissions through electronic platforms, payer portals, and telephone communications with insurance representatives when required.Â
Review patient charts to obtain relevant clinical documentation needed to support authorization requestsÂ
Communicate professionally with insurance companies, pharmacies, patients, and internal staff regarding authorization requirements and status updates.Â
Track and update prior authorization requests and outcomes using internal tracking tools and insurance portals to ensure timely processing and follow-up.Â
Demonstrate accountability for assigned authorization requests by monitoring status and following up with payers when necessary. Â
Actively monitor PA Pool and EHR inbox communications to ensure timely response to authorization requests and related inquiries.Â
Ensure all prior authorization submissions and supporting documentation accurately reflect the patient’s medical record and comply with payer requirements.Â
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.Â
Strong organizational and time management skills, with the ability to prioritize urgent requests and meet deadlines in a high-volume environment.Â
Excellent written and verbal communication skills when interacting with patients, insurance representatives, pharmacies, and internal clinical staff.Â
Ability to work both independently and collaboratively within a team while managing multiple tasks simultaneously.Â
Demonstrates integrity, professionalism, and ethical decision-making when handling patient information and submitting prior authorization requests.Â
HS Diploma or GEDÂ required.Â
Sourced by ZipRecruiter
Outpatient health care
51 - 200 Employees
Birmingham, AL, US
1940