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From Home Prior Authorization Jobs (NOW HIRING)

Pharmacy Careers

Remote Prior Authorization Pharmacist

$59.50 - $71.75/hr

Remote Prior Authorization Pharmacist - Work From Home in Managed Care A confidential managed care organization is seeking a motivated Remote Prior Authorization Pharmacist to evaluate prescription ...

RPC Company

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Prior Authorization Specialist

Farmers Branch, TX · On-site

$22 - $24/hr

Prior Authorization Specialist - Pharmacy Technician Pay: $22-$24 per hour Location: Onsite New ... Minimum Qualifications · Certified Pharmacy Technician (CPhT) certification from an accredited ...

BrightSpring

Prior Authorization Specialist

Louisville, KY

$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 ...

MC-Rx

Prior Authorization Coordinator

Gainesville, GA · On-site

$21 - $23/hr

... from benefits investigation through authorization approval and therapy initiation. * Conduct ... Submit accurate and complete prior authorization requests, including all required clinical ...

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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 Aug 13, 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 Specialist

Blue Ridge Health

Hendersonville, NC • On-site

$16.25 - $21.50/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 21 days ago

Job description

Blue Ridge Health is currently seeking a Prior Authorization Specialist to be part of our Medical team in Hendersonville, NC.

What We Offer You:

  • A competitive benefits plan, including Medical, Dental and Vision
  • Company sponsored life insurance and short and long-term disability coverage
  • 403(b) retirement account with company matching
  • Supplemental accident insurance available
  • 9 paid holidays per year
  • PTO and Personal Day accrual, starting day 1 - (We value a work-life balance!)
  • Flexible Schedules Available

What You'll Do:

The Prior Authorization Specialist collaborates with patients, internal staff, other medical center representatives, and third-party payers to facilitate the smooth exchange of information related to obtaining timely prior authorizations for pharmaceutical and imaging patient needs. Responsibilities include:

  • Applies clinical and pharmaceutical criteria for processing prior authorization requests in a timely manner for pharmacy needs.
    Reviews notifications of patient prescription rejections via covermymeds.com, faxed document scanned directly to the desktop, or patient notification
  • Reviews received Medicaid prescription rejections in NCTracks
  • Applies clinical and pharmaceutical criteria for processing prior authorization requests in a timely manner for imaging needs.
  • Processes appeals and redeterminations as needed
  • Assists in provider training or updates on efficiencies related to the prescription or imaging process prior authorization process.
  • Communicates with appropriate parties in a timely and effective manner for completion of prior authorizations.

What We're Looking For:

  • High School Diploma or equivalent, required
    Current North Carolina Pharmacy Technician, required
  • Strong knowledge of pharmacy terminology
  • Experience working in an interdisciplinary and/or integrative health care model
  • Proficiency in MS Office programs required. Familiarity with Electronic Health Records (EHR) and other databases, preferred.
  • Proficiency in Spanish, preferred.

About Blue Ridge Health:

At Blue Ridge Health our mission is to improve Health, inspire Hope, and advance Healing through access to Compassionate, Affordable, and Quality Care. We are seeking individuals with a passion for creating an exceptional patient and client care experience to join our team! We are a nonprofit system of Federally Qualified Health Centers (FQHCs) that works closely with communities to meet the ever-changing medical and behavioral healthcare needs of individuals throughout WNC.

We provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.