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Remote PBM Prior Authorization Pharmacist

Dallas, TX · Remote

$53/hr

Pharmacist Operations Advisor (Remote) -- Medicare Part D | $53/hr (W2) A-Line Staffing is hiring Pharmacist Operations Advisors (RPh Advisor) to support Medicare Part D members and providers with ...

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Maric Healthcare

Authorization & Benefits Specialist

Dallas, TX · On-site +1

$17.75 - $23.75/hr

Remote in Dallas, TX At Maric Healthcare, LLC, our compassionate and effective support provides a ... Determine prior authorization requirements based on payer and plan type * Obtain, track, and enter ...

Possibilities

BCBA (Full-Time, Remote)

Saint George, UT · Remote

$75K - $105K/yr

... authorization fulfillment (escalate to Clinical Director as necessary) * Communicate ongoing ... Prior experience in a remote role is preferred. * Willingness to travel to our center on a ...

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How much do full time remote prior authorization jobs pay per hour?

As of May 31, 2026, the average hourly pay for full time remote 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 Full Time Remote Prior Authorization vs Full Time Remote Medical Coder?

AspectFull Time Remote Prior AuthorizationFull Time Remote Medical Coder
CredentialsTypically requires healthcare-related certifications (e.g., CPC, RHIT)Usually requires coding certifications (e.g., CPC, CCS)
Work EnvironmentRemote, administrative healthcare settingRemote, medical documentation and coding environment
Industry UsageInsurance, healthcare administrationHospitals, clinics, insurance companies
Job FocusReviewing and approving prior authorization requestsAnalyzing medical records and assigning codes

Full Time Remote Prior Authorization and Full Time Remote Medical Coder roles share remote work settings and healthcare industry usage. However, prior authorization focuses on reviewing approval requests, while medical coding involves analyzing medical records for billing purposes. Both require healthcare certifications but serve different functions within healthcare organizations.

More about Full Time Remote Prior Authorization jobs
What cities are hiring for Full Time Remote Prior Authorization jobs? Cities with the most Full Time Remote Prior Authorization job openings:
What are the most commonly searched types of Remote Prior Authorization jobs? The most popular types of Remote Prior Authorization jobs are:
What states have the most Full Time Remote Prior Authorization jobs? States with the most job openings for Full Time Remote Prior Authorization jobs include:
What job categories do people searching Full Time Remote Prior Authorization jobs look for? The top searched job categories for Full Time Remote Prior Authorization jobs are:
Full Time Remote Prior Authorization jobs near you
Infographic showing various Full Time Remote Prior Authorization job openings in the United States as of May 2026, with employment types broken down into 91% Full Time, 6% Part Time, and 3% Contract. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $43,459 per year, or $20.9 per hour.

Prior Authorization Representative I

University of Utah Health

Salt Lake City, UT • On-site, Remote

$16.50 - $21/hr

Full-time

Posted 3 days ago

University Of Utah Health rating

7.6

Company rating: 7.6 out of 10

Based on 136 frontline employees who took The Breakroom Quiz

183rd of 864 rated healthcare providers

Job description

Overview
This position is primarily remote work, but candidate must reside within the state of Utah for this one.
Top candidates will also have some prior working experience in Prior Authorizations.
As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, integrity, quality and trust that are integral to our mission. EO/AA
This position is responsible to secure outpatient accounts by performing insurance verification, obtaining benefit information, calculating patient estimates, and obtaining prior authorization before services are rendered. This position works with physicians, nurses, clinic managers, and financial advocates to resolve issues that arise during the prior authorizations process. This position is not responsible for providing care to patients.
Corporate Overview: The University of Utah is a Level 1 Trauma Center and is nationally ranked and recognized for our academic research, quality standards and overall patient experience. Our five hospitals and eleven clinics provide excellence in our comprehensive services, medical advancement, and overall patient outcomes.
Responsibilities
Essential Functions
  • Verifies insurance eligibility, benefits, network status, and creates pre-service liability estimate.
  • Ensures accurate ICD, CPT codes and related medical records are submitted in the authorization request.
  • Secures prior authorizations for outpatient imaging and in office scheduled services.
  • Acts as a liaison between the payer and clinic schedulers/medical support staff.
  • Follows up on delayed or denied authorization requests and escalates for resolution.
  • Creates detailed documentation and maintains/stores the authorization paper trail.
  • May work to resolve claims denials related to the prior authorization.
Knowledge / Skills / Abilities
  • Basic knowledge of accounting, word processing, and spreadsheets.
  • Demonstrated critical thinking and ability to analyze information and problem solve.
  • Demonstrated professional verbal/written communication skills.
  • Ability to work independently within a team setting.
  • Ability to adapt to a dynamic work environment.
  • Demonstrated ability to prioritize and manage a large workload in stressful situations.
  • Ability to multitask.
  • Familiarity with human anatomy and medical terminology.
  • Demonstrated ability to complete work with a high level of detail and accuracy.
  • Ability to meet process time standards.
  • Ability to provide professional and courteous service in all interactions with internal and external customers.
  • Ability to navigate through various hospital software applications, including Epic ADT/Prelude, Cadence, Epicare, Referrals and Auth/Cert applications.
  • Ability to navigate and maneuver through multiple web sites.

Qualifications
Required
  • Two years of experience in a health care financial setting, or the equivalency.

Qualifications (Preferred)
Preferred
  • Previous experience with medical insurance and prior-authorizations.
  • ICD/CPT coding experience.
  • Outpatient or Radiology prior authorizations experience.
Working Conditions and Physical Demands
Employee must be able to meet the following requirements with or without an accommodation.
  • This is a sedentary position that may exert up to 10 pounds and may lift, carry, push, pull, or otherwise move objects. This position involves sitting most of the time and is not exposed to adverse environmental conditions.

Physical Requirements
Listening, Sitting, Speaking

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