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Home Based Prior Authorization Jobs in Virginia (NOW HIRING)

Pharmacy Technician

Richmond, VA · On-site

$17.25 - $21/hr

Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers ... Experience with Windows-based software applications. * High School Diploma or equivalent.

Showing results 21-40

Home Based Prior Authorization information

What is a home based prior authorization specialist?

A Home Based Prior Authorization specialist is a healthcare professional who works remotely to review and process prior authorization requests for medical procedures, medications, or services. Their main role is to ensure that treatments and prescriptions meet insurance requirements before approval, helping patients receive necessary care while managing costs for providers and insurers. These specialists communicate with healthcare providers, insurance companies, and sometimes patients, using secure online systems to perform their duties from home. Their work is critical in streamlining healthcare access and preventing unnecessary delays in treatment.

What are the key skills and qualifications needed to thrive as a home based prior authorization specialist?

To thrive as a Home Based Prior Authorization Specialist, you need a solid understanding of medical terminology, insurance policies, and healthcare procedures, often supported by experience in medical billing or coding. Familiarity with electronic health record (EHR) systems, payer portals, and prior authorization software is typically required, along with certifications like CPC or CPB being advantageous. Strong attention to detail, effective communication, and the ability to work independently are valuable soft skills in this remote role. These competencies ensure timely and accurate authorization processing, reduce claim denials, and support seamless patient care coordination.

What are some common challenges faced in a home based prior authorization role and how can they be managed?

One common challenge in a home-based prior authorization role is maintaining effective communication with healthcare providers and insurance companies while working remotely. This can be managed by utilizing secure digital communication tools and staying organized with thorough documentation. Another challenge is staying updated on frequently changing insurance policies and regulations, which can be addressed by participating in ongoing training and regularly reviewing updates from payers. Additionally, managing distractions and maintaining productivity at home requires setting a dedicated workspace and a structured daily routine.

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

AspectHome Based Prior AuthorizationMedical Coder
CredentialsTypically requires healthcare experience, knowledge of insurance policies, and sometimes certifications in healthcare administrationRequires coding certifications like CPC, CCS, or CCS-P
Work EnvironmentRemote, healthcare or insurance company settingRemote or on-site, healthcare facility or billing office
Industry UsageUsed in insurance, healthcare administration, and utilization reviewUsed in medical billing, coding, and health information management

Home Based Prior Authorization specialists focus on reviewing and approving insurance requests for medical procedures, requiring healthcare knowledge. Medical Coders translate medical records into codes for billing, requiring coding certifications. While both roles are remote and healthcare-related, they serve different functions within the healthcare industry.

What are the most commonly searched types of Prior Authorization jobs in Virginia?

The most popular types of Prior Authorization jobs in Virginia are:

What are popular job titles related to Home Based Prior Authorization jobs in Virginia?

For Home Based Prior Authorization jobs in Virginia, the most frequently searched job titles are:

What job categories do people searching Home Based Prior Authorization jobs in Virginia look for?

The top searched job categories for Home Based Prior Authorization jobs in Virginia are:

What cities in Virginia are hiring for Home Based Prior Authorization jobs?

Cities in Virginia with the most Home Based Prior Authorization job openings:

Licensed Insurance Sales Representative (Remote / Home-Based)

Allstate

Richmond, VA • On-site, Remote

$52K - $76K/yr

Full-time

Medical, Dental, Vision, Retirement

Re-posted 7 days ago


Allstate Insurance rating

7.4

Company rating: 7.4 out of 10

Based on 570 frontline employees who took The Breakroom Quiz

235th of 315 rated insurance


Job description

At Allstate, great things happen when our people work together to protect families and their belongings from life's uncertainties. And for more than 90 years, our innovative drive has kept us a step ahead of our customers' evolving needs. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection.
Job Description
Allstate's sales organization is growing its virtual workforce, and we are looking for highly motivated individuals that thrive in a fast-paced sales environment and enjoy being rewarded for their efforts. At Allstate, we are committed to offering a reputable product suite that protects people from life's uncertainties so they can realize their hopes and dreams.
As a full-time Insurance Sales Representative, you will:
  • Engage with active insurance shoppers via inbound/outbound calls, live chat, SMS, and more in a work from home call center environment.
  • Use your insurance expertise to uncover customer needs, identify coverage gaps, and recommend tailored solutions from Allstate products and products within the Allstate family of companies.
  • Convert warm leads into customers using a proven consultative sales strategy - no cold calling required.
  • Work from home to drive sales growth while delivering an exceptional, customer-first experience.

Compensation & Benefits
  • Base Pay: $18/hour
  • Average Total Compensation: $52,730-$76,480/year (base + uncapped performance-based incentives)
  • Incentives are productivity-based and governed by the applicable bonus plan, which is subject to change at Allstate's discretion.

Full suite of employee benefits starting day one, including:
  • Health, dental, and vision insurance
  • 401(k) with company match and pension plan
  • Tuition reimbursement and career development
  • Wellness programs

Additional Benefits
  • Paid training from day one (classroom and hands-on)
  • Licensing support: study materials, exam reimbursement, and assistance
  • Monthly internet reimbursement
  • Home office equipment provided by Allstate

Why Join Allstate
  • No Prospecting: Warm leads delivered directly to you
  • Career Growth: Develop your skills within a dynamic, supportive Fortune 100 company
  • Supportive Culture: Learn from best-in-class leaders and motivated teammates
  • Trusted Brand: Be part of a company with 90+ years of industry experience
  • Diverse & Reputable Product Suite: Sell from a wide portfolio that meets every customer's needs

Requirements
  • At least 1 year of experience in sales or customer service (with a sales focus)
  • Active Personal Lines or Property & Casualty Producer license in your state of residence (preferred)
  • If unlicensed, ability to obtain a Personal Lines or Property & Casualty Producer license with Allstate's support
  • Sales Representatives are required to obtain and maintain all required resident and non-resident Producer licenses necessary to sell insurance products in any state designated by Allstate. This includes obtaining non-resident Producer licenses in all states as required for the role.
  • If hired, Sales Representative must relinquish all non-Allstate insurance carrier appointments and may not hold active appointments with other carriers while employed in this role, in accordance with Allstate licensing and appointment policies.
  • High school diploma or GED required
  • Reliable high-speed internet with wired connection (Ethernet)
  • Dedicated, distraction-free home workspace (equipment provided)
  • Comfortable working evenings and weekends
  • Receptive to feedback and performance coaching
  • Strong communication, critical thinking, and multitasking skills
  • Competitive, highly self-motivated and enjoys being rewarded for your efforts
  • Able to work independently and hold yourself accountable for your performance
  • Ability to navigate multiple computer systems simultaneously

Essential Job Functions
  • Handle inbound and outbound customer calls as the primary method of customer engagement.
  • Maintain availability during assigned work hours to meet call volume and service expectations. This function is particularly crucial during an employee's first 90 days of employment.
  • Deliver consultative sales conversations and complete transactions during live customer interactions.
  • Adhere to assigned schedules, including evenings and weekends, based on business coverage needs.
  • Meet established productivity, quality, and performance standards.
  • Navigate multiple computer systems simultaneously while actively engaged with customers.

This position is only available within the US, but not currently available for Puerto Rico, California, New York, Alaska, Hawaii, or Washington state residents.
Candidates who reside in locations where the local minimum wage exceeds the base pay for this position are also not eligible for consideration. This is due to compliance with wage regulations and internal compensation practices.
Reasonable Accommodation Statement
Allstate provides reasonable accommodations to qualified individuals with disabilities to enable them to perform the essential functions of their role. During the first 90 days of employment, reasonable accommodations generally do not include removing essential job functions, creating new positions, or lowering performance or productivity standards.
DS01
Skills
Customer Centricity, Customer Insights, Customer Sales, Digital Literacy, Inclusive Leadership, Learning Agility, Results-Oriented, Sales, Sales Operations, Strategic Selling
Compensation
Target Total Compensation: $52,730-$76,480/year (Base Pay + Uncapped Performance-Based Incentives). Incentives are based on productivity and are not guaranteed. Payments are governed by the terms of the applicable sales bonus plan, which is subject to change at Allstate's discretion.
Base Pay: $18 per hour
The candidate(s) offered this position will be required to submit to a background investigation.
Joining our team isn't just a job - it's an opportunity. One that takes your skills and pushes them to the next level. One that encourages you to challenge the status quo. One where you can shape the future of protection while supporting causes that mean the most to you. Joining our team means being part of something bigger - a winning team making a meaningful impact.
Allstate generally does not sponsor individuals for employment-based visas for this position.
Effective July 1, 2014, under Indiana House Enrolled Act (HEA) 1242, it is against public policy of the State of Indiana and a discriminatory practice for an employer to discriminate against a prospective employee on the basis of status as a veteran by refusing to employ an applicant on the basis that they are a veteran of the armed forces of the United States, a member of the Indiana National Guard or a member of a reserve component.
For jobs in San Francisco, please click "here" for information regarding the San Francisco Fair Chance Ordinance.
For jobs in Los Angeles, please click "here" for information regarding the Los Angeles Fair Chance Initiative for Hiring Ordinance.
To view the "EEO Know Your Rights" poster click "here". This poster provides information concerning the laws and procedures for filing complaints of violations of the laws with the Office of Federal Contract Compliance Programs.
To view the FMLA poster, click "here". This poster summarizing the major provisions of the Family and Medical Leave Act (FMLA) and telling employees how to file a complaint.
It is the Company's policy to employ the best qualified individuals available for all jobs. Therefore, any discriminatory action taken on account of an employee's ancestry, age, color, disability, genetic information, gender, gender identity, gender expression, sexual and reproductive health decision, marital status, medical condition, military or veteran status, national origin, race (include traits historically associated with race, including, but not limited to, hair texture and protective hairstyles), religion (including religious dress), sex, or sexual orientation that adversely affects an employee's terms or conditions of employment is prohibited. This policy applies to all aspects of the employment relationship, including, but not limited to, hiring, training, salary administration, promotion, job assignment, benefits, discipline, and separation of employment.
Allstate provides a comprehensive technology setup, including a laptop, monitors, headset, keyboard, and mouse. Employees eligible to work from home also receive a monthly connectivity reimbursement to help offset internet costs.
When working from home, you must have a dedicated, private workspace free from distractions, along with appropriate desk and seating. Reliable internet is required, with minimum speeds of 50 MB download and 5 MB upload.
To help create a more personal and engaging experience, we ask that you join with your camera on if your interview is virtual. Please also have a Valid Photo Identification available at the start of your interview. If you require any accommodations or have questions ahead of your interview please reach out to your recruiter.
Note: Internal candidates are only asked to join on video; a Valid Photo Identification is not needed for the interview.

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About Allstate Insurance

Sourced by ZipRecruiter

We're a purpose-driven company powered by purpose-driven people. We're reinventing protection and transforming the company for our customers, communities and each other. You could play a role in our transformation. Join a 90-year-old, Fortune 100 insurance company as we challenge the status quo, champion inclusion and strengthen our communities. If being a part of that future gives you goosebumps, you've come to the right place. Reinventing the future of protection means rethinking how we work together. From marketing to claims, our employees have flexibility in how, when and where they work — whether at home, the office or both. We're creating an inclusive, diverse and equitable workplace. We encourage collaboration, support taking chances and foster a strong sense of community. Let's build a new kind of Allstate together.

Industry

Insurance services, real estate, finance and insurance and insurance agencies and brokerages

Company size

10,000+ Employees

Headquarters location

Northbrook, IL, US