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Home Based Prior Authorization Jobs in Rochester, NY

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Early Head Start Home Visitor

Rochester, NY

$42K - $44.91K/yr

Early Head Start Home Visitor / Home Based Hours: 37.5 hrs wk/52 weeks per year Salary Range: $42 ... prior convictions for sexual assault, domestic violence; has no indication of child abuse ...

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Home Based Prior Authorization information

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

As of May 28, 2026, the average hourly pay for home based prior authorization in Rochester, NY is $20.62, according to ZipRecruiter salary data. Most workers in this role earn between $17.07 and $22.79 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Home Based Prior Authorization Specialist, and why are they important?

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 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 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 Rochester, NY? The most popular types of Prior Authorization jobs in Rochester, NY are:
What are popular job titles related to Home Based Prior Authorization jobs in Rochester, NY? For Home Based Prior Authorization jobs in Rochester, NY, the most frequently searched job titles are:
What job categories do people searching Home Based Prior Authorization jobs in Rochester, NY look for? The top searched job categories for Home Based Prior Authorization jobs in Rochester, NY are:
What cities near Rochester, NY are hiring for Home Based Prior Authorization jobs? Cities near Rochester, NY with the most Home Based Prior Authorization job openings:
Home Based Prior Authorization jobs near you

Prior Authorization Specialist , Diagnostic Imaging

UR Medicine Thompson Health

Canandaigua, NY • On-site

$20 - $24.50/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 16 days ago

Job description

Schedule: Full time, days: Mon - Fri: 730aam - 4:00pm.
Pay Range: $20.00 - $24.50, based on experience
Benefits:
  • Health, dental, vision insurance
  • Tuition reimbursement up to $6000/year
  • Contribution and match on Retirement Plan
  • Four weeks paid time off
  • Access to Success coaches
  • Free parking

Company Culture: Thompson Health has a culture of empowerment. At Thompson, interdisciplinary teams come together to improve care, your suggestions are welcomed and your ideas are part of the solution. Three of our executives have an RN background so we understand the importance of the patient experience!
  • Focus on CARES values: Commitment, Action, Respect, Excellence, and Service
  • Focus on Employee Wellness: Biometric screenings, Wellness programs, Onsite gym, Zen Room, Community Shared Agriculture program, Access to Success Coach
  • Staff Recognition platforms: Shining Stars, CARESCount website

Responsibilities:
  • Performs with minimum direction and considerable latitude for independent judgement, obtains prior authorizations for both standard and complex requests.
  • Provides multiple & complex details to insurance carrier by anticipating their questions when reviewing & retrieving relevant info from the electronic medical record.
  • Responsible for planning, execution, appeals and efficient follow through on all aspects of the process which as direct, multifaceted impact (quality, financial, patient satisfaction, etc.) on patient scheduling, treatment, care and follow up.
  • May train and coordinate activities of peers or support staff.

Qualifications:
  • Required Associate's degree in Medical, Secretarial or related field & a minimum of 3years of relevant exp.; or an equivalent combination of education & experience.
  • Medical Terminology, experiences with surgical/appointment scheduling software (such as Flowcast), and electronic medical records, preferred.
  • Demonstrated customer relations skills.

Pay Range: $20.00 - $24.50
Starting Pay: Based on Experience
Thompson Health is an EOE encouraging individuals with disabilities and veterans to apply
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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