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Home Based Prior Authorization Jobs in Rochester, NY

Medical Biller

Rochester, NY · Remote

$20 - $25/hr

... authorizations, and claim corrections. Requirements * Prior experience in healthcare billing, home ... Angels In Your Home is an Equal Opportunity Employer and does not discriminate based on race, color ...

Medical Biller

Rochester, NY · On-site

$20 - $25/hr

... authorizations, and claim corrections. Requirements: * Prior experience in healthcare billing, home ... Angels In Your Home is an Equal Opportunity Employer and does not discriminate based on race, color ...

Showing results 41-60

Home Based Prior Authorization information

See Rochester, NY salary details

$13

$20

$31

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

As of Aug 9, 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 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 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 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:

Behavior Technician, Willing to train

Proud Moments

Rochester, NY • On-site

$19 - $22/hr

Part-time

Medical, Dental, Vision, Retirement

Posted 19 days ago


Proud Moments ABA rating

6.3

Company rating: 6.3 out of 10

Based on 74 frontline employees who took The Breakroom Quiz

99th of 239 rated social care providers


Job description

Overview

Home Based in Rochester: Monday-Friday 4pm-6pm

Proud Moments ABA is a national behavioral health organization, providing the gold standard of Applied Behavior Analysis (ABA) services for children on the autism spectrum from birth to age 21.   We are looking for Behavior Technicians (BT's) to join our growing team.  Our BT's are an essential part of the treatment team- providing 1-1 specialized treatment in partnership with our Board Certified Behavior Analysts to our clients in a home-based setting.  If you are looking for a career that allows you to provide life changing treatment to children this could be the role for you - if you have the passion we have the training!

What Proud Moments can offer you:

  • Flexible part-time/evening/afternoon hours 
  • Paid training and support to feel confident in your ability to execute treatment plans
  • Fun, challenging, fulfilling, team-oriented, work environment 
  • The ability to positively impact the lives of families and their children on the autism spectrum
  • Competitive compensation
  • Career growth
  • Medical, dental, vision, 401k (for full time employees)

What you will bring to the role:

  • A passion and love for working with children
  • Ability to work in an everchanging, fast paced environment
  • Have a strong, reliable work ethic (your clients depend on you)
  • Ability to work both independently and in a team environment
  • Strong communication skills and ability to interact with children and parents
  • Fun, creative, and innovative ideas to engage your client
Responsibilities
  • Work one-on-one with a client in their home to implement behavioral plans designed by Board Certified Behavior Analyst (BCBA)
  • Collect data to monitor the progress and effectiveness of the individualized treatment plan and report progress
  • Support BCBA with training families on implementing individualized treatment plans
  • Be responsive to the needs and requests of clients, their families, and supervisors
  • Maintain clear lines of communication with families, supervisors, and other applicable parties
  • Physically keep up with clients as they move about the session area(s). This will require many physical activities including, but not limited to, standing, sitting, bending, lifting 25+ pounds, running, squatting, kneeling, and generally keeping pace with children from 2-15 years old
  • Any other tasks outlined by BCBA/LBA
Qualifications
  • High school diploma or GED required
  • Prior experience working with children preferred
  • Prior experience providing support to children or adults with behavioral challenges, developmental delays, or special needs preferred
  • Exposure to Autism Spectrum Disorder (ASD) or other developmental disabilities is preferred, though comprehensive training will be provided
  • Reliable personal transportation with the ability to commute consistently to assigned work locations
  • Ability to maintain confidentiality of client, family, and organizational information in accordance with HIPAA and company policies
  • Demonstrated ability to prioritize and manage multiple tasks simultaneously in a fast-paced, client-focused environment
  • Clear verbal and written communication skills, with the ability to follow detailed instructions and document information accurately
  • Strong problem-solving skills and attention to detail, with the ability to stay organized and adapt to changing schedules or priorities
  • $19-22 an hour

#BT3

Employment Type: PART_TIME

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