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Home Based Prior Authorization Jobs (NOW HIRING)

Aquent

Prior Authorization Specialist

Palo Alto, CA · On-site

$35.81 - $38.96/hr

Initiate, submit, and track medication prior authorizations and renewals within the Electronic ... Compensation is based on several factors, including but not limited to education, relevant work ...

Medix

Prior Authorization Specialist

New York, NY · On-site

$26 - $30/hr

Prior Authorization Specialist Location: Remote, can sit anywhere in the US but must be able to ... No hospital or home health backgrounds) * Experience working with commercial insurances, both would ...

Anchor Health CT

Prior Authorization Specialist

Hamden, CT · On-site

$48K - $62K/yr

... based primary, behavioral, and gender-affirming care for the LGBTQ+ community and beyond. Our ... The Role This role is responsible for prior authorization workflows, patient-specific electronic ...

Actalent

Prior Authorization Specialist

Randolph, NJ · On-site

$18.50 - $24.75/hr

Job Title: Prior Authorization Specialist This role focuses on managing a high volume of prior ... Work Environment This position is based in the Sparta office within a larger network of seven local ...

Actalent

Prior Authorization Specialist

Denville, NJ · On-site

$17.25 - $23/hr

Job Title: Prior Authorization Specialist This role focuses on managing a high volume of prior ... Work Environment This position is based in the Sparta office within a larger network of seven local ...

Anchor Health CT

Prior Authorization Specialist

Hamden, CT · On-site

$48K - $62K/yr

... based primary, behavioral, and gender-affirming care for the LGBTQ+ community and beyond. Our ... The Role This role is responsible for prior authorization workflows, patient-specific electronic ...

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Home Based Prior Authorization information

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$32

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

As of Jun 9, 2026, the average hourly pay for home based 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 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, 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 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.

More about Home Based Prior Authorization jobs
What cities are hiring for Home Based Prior Authorization jobs? Cities with the most Home Based 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 Home Based Prior Authorization jobs? States with the most job openings for Home Based Prior Authorization jobs include:
What job categories do people searching Home Based Prior Authorization jobs look for? The top searched job categories for Home Based Prior Authorization jobs are:
Home Based Prior Authorization jobs near you
Infographic showing various Home Based Prior Authorization job openings in the United States as of May 2026, with employment types broken down into 18% Full Time, 45% Part Time, 1% Temporary, 35% Contract, and 1% Nights. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $43,459 per year, or $20.9 per hour.
Licensed Practical Nurse - Prior Authorization

Licensed Practical Nurse - Prior Authorization

US Tech Solutions

Providence, RI • Remote

$26 - $35.25/hr

Other

Posted 8 days ago

Job description

Please note: Actual location may vary., RI

Contract

Job Description:

This is a remote position and requires the ability to effectively support a work from home environment. Must have the ability to work in a HIPAA compliant work area away from distractions, and must have their own secure private internet services of at least 25mbps download/3mbps upload in order to ensure sufficient speed to adequately perform work duties. Must provide a screenshot of internet speeds with resume and provide license number.

Responsibilities:

  • Review criteria-based prior authorizations following policy and procedure.

  • Provide on-call after hours nurse availability for urgent PA requests.

  • Provide internal nurse support to the PA team and member services department .

  • Refer cases not meeting clinical criteria to the Pharmacist and MD team(s).

  • Shift priorities while exhibiting a high level of urgency with all calls and assignments.

  • You will work with pharmacists, other clinical colleagues, healthcare professionals and members.

  • Follow all prior authorization procedures to guarantee an accurate process on each prior authorization.

  • Train and mentor representatives on the PA team.

  • Complete other PA assignments as delegated by the PA leadership team.

Experience:

Minimum of one year related work experience to include working with an electronic medical records in a high call volume environment.

Skills:

  • Prior Authorization

  • Call handling experience.

Education:

The Licensed Practical Nurse is a graduate of a school of Practical or Vocational Nursing, approved by the State Agency and/or accredited by the National League for Nursing (Accrediting Commission (NLNAC)) at the time the program was completed by the applicant. The LPN/LVN must have a full, active and unrestricted license as a Licensed Practical or Vocational Nurse in a State, Territory or Commonwealth of the United States or District of Columbia.

About US Tech Solutions:

US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit www.ustechsolutions.com (http://www.ustechsolutionsinc.com) .

US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

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About US Tech Solutions

Sourced by ZipRecruiter

US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions.

Industry

It services

Company size

1,001 - 5,000 Employees

Headquarters location

Jersey City, NJ, US

Year founded

2000

Social media

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