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Home Based Prior Authorization Jobs (NOW HIRING)

SGS Consulting

Tech I - Prior Authorization

Richardson, TX · On-site

$16 - $19.25/hr

... based upon established standards. * Comply with departmental, company, state, and federal ... Prior Authorization requires a cpht for the role along with a High School Diploma or GED.

Grace Health

Prior Authorization Specialist

Battle Creek, MI · On-site

$17 - $22.75/hr

We offer competitive wages based on experience and up to 3 weeks of PTO in the first year! Other ... Educates patients and staff about the process of medication prior authorizations. * Processes ...

A-Line Staffing Solutions

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REMOTE Pharmacy Technician - Prior Authorization

Dallas, TX · Remote

$20/hr

Provide professional and knowledgeable assistance throughout the criteria-based prior authorization ... Previous work-from-home experience preferred. * A dedicated, private workspace suitable for ...

IVX Health

Prior Authorization Coordinator

$19 - $23.50/hr

Our HQ is based just outside of Nashville in Brentwood, TN , but we are seeking candidates ... Review and Process Prior Authorizations - Thoroughly review Prior Authorization orders and ensure ...

IVX Health

Prior Authorization Coordinator

Brentwood, TN · On-site

$17.50 - $21.75/hr

Our HQ is based just outside of Nashville in Brentwood, TN , but we are seeking candidates ... Review and Process Prior Authorizations - Thoroughly review Prior Authorization orders and ensure ...

Curant Health

Prior Authorization Specialist

Smyrna, GA

$18 - $24/hr

... and dependable home delivery of prescription drugs. The Prior Authorization specialist ... based upon established standards * Complies with departmental, company, state, and federal ...

Claim Health

Prior Authorization Specialist

New York, NY · On-site

$19.75 - $26.25/hr

About the Role We're hiring an experienced Prior Authorization Specialist to help build the future of authorization automation for home health and hospice. Prior authorization is one of the largest ...

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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 Sep 13, 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 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.

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What other helpful pages are available for Home Based Prior Authorization?

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Home Based Prior Authorization jobs near you
Infographic showing various Home Based Prior Authorization job openings in the United States as of September 2026, with employment types broken down into 94% Full Time, 4% Part Time, and 2% Contract. Highlights an 83% In-person, 4% Hybrid, and 13% Remote job distribution, with an average salary of $43,459 per year, or $20.9 per hour.

Tech I - Prior Authorization

Richardson, TX • On-site

SGS Consulting
Recruiting and Staffing Services • 1 - 5K employees
Learn more about SGS Consultingexternal

$16 - $19.25/hr

Contractor

Re-posted 16 days ago

Job description

Company Description
Job Description
Job Responsibilities:
  • The Tech I will also assist with other duties such as outbound calls, monitoring / responding to inquiries in mailboxes and other duties as assigned by the leadership team.
  • Effectively manage work volume by handling inbound calls / fax requests utilizing appropriate courteous and professional behaviour based upon established standards.
  • Comply with departmental, company, state, and federal requirements when processing all information to ensure accuracy of information being provided to internal and external customers.
  • This position takes in-coming calls from members, providers, etc. providing professional phone assistance to all callers through the criteria based prior authorization process.
  • Maintains complete, timely and accurate documentation of all approvals and denials, and transfers all clinical questions and judgment calls to the pharmacist.

Duties:
  • Analyse clinical algorithms and provide decisions regarding PA Requests.
  • Use of online databases and other resources to document appropriate recommendations, clinical decisions and responses.
  • Provide ongoing education on the PA Program to healthcare providers and internal partners.
  • Deliver the highest quality customer service to healthcare providers and internal providers in a high paced dedicated PA program.
  • Ability to deal with a diverse customer base in a friendly and confident manner (internal and external customers).
  • Excellent communication skills (oral, written, grammar, listening).
  • PC Windows experience required.
  • Ability to maintain confidentiality.

Shift Times:
  • 8.00 AM TO 4.30 PM

Training Information:
  • Training During Day from 9/29 - 10/10 (Monday - Friday)
  • Shift: 6:00AM - 2:30PM

Qualifications
Experience / Education:
  • Minimum three years' experience required in a customer service position with high volume call centre experience
  • Preferably in healthcare, social services, or a similar service position.
  • Prior Authorization requires a cpht for the role along with a High School Diploma or GED.

Additional Information
All your information will be kept confidential according to EEO guidelines.

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