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Home Based Prior Authorization Jobs (NOW HIRING)

PharMerica

Prior Authorization Specialist

Louisville, KY · On-site +1

$16.50 - $22/hr

The Prior Authorization Coordinator is responsible for striving to complete either approval for ... Operating long-term care, home infusion, and specialty pharmacies across the nation, we combine the ...

Claim Health

Prior Authorization Specialist

Manhattan, NY · On-site

$19.75 - $26.50/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 ...

Medix

Prior Authorization Specialist

Phoenix, AZ · On-site

$20 - $24/hr

Manages and processes prior authorization requests submitted by clinics and Patient Care ... Eligibility for health benefits is based on verifying that an average of 30 hours per week during ...

PainPoint

Prior Authorization Coordinator

$19 - $21/hr

Prior Authorization Coordinator Full-Time | $19-21/hour | Monday-Friday | 8:00 AM-4:30 PM CST ... based and advanced outpatient treatments. This role is ideal for someone detail-oriented ...

ReliaMed

Prior Authorization Specialist

Aurora, IL · On-site

$19.50 - $21.50/hr

Review diverse medical documentation and prepare pre-authorization requests for a variety of home ... Prior work experience in a professional office environment is essential. * Previous experience in ...

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

As of Sep 12, 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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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.

Prior Authorization Licensed Practical Nurse

Providence, RI • On-site

US Tech Solutions
IT Services • 1 - 5K employees
Learn more about US Tech Solutionsexternal

$26 - $35.25/hr

Other

Re-posted 22 days ago

Job description

Please note: Actual location may vary., RI

Contract

Job Summary:

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:

Responsibilities include answering inbound phone calls, processing cases and electronic authorizations, loading authorizations, and making follow-up phone calls utilizing appropriate courteous and professional behavior based upon established standards. Maintaining complete and accurate, documentation of all necessary information is necessary and will involve computer system data entry, data management, and reporting.

Experience:

  • · 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.

  • · Excellent verbal and written skills.

  • · 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.

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.

Skills:

LPN, Prior auth

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

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