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On Call Remote Prior Authorization Jobs in Porter Ranch, CA

MCKESSON

Field Reimbursement Manager

Los Angeles, CA · On-site +1

... Prior Authorization, Claims Assistance, and Appeals) and educating the office on Payer landscape and services available through both remote interaction and on-site training. This position is client ...

Intend Inc d.b.a. Tangelo

Be Seen First

Remote Enrollment Services Contractor

Los Angeles, CA · Remote

$25 - $28/hr

Prior experience with JIRA, Intercom, and CloudTalk is a plus. * Operational Independence : Strong ... This is a remote position, but the contractor must reside in California and be legally authorized ...

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All JobsOn Call Prior Authorization JobsOn Call Remote Prior Authorization JobsOn Call Remote Prior Authorization Jobs in Porter Ranch, CA

On Call Remote Prior Authorization information

See Porter Ranch, CA salary details

$11

$18

$27

How much do on call remote prior authorization jobs pay per hour?

As of Aug 12, 2026, the average hourly pay for on call remote prior authorization in Porter Ranch, CA is $18.53, according to ZipRecruiter salary data. Most workers in this role earn between $15.29 and $19.76 per hour, depending on experience, location, and employer.

What is the difference between On Call Remote Prior Authorization vs On Call Remote Medical Coder?

AspectOn Call Remote Prior AuthorizationOn Call Remote Medical Coder
CredentialsTypically requires healthcare-related certifications (e.g., RN, LPN, or medical assistant)Usually requires coding certifications (e.g., CPC, CCS)
Work EnvironmentRemote, healthcare provider offices, insurance companiesRemote, medical billing and coding companies
Employer & IndustryHospitals, insurance companies, healthcare providersMedical billing firms, healthcare organizations
Search & Comparison IntentUnderstanding roles related to healthcare authorization processesUnderstanding medical coding and billing tasks

On Call Remote Prior Authorization involves reviewing and approving healthcare services remotely, often requiring healthcare credentials. In contrast, On Call Remote Medical Coder focuses on translating medical records into billing codes, requiring coding certifications. Both roles are remote and serve the healthcare industry but differ in responsibilities and required qualifications.

What is an On Call Remote Prior Authorization?

On Call Remote Prior Authorization jobs involve reviewing and processing requests from healthcare providers to determine if certain medical services or medications are covered by insurance before they are provided to patients. These roles are typically performed remotely and require availability on an 'on call' basis, meaning you may need to respond to authorization requests outside of traditional business hours. Responsibilities often include evaluating clinical documentation, communicating with providers, and ensuring compliance with insurance policies and regulations. This work helps ensure patients receive necessary care while managing healthcare costs for both providers and insurers.

Is on call remote prior authorization a stressful job?

On call remote prior authorization jobs can be stressful due to the need to quickly review and approve or deny requests, often under time constraints. The role requires strong attention to detail, communication skills, and the ability to handle high volumes of requests, which can contribute to job-related stress.

What are the key skills and qualifications needed to thrive as an On Call Remote Prior Authorization specialist, and why are they important?

To thrive as an On Call Remote Prior Authorization Specialist, you need a solid understanding of healthcare insurance processes, medical terminology, and prior authorization requirements, often backed by experience in medical billing or claims processing. Familiarity with electronic medical record (EMR) systems, payer portals, and authorization management software is typically required. Strong attention to detail, problem-solving skills, and effective communication are crucial soft skills for success in this role. These qualities ensure accurate and timely processing of authorizations, minimize claim denials, and support both patient care and organizational efficiency.

What are some common challenges faced by On Call Remote Prior Authorization specialists, and how can they be managed?

On Call Remote Prior Authorization specialists often face challenges such as high call volumes, rapidly changing payer requirements, and the need to quickly access and interpret medical documentation. Managing these demands effectively requires strong organizational skills, attention to detail, and the ability to stay updated on insurance policies. Building good communication with providers and leveraging electronic health record (EHR) systems can also help streamline workflows and reduce errors.
On Call Remote Prior Authorization jobs near you
Infographic showing various On Call Remote Prior Authorization job openings in Porter Ranch, CA as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $38,539 per year, or $18.5 per hour.

RN- Care Review Clinician- UM/Discharge Planning (Remote- CA License Req)

Molina Healthcare

Los Angeles, CA • Remote

$30.37 - $59.21/hr

Full-time

Re-posted 8 days ago

Molina Healthcare rating

8.0

Company rating: 8.0 out of 10

Based on 199 frontline employees who took The Breakroom Quiz

163rd of 304 rated insurance

Job description

JOB DESCRIPTION Job Summary

Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. 
Essential Job Duties 
Assesses services for members to ensure optimum outcomes, cost-effectiveness and compliance with all state/federal regulations and guidelines. 
Analyzes clinical service requests from members or providers against evidence based clinical guidelines. 
Identifies appropriate benefits, eligibility and expected length of stay for requested treatments and/or procedures. 
Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. 
Processes requests within required timelines. 
Refers appropriate cases to medical directors (MDs) and presents them in a consistent and efficient manner. 
Requests additional information from members or providers as needed. 
Makes appropriate referrals to other clinical programs. 
Collaborates with multidisciplinary teams to promote the Molina care model. 
Adheres to utilization management (UM) policies and procedures. 
Required Qualifications 
At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant education and experience. 
Registered Nurse (RN). License must be active and unrestricted in state of practice. 
Ability to prioritize and manage multiple deadlines. 
Excellent organizational, problem-solving and critical-thinking skills. 
Strong written and verbal communication skills. 
Microsoft Office suite/applicable software program(s) proficiency. 
Preferred Qualifications 
Certified Professional in Healthcare Management (CPHM). 

Utilization review, prior authorization, inpatient review desirable. MCG experience, strongly preferred.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. 
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $30.37 - $59.21 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Employment Type: Full Time

What Molina Healthcare employees say

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Benefits

Hours and flexibility

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About Molina Healthcare

Sourced by ZipRecruiter

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Long Beach, CA, US

Year founded

1980

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