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On Call Remote Prior Authorization Jobs (NOW HIRING)

IVX Health

Prior Authorization Coordinator

$19 - $23.50/hr

Fully Remote, Hybrid, or In-office (Brentwood, TN) * Schedule : Monday - Friday, standard business hours (no nights, weekends, or holidays) What You Will Do * Review and Process Prior Authorizations ...

Managed Staffing

Licensed Vocational Nurse - LPN

RI · Remote

$28 - $30/hr

Licensed Vocational Nurse (LPN) - Remote Prior Authorization 100% Remote - Anywhere in the U.S. Schedule: Monday-Friday, Day Shift (No weekends unless overtime is required) About the Role We are ...

IVX Health

Prior Authorization Coordinator

$19 - $23.50/hr

Fully Remote, Hybrid, or In-office (Brentwood, TN) * Schedule : Monday - Friday, standard business hours (no nights, weekends, or holidays) What You Will Do * Review and Process Prior Authorizations ...

IVX Health

Prior Authorization Coordinator

Brentwood, TN · On-site +1

$17.50 - $21.75/hr

Fully Remote, Hybrid, or In-office (Brentwood, TN) * Schedule : Monday - Friday, standard business hours (no nights, weekends, or holidays) What You Will Do * Review and Process Prior Authorizations ...

PainPoint

Prior Authorization Coordinator

Atlanta, GA · On-site +1

$19 - $21/hr

Prior Authorization Coordinator Full-Time | $19-21/hour | Monday-Friday | 8:00 AM-4:30 PM CST ... Remote About DxTx Pain & Spine At DxTx Pain & Spine, we're redefining how pain and spine practices ...

CVS Health

Prior Authorization UM Nurse Consultant

Utilization Management Nurse Consultant (RN) Remote | Prior Authorization | Louisiana Medicaid Preferred Are you an experienced RN with a background in Utilization Management and Prior Authorization?

PainPoint

Prior Authorization Coordinator

$19 - $21/hr

Prior Authorization Coordinator Full-Time | $19-21/hour | Monday-Friday | 8:00 AM-4:30 PM CST ... Remote About DxTx Pain & Spine At DxTx Pain & Spine, we're redefining how pain and spine practices ...

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On Call Remote Prior Authorization information

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

As of Sep 4, 2026, the average hourly pay for on call remote prior authorization in the United States is $18.05, according to ZipRecruiter salary data. Most workers in this role earn between $14.90 and $19.23 per hour, depending on experience, location, and employer.

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.

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.

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 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.

Are on call remote prior authorization jobs in high demand?

On call remote prior authorization jobs are experiencing steady demand due to the increasing need for efficient healthcare administrative processes. These roles often require strong attention to detail, knowledge of medical billing, and familiarity with electronic health record systems. While demand can vary by region and employer, remote healthcare administrative positions generally remain stable as healthcare providers seek flexible staffing solutions.
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States with the most job openings for On Call Remote Prior Authorization jobs include:

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The top searched job categories for On Call Remote Prior Authorization jobs are:

On Call Remote Prior Authorization jobs near you
Infographic showing various On Call Remote Prior Authorization job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 18% Part Time, 1% Temporary, and 2% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $37,548 per year, or $18.1 per hour.

Pharmacist - Remote - Prior Authorization

A-Line Staffing Solutions

Houston, TX • Remote

$55.75 - $66.75/hr

Full-time

Retirement

This job post has expired today. Applications are no longer accepted.

Job description

Pharmacist needed for Remote / Work From Home Position! Multiple openings with aSeptember Start Dates! Pay Rate: 53.00 per hour depending on what role we get you in for! 3 Different Departments hiring during this time of year - Here is the options: 2 Opening: 8am to 8pm EST/CST - 8hours per day M-F or 7am-330p EST/CST rotating weekends (September 8th and September 28th Start Dates - Hottest Openings) 1 Opening: Monday - Friday 930am - 6pm 1 Opening: (Sun-Thurs or Tues-Sat): 10:30am-7pm CST or 11am-7:30pm CST or 11:30am-8pm CST Job Description: Evaluate and review all prior authorization requests and render coverage determinations based on clinical criteria and plan design.

Includes verifying insurance coverage and eligibility, interpreting clinical guideline criteria, consulting physicians and other healthcare providers, and appropriately utilizing clinical knowledge and resources while complying with department protocols. One of the crucial responsibilities is to guarantee that the decisions regarding cases are conveyed promptly and efficiently to all the healthcare providers, health plans/employers, patients, and other healthcare professionals following agreed-upon approval & denial management processes.

As an RPh Advisor you will be directly supporting Medicare Part D members and providers with requests related to their pharmacy benefits. You will be responsible for ensuring cases are accurately set up for our members, review clinical information for decisioning the request, performing outreach to providers for more information when needed, and ensuring accurate decisions that comply with compendia and Medicare guidance and timelines.

This is a great opportunity to initiate a career with a leading healthcare company by reviewing information and completing timely and accurate documentation of all Medicare Part D requests, in compliance with Medicare guidelines, while promoting a best-in-class service experience.

Job Requirements:

Must be licensed Pharmacist in the State you Reside in Looking for Pharmacist with Prior Authorization Experience - PBM! (Not retail experience) Must have home office/ability to work from home with no distractions and plug in ethernet Benefits/401k Opportunity! Benefits are available to full-time employees after 90 days of employment A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates Please apply now to these Pharmacist Openings! - Jared Petrill

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About A-Line Staffing Solutions

Sourced by ZipRecruiter

A-Line Staffing Solutions is an established full-service recruiting and staffing provider that operates in the industry of human resources and recruitment. Based in Utica, Michigan, A-Line Staffing Solutions has been committed to its mission of providing innovative and effective workforce solutions since its foundation. The company specializes in providing high-quality staffing solutions for a range of disciplines, including Information Technology, Professional, Administrative, Healthcare, and more. A-Line prides itself on its ability to offer comprehensive and tailored staffing solutions in line with the varying needs of different businesses, which has played a crucial role in the company's growth and success.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Utica, MI, US

Year founded

2004

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