ZipRecruiter

Log In

2

On Call Remote Prior Authorization Jobs (NOW HIRING)

PharMerica

Prior Authorization Specialist

Louisville, KY · On-site +1

$16.50 - $22/hr

Mon-Fri(8:30am to 5pm) This is not a remote opportunity . Applicants must reside in, or commutable ... The Prior Authorization Coordinator is responsible for striving to complete either approval for ...

PharMerica

Prior Authorization Specialist

Louisville, KY · On-site +1

$16.50 - $22/hr

Mon-Fri(8:30am to 5pm) This is not a remote opportunity . Applicants must reside in, or commutable ... The Prior Authorization Coordinator is responsible for striving to complete either approval for ...

CVS Health

Prior Authorization UM Nurse Consultant

Utilization Management Nurse Consultant (RN) Remote | Prior Authorization | Utilization Management Are you an experienced RN with utilization management or prior authorization experience looking to ...

Managed Staffing

Prior Authorization Techician

RI · Remote

$21 - $22/hr

Fully Remote (U.S. based) - West Coast candidates preferred Seeking Pharmacy Technician I (Prior Authorization) professionals to join their remote Caremark team. This role is responsible for ...

OU Health

Prior Authorization Specialist II

$18.50 - $24.50/hr

Prior Authorization Specialist II Department: Pre-visit Services New to OU Health? Ask your ... Remote Eligibility: Candidates must reside and work full-time in OK before their first day of ...

OU Medical Center

Prior Authorization Specialist II

$18.50 - $24.50/hr

Prior Authorization Specialist II Department: Pre-visit Services New to OU Health? Ask your ... Remote Eligibility: Candidates must reside and work full-time in OK before their first day of ...

MRIoA

Prior Authorization Pharmacist (Remote)

Salt Lake City, UT · On-site +1

$56.25 - $67.75/hr

An award-winning remote work environment POSITION OVERVIEW The PA Pharmacist is an important member ... To evaluate prior authorizations for drug appropriateness per drug policy criteria * To provide ...

A-Line Staffing Solutions

*Pharmacist

Woonsocket, RI · Remote

$53/hr

Remote Prior Authorization Pharmacist Pay: $53.00/hour Work Arrangement: Remote Schedule: Sundayâ€"Thursday or Tuesdayâ€"Saturday Time Zone: CST Position Summary We are seeking an experienced ...

New

A-Line Staffing Solutions

*Pharmacist

Woonsocket, RI · Remote

$53/hr

Remote Prior Authorization Pharmacist Pay: $53.00/hour Work Arrangement: Remote Schedule: Sundayâ€"Thursday or Tuesdayâ€"Saturday Time Zone: CST Position Summary We are seeking an experienced ...

New

WELLDYNE

Prior Authorization Technician II

$28K - $40K/yr

Prior Authorization Technician II This position is fully remote. The required working schedule is 8:00 AM - 5:00 PM Mountain Time (MST) or 10:00 AM - 7:00 PM Eastern Time (EST) , depending on ...

WellDyne

Prior Authorization Technician II

$18 - $21.75/hr

Prior Authorization Technician II This position is fully remote. The required working schedule is 8:00 AM - 5:00 PM Mountain Time (MST) or 10:00 AM - 7:00 PM Eastern Time (EST) , depending on ...

A-Line Staffing Solutions

Be Seen First

REMOTE Pharmacy Technician/Prior Authorization

Tampa, FL · Remote

$20 - $21/hr

A-Line Staffing is actively searching for Multiple REMOTE Pharmacy Techs/Prior Authorization reps for a major healthcare company located anywhere in the United States surrounding area. This is an ...

New

previous page

Showing results 41-60

All Jobsremote Jobson call JobsOn Call Remote Prior Authorization Jobs

On Call Remote Prior Authorization information

See salary details

$10

$18

$26

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.
More about On Call Remote Prior Authorization jobs

What cities are hiring for On Call Remote Prior Authorization jobs?

Cities with the most On Call Remote Prior Authorization job openings:

What are the most commonly searched types of Remote Prior Authorization jobs?

The most popular types of Remote Prior Authorization jobs are:

What states have the most On Call Remote Prior Authorization jobs?

States with the most job openings for On Call Remote Prior Authorization jobs include:

What job categories do people searching On Call Remote Prior Authorization jobs look for?

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.

Prior Authorization Specialist

PharMerica

Louisville, KY • On-site, Remote

$16.50 - $22/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 21 days ago

PharMerica rating

6.6

Company rating: 6.6 out of 10

Based on 103 frontline employees who took The Breakroom Quiz

65th of 113 rated pharmacies

Job description

Our Company
PharMerica
Overview
Join our PharMerica team! PharMerica is a closed-door pharmacy where you can focus on fulfilling the pharmaceutical needs of our long-term care and senior living clients. We offer a non-retail pharmacy environment. Our organization is in high growth mode, which means advancement opportunities for individuals who are looking for career progression!
Schedule: Mon-Fri(8:30am to 5pm)
This is not a remote opportunity. Applicants must reside in, or commutable distance, to Louisville, KY
We offer:
DailyPay
Flexible schedules
Competitive pay
Shift differential
Health, dental, vision and life insurance benefits
Company paid STD and LTD
Tuition Assistance
Employee Discount Program
401k
Paid-time off
Tuition reimbursement
Non-retail/Closed-door environment
Our Pharmacy group focuses on providing exceptional customer service and meeting the pharmacy needs for hospitals, rehabilitation hospitals, long-term acute care hospitals, and other specialized care centers nationwide. If your passion is service excellence and top-quality care come join our team and apply today!
*Position will be posted for a minimum of 7 business days
Responsibilities
  • The Prior Authorization Coordinator is responsible for striving to complete either approval for pharmacy claims requiring prior authorization or by coordinating with prescribers and or facility contact to have therapy changed to a preferred alternative due to insurance not covering the treatment in question

Essential Job Responsibilities:
  • Ensure accurate and timely completion of client prior authorization and/or change of therapy paperwork by collaborating with prescribers and facility contacts
  • Follows up on all claims requiring prior authorization within four to five business days
  • Tracks and reviews all claims in QuickBase and sends excel tracking spreadsheet to Director of Pharmacy on weekly basis
  • Compares system report of unbilled claims requiring prior approval to QuickBase tracking system to ensure any claim requiring prior authorization is being followed up on
  • Assists Billing Department with resolving unbilled claims at each month end close
  • Advocates for clients as needed
  • Support for Pharmacy Operations
  • Adjudicates and resolution of claim rejections as needed
  • Utilizes Frameworks, QuickBase, Docutrack, and CoverMyMeds in order to complete workflow on daily basis
  • Other responsibilities as assigned

Qualifications
  • High School Diploma/General Education Diploma required
  • Kentucky Pharmacy Technician License preferred
  • Excellent customer service and communication skills, both written and verbal
  • Ability to prioritize and meet pre-determined deadlines
  • Must be able to effectively multi-task, be proficient at typing, and have advanced technical skills
  • Experience in healthcare billing environment (pharmacy preferred)
  • Familiarization with on-line claims processing and Medicaid and Medicare billing practices
  • Proficient with Microsoft Word & Excel required

About our Line of Business
PharMerica, an affiliate of BrightSpring Health Services, delivers personalized pharmacy care through dedicated local teams, serving health care providers such as skilled nursing facilities, senior living communities, and hospitals. We also cater to individuals with behavioral needs, infusion therapy needs, seniors receiving in-home care, and patients with cancer. Operating long-term care, home infusion, and specialty pharmacies across the nation, we combine the personal touch of a neighborhood pharmacy with the resources of a national network. Our comprehensive solutions, backed by industry-leading technology and regulatory expertise, ensure accurate medication access, cost control, and compliance with best-in-class clinical standards. We are committed to enhancing resident health, reducing staff burdens, and supporting our clients' success. For more information, visit www.pharmerica.com. Follow us on Facebook, Twitter, and LinkedIn.

What PharMerica employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply