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Overnight Remote Prior Authorization Jobs in Florida

Coral Connect LLC

Intake Specialist

Boca Raton, FL · On-site +1

$16.75 - $22.50/hr

Ensure all required elements are obtained prior to benefits investigation and authorization ... Location: Remote with limited travel to client locations, internal business meetings, and other ...

Coral Connect LLC

Intake Specialist

Boca Raton, FL · Remote

$16.75 - $22.50/hr

Ensure all required elements are obtained prior to benefits investigation and authorization ... Location: Remote with limited travel to client locations, internal business meetings, and other ...

Actalent

Remote Pharmacy Technician

Orlando, FL · Remote

$21/hr

Prior authorization and insurance billing experience. * Specialty pharmacy experience. * Bilingual Spanish skills are a plus. Work Environment * 100% Remote * Equipment provided, including laptop and ...

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Overnight Remote Prior Authorization information

What is an overnight remote prior authorization?

Overnight Remote Prior Authorization jobs involve reviewing and processing requests for medical procedures, medications, or services that require approval from insurance companies, typically during nighttime hours and from a remote location. Professionals in these roles evaluate clinical documentation, ensure requests meet insurance criteria, and communicate decisions to healthcare providers or patients. These jobs are critical in ensuring timely care and coverage, especially for urgent cases outside of standard business hours. Remote positions allow for flexible work environments, often requiring strong attention to detail and knowledge of medical terminology.

What skills and qualifications are needed to thrive as an overnight remote prior authorization specialist?

To excel as an Overnight Remote Prior Authorization Specialist, you need a solid understanding of healthcare insurance processes, medical terminology, and prior authorization requirements, typically supported by experience in medical billing or healthcare administration. Familiarity with electronic health record (EHR) systems, payer portals, and prior authorization software is commonly required, and certifications like Certified Medical Reimbursement Specialist (CMRS) can be advantageous. Strong attention to detail, problem-solving abilities, and excellent written communication are essential soft skills for efficiently handling requests and collaborating virtually. These skills ensure accurate, timely authorization decisions that support patient care and compliance with payer guidelines in a remote, overnight setting.

What are common challenges faced by overnight remote prior authorization specialists, and how can they be managed?

Overnight Remote Prior Authorization specialists often encounter challenges such as limited real-time support from colleagues or supervisors due to off-hour shifts, and handling urgent authorization requests with tight deadlines. To manage these challenges, it's important to be highly organized, maintain clear documentation of cases, and develop strong problem-solving skills. Leveraging available digital resources and staying proactive in communication with daytime teams can ensure smooth workflow transitions and minimize delays. Additionally, setting up a comfortable and distraction-free home workspace can help maintain focus and productivity during overnight hours.

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

AspectOvernight Remote Prior AuthorizationOvernight Remote Medical Coder
CredentialsTypically requires healthcare-related certifications (e.g., CPC, RHIT)Requires coding certifications (e.g., CPC, CCS)
Work EnvironmentRemote, healthcare office or insurance settingRemote, healthcare or insurance coding environment
Industry UsageUsed in insurance, healthcare administrationUsed in healthcare facilities, billing companies
Primary FocusSecuring prior authorization for treatments/servicesTranslating medical records into codes for billing

While both roles are remote and healthcare-related, Overnight Remote Prior Authorization focuses on obtaining approvals for treatments, whereas Overnight Remote Medical Coder specializes in coding medical records for billing. Understanding these differences helps job seekers find the right position aligned with their skills and certifications.

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

The most popular types of Remote Prior Authorization jobs in Florida are:

What are popular job titles related to Overnight Remote Prior Authorization jobs in Florida?

For Overnight Remote Prior Authorization jobs in Florida, the most frequently searched job titles are:

What job categories do people searching Overnight Remote Prior Authorization jobs in Florida look for?

The top searched job categories for Overnight Remote Prior Authorization jobs in Florida are:

What cities in Florida are hiring for Overnight Remote Prior Authorization jobs?

Cities in Florida with the most Overnight Remote Prior Authorization job openings:

Overnight Remote Prior Authorization jobs near you
Infographic showing various Overnight Remote Prior Authorization job openings in Florida as of August 2026, with employment types broken down into 91% Full Time, 7% Part Time, and 2% Temporary. Highlights an 100% Remote job distribution.

Oncology Prior Authorization Case Manager, Non-RN - Remote

Miami, FL • On-site, Remote

University of Miami
Colleges, Universities, and Professional Schools • 10K+ employees

7.7

Company rating: 7.7 out of 10

Based on 52 frontline employees who took The Breakroom Quiz

263rd of 622 rated colleges and universities

People enjoy working here

Good employer

Recommended by students

Learn more about University of Miamiexternal

Full-time

Medical, Dental

Re-posted 9 days ago

Job description

Current Employees:

If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position, please review this tip sheet.

The University of Miami Health System Department of UMHC SCCC Business Operations has an exciting opportunity for a full time Utilization Review Case Manager to work to work remote. The incumbent conducts initial, concurrent and retrospective chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team for optimal and efficient patient outcomes, while avoiding treatment delays and authorization denials. They are accountable for a designated patient caseload and provide intervention and coordination to decrease avoidable delays, at all times they provide communication of progress and or determination to the clinical team and or the patient. He/she monitors care and acts as a liaison between patient/family, healthcare personnel, and insurers. Evaluates the needs of the patient, the resources available, and recommends and facilitates for the best outcome to meet ongoing patient needs that encourages compliance with medical advice.

CORE FUNCTIONS:

  • Adhere and perform timely prospective review for services requiring prior authorization as well as timely concurrent review for continuation of care services

  • Follows the authorization process using established criteria as set forth by the payer or clinical guidelines

  • Accurate review of coverage benefits and payer policy limitations to determine appropriateness of requested services

  • Refers to the treatment plan for clinical reviews in accordance with established criteria and guidelines

  • Facilitates communication of denials and or Peer to Peer requests between payers and the healthcare team

  • Identifies potential delays in treatment or inappropriate utilization by reviewing the treatment plan, serves as a resource to provide education regarding payer policies and assists with coordination of alternative treatment options

  • Ensures and Maintains effective communication regarding authorization status and determination to the clinical team and on occasion the patient.

  • Proactive communication with leadership regarding barriers and or potential delays in care Identifies opportunities for expedited requests and prioritizes caseload accordingly

  • Maintains knowledge regarding payer reimbursement policies and clinical guidelines.

  • This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.

CORE QUALIFICATIONS:

Education:

Bachelor's degree in relevant field; or equivalent

Experience:

Minimum of 2 years of relevant experience

Oncology - Preferred

Any relevant education, certifications and/or work experience may be considered

The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.

UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.

The University of Miami is an Equal Opportunity Employer. Applicants and employees are protected from discrimination based on certain categories protected by Federal law.

Job Status:

Full time

Employee Type:

Staff
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About University of Miami

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The University of Miami, located in the beautiful Coral Gables, Florida, is a comprehensive, private research institution in the United States. Operating within the higher education industry, the institution offers a multitude of degree programs spanning over 180 majors and program through its 12 colleges. The University was founded in 1925 with the mission to disseminate knowledge, transform lives, and change the world - a mission it has held faithfully to this day. Notably, the University of Miami has gained global recognition for its commitment to research and innovation, with over $324 million in research and sponsored project funding awarded annually.

Industry

Colleges, universities, and professional schools

Company size

10,000+ Employees

Headquarters location

Coral Gables, FL, US

Year founded

1925

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