ZipRecruiter

Log In

2

Overnight Remote Prior Authorization Jobs in Illinois

Adecco

Pharmacist Pipeline Aurora IL

Aurora, IL · On-site +1

$56 - $58.91/hr

Adecco Healthcare & Life Sciences is hiring remote pharmacists! For this role you must reside ... reviewing prior authorizations and receiving phone calls from prior authorization pharmacy ...

Adecco

Pharmacist Pipeline Springfield IL

Springfield, IL · On-site +1

$58 - $60.75/hr

Adecco Healthcare & Life Sciences is hiring remote pharmacists! For this role you must reside ... reviewing prior authorizations and receiving phone calls from prior authorization pharmacy ...

Adecco

Pharmacist Pipeline Chicago IL

Chicago, IL · On-site +1

$56 - $58.91/hr

Adecco Healthcare & Life Sciences is hiring remote pharmacists! For this role you must reside ... reviewing prior authorizations and receiving phone calls from prior authorization pharmacy ...

Pharmacy Careers

MTM Pharmacist

Chicago, IL · On-site +1

$59.25 - $71/hr

Many MTM pharmacist positions offer remote or hybrid work. * Impact: Directly improve patient ... Competitive pay, benefits, and opportunities to expand into roles like prior authorization ...

Pharmacy Careers

MTM Pharmacist

Chicago, IL · On-site +1

$60 - $72.25/hr

Many MTM pharmacist positions offer remote or hybrid work. * Impact: Directly improve patient ... Competitive pay, benefits, and opportunities to expand into roles like prior authorization ...

Pharmacy Careers

MTM Pharmacist

Chicago, IL · On-site +1

$60 - $72.25/hr

Many MTM pharmacist positions offer remote or hybrid work. * Impact: Directly improve patient ... Competitive pay, benefits, and opportunities to expand into roles like prior authorization ...

Pharmacy Careers

MTM Pharmacist

Chicago, IL · On-site +1

$60 - $72.25/hr

Many MTM pharmacist positions offer remote or hybrid work. * Impact: Directly improve patient ... Competitive pay, benefits, and opportunities to expand into roles like prior authorization ...

Actalent

Pharmacist

Chicago, IL · Remote

$55/hr

Remote Clinical Pharmacist - Medicare UMJob Summary We are seeking a Remote Clinical Pharmacist to review Medicare utilization management requests, including prior authorizations, formulary ...

Actalent

Pharmacist

Chicago, IL · Remote

$55/hr

Remote Clinical Pharmacist - Medicare UMJob Summary We are seeking a Remote Clinical Pharmacist to review Medicare utilization management requests, including prior authorizations, formulary ...

next page

Showing results 1-20

People also search for

All JobsOvernight Remote Prior Authorization JobsOvernight Remote Prior Authorization Jobs in Illinois

Overnight Remote Prior Authorization information

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

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 some 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 are Overnight Remote Prior Authorization jobs?

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 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 Illinois? The most popular types of Remote Prior Authorization jobs in Illinois are:
What are popular job titles related to Overnight Remote Prior Authorization jobs in Illinois? For Overnight Remote Prior Authorization jobs in Illinois, the most frequently searched job titles are:
What job categories do people searching Overnight Remote Prior Authorization jobs in Illinois look for? The top searched job categories for Overnight Remote Prior Authorization jobs in Illinois are:
What cities in Illinois are hiring for Overnight Remote Prior Authorization jobs? Cities in Illinois with the most Overnight Remote Prior Authorization job openings:
Overnight Remote Prior Authorization jobs near you

Remote Prior Authorization Pharmacist

Pharmacy Careers

Chicago, IL • Remote

$60 - $72.25/hr

Other

Posted 4 days ago

Job description

Remote Prior Authorization Pharmacist - Work From Home in Managed Care
A confidential managed care organization is seeking a motivated Remote Prior Authorization Pharmacist to evaluate prescription requests, ensure medical necessity, and improve patient access to safe and effective therapies. This work-from-home position is ideal for pharmacists who want to transition out of retail or hospital settings while building expertise in managed care.
Key Responsibilities

  • Review prior authorization requests for accuracy, appropriateness, and clinical necessity.
  • Apply plan criteria, evidence-based guidelines, and regulatory standards to determinations.
  • Communicate approval/denial decisions clearly to providers and patients.
  • Collaborate with physicians, nurses, and medical directors on complex cases.
  • Document outcomes in compliance with health plan policies and CMS/state regulations.
  • Support process improvements to streamline workflow and turnaround times.


What You'll Bring

  • Education: Doctor of Pharmacy (PharmD) or Bachelor of Pharmacy degree.
  • Licensure: Active and unrestricted pharmacist license in the U.S.
  • Experience: Prior authorization, utilization management, or managed care preferred - retail or hospital pharmacists with strong clinical judgment are encouraged to apply.
  • Skills: Excellent clinical review, documentation, and communication skills.

Why This Role?

  • Flexibility: 100% remote work from home with flexible scheduling options.
  • Impact: Directly influence patient access to safe and cost-effective medications.
  • Growth: Build specialized skills in utilization management and managed care.
  • Rewards: Competitive compensation, benefits, and career advancement opportunities.


About Us
We are a confidential healthcare partner working with health plans and PBMs across the U.S.. Our pharmacists ensure patients receive the right therapy at the right time while maintaining compliance with all regulations.
Apply Today
Take the next step in your career with our Remote Prior Authorization Pharmacist opportunity - and enjoy the benefits of working from home while shaping the future of managed care.

Apply