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Overnight Remote Prior Authorization Jobs in Virginia

MCKESSON

Field Reimbursement Manager

Arlington, VA · 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 ...

MCKESSON

Field Reimbursement Manager

Fairfax, VA · 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 ...

MCKESSON

Field Reimbursement Manager

Richmond, VA · 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 ...

MCKESSON

Field Reimbursement Manager

Woodbridge, VA · 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 ...

US Fertility, LLC

Financial Educator Remote

Annandale, VA · On-site +1

$23 - $27/hr

Opportunity Overview We have an immediate opening for an Financial Educator Remote to join our team ... Perform aspects of benefit verification and prior authorization * Provide ongoing financial ...

US Fertility

Financial Educator Remote

Annandale, VA · On-site +1

$23 - $27/hr

Opportunity Overview We have an immediate opening for an Financial Educator Remote to join our team ... Perform aspects of benefit verification and prior authorization * Provide ongoing financial ...

Jetset With J

Travel Coordinator (Remote)

Richmond, VA · Remote

$35K - $65K/hr

No prior travel industry experience is required. Comprehensive training, ongoing support, and ... Must be authorized to work in the United States What We Offer * 100% Remote work * Flexible ...

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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 Virginia?

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

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

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

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

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

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

Cities in Virginia 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 Virginia as of June 2026, with employment types broken down into 78% Full Time, and 22% Part Time. Highlights an 100% Remote job distribution.

Reimbursement Specialist - Days - Remote

VCU Health

Richmond, VA • On-site, Remote

$19 - $26.25/hr

Full-time

Re-posted 11 days ago

VCU Health rating

7.3

Company rating: 7.3 out of 10

Based on 171 frontline employees who took The Breakroom Quiz

304th of 893 rated healthcare providers

Job description

***Must have BOTH a current VA Pharmacy and PTCB License***
The Reimbursement Specialist improves revenue collection pertaining to high cost medications that require prior authorization. This job will initiate, follow-up, and proceed with approval and/or denials of prior authorizations efficiently via phone, fax, or electronically.
The Reimbursement Specialist carries out benefit investigation and coordinates Patient Assistance Programs and/or copay cards for patients with high co-pays or those without insurance coverage. This role works closely with nursing and physicians in order to obtain required documentation for prior authorization and billing.
The Reimbursement Specialist arranges refills, transfers, and delivery of medications. Updates patient case management system regularly. Ideally, this role is familiar with disease state terminology or willingness to research. This role also works as a Pharmacy Technician when deemed necessary.
Licensure, Certification, or Registration Requirements for Hire:
Current certification by the Pharmacy Technician Certification Board (PTCB)
Current licensure with the Virginia State Board of Pharmacy
By virtue of societal trust and security explicitly imparted to pharmacies for the control of drugs, candidate/incumbent must have a clean criminal record (i.e. no felony conviction; no drug or pharmacy related convictions, including misdemeanors); no denial, suspension, revocation, or restriction of registration or licensure by any State Board of Pharmacy
Licensure, Certification, or Registration Requirements for continued employment:
Current certification by the Pharmacy Technician Certification Board (PTCB)
Current licensure with the Virginia State Board of Pharmacy
Experience REQUIRED:
Minimum of one (1) year of previous pharmacy practice experience in a similar setting
Minimum of three (3) years of prior experience with Manufacturers Patient Assistance Programs and prior experience with prescription on-line adjudication
Previous work experience using a personal computer and various billing software applications as well as e-mail, spreadsheets, word processing, databases, etc.
Experience PREFERRED: N/A
Education/training REQUIRED:
High School Diploma or equivalent
Education/training PREFERRED:
Associate's Degree in Business or related field from an accredited program
Independent action(s) required:
Identifies equipment problems; various aspects of assisting the pharmacist that don't require a pharmacist's supervision or check.
Supervisory responsibilities (if applicable): N/A
Additional position requirements:
Able to work all shifts, weekends, holidays, emergency coverage
Age Specific groups served: N/A
Physical Requirements (includes use of assistance devices as appropriate):
Physical: Lifting less than 20 lbs.
Activities: Prolonged standing, Prolonged sitting, Frequent bending, Walking (distance), Climbing (steps, ladder, other), Reaching (overhead, extensive, repetitive), Repetitive motion
Mental/Sensory: Strong recall, Reasoning, Problem solving, Hearing, Speak clearly, Write legibly, Reading, Logical thinking
Emotional: Fast pace environment, Steady pace, Able to handle multiple priorities, Frequent and intense customer interactions, Noisy environment, Able to adapt to frequent change
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