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Remote Aetna Prior Authorization Jobs (NOW HIRING)

1840 & Company

Prior Authorization Specialist We are seeking a detail-oriented and experienced Prior Authorization ... BPO) and remote talent solutions, dedicated to propelling businesses forward through our ...

1840 & Company

$16.75 - $22.25/hr

Prior Authorization Specialist We are seeking a detail-oriented and experienced Prior Authorization ... BPO) and remote talent solutions, dedicated to propelling businesses forward through our ...

Logan Health

Prior Authorization Specialist

$18.50 - $24.50/hr

Remote (see approved states) Schedule: Variable Shift - 8 Hours | Full-Time - 40 Hours At Logan ... Obtain prior authorizations for facility and professional charges following departmental protocols.

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 ...

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 ...

US Tech Solutions

$17 - $19/hr

Fully remote Duration: 12 months contract * Prior Authorization Specialist takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to all ...

BrightSpring Health Services

Prior Authorization Specialist

$18.50 - $24.50/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 ...

New

US Tech Solutions

$17 - $19/hr

Fully remote Duration: 12 months contract * Prior Authorization Specialist takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to all ...

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 ...

Pacer Group

Prior Authorization Pharmacist (Remote)

$59.50 - $71.75/hr

Prior Authorization Pharmacist (Remote) Location: Remote (Must be able to work EST hours) Duration: 3 months Schedule: Monday - Friday | 10:00 AM - 6:30 PM EST Weekend Rotation: Possible Saturday ...

Pharmacy Careers

Remote Prior Authorization Pharmacist

$59.50 - $71.75/hr

Remote Prior Authorization Pharmacist - Work From Home | Flexible Schedule | High Clinical Impact Transition your clinical skills into a fully remote Prior Authorization Pharmacist role. Review ...

Pharmacy Careers

Remote Prior Authorization Pharmacist

$59.50 - $71.75/hr

Remote Prior Authorization Pharmacist - Work From Home | Flexible Schedule | High Clinical Impact Transition your clinical skills into a fully remote Prior Authorization Pharmacist role. Review ...

Pharmacy Careers

Remote Prior Authorization Pharmacist

$59.50 - $71.75/hr

Remote Prior Authorization Pharmacist - Work From Home | Flexible Schedule | High Clinical Impact Transition your clinical skills into a fully remote Prior Authorization Pharmacist role. Review ...

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Remote Aetna Prior Authorization information

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$87K

$134.7K

$189K

How much do remote aetna prior authorization jobs pay per year?

As of Aug 24, 2026, the average yearly pay for remote aetna prior authorization in the United States is $134,701.00, according to ZipRecruiter salary data. Most workers in this role earn between $104,000.00 and $163,500.00 per year, depending on experience, location, and employer.

What is a remote Aetna prior authorization specialist?

Remote Aetna prior authorization jobs involve reviewing and processing requests for medical procedures, medications, or services to determine if they meet Aetna insurance's coverage criteria. Employees in these roles work from home, typically as part of a healthcare team, to ensure that patients receive necessary care while adhering to Aetna's policies. Responsibilities may include evaluating clinical documentation, communicating with healthcare providers, and making authorization decisions based on established guidelines. These positions often require knowledge of medical terminology, insurance processes, and strong attention to detail.

What skills and qualifications are needed to thrive as a remote Aetna prior authorization specialist?

Success as a Remote Aetna Prior Authorization Specialist requires a strong understanding of medical terminology, insurance processes, and prior authorization guidelines, often supported by experience in healthcare administration or certification such as a Certified Medical Administrative Assistant (CMAA). Familiarity with electronic health record (EHR) systems, Aetna's proprietary platforms, and insurance verification tools is typically needed. Outstanding attention to detail, problem-solving abilities, and effective communication with providers and patients are crucial soft skills. These skills ensure timely and accurate authorization decisions, reduce claim errors, and provide a positive experience for both healthcare providers and members.

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

Professionals in a Remote Aetna Prior Authorization role often encounter challenges such as navigating complex insurance criteria, managing high volumes of authorization requests, and communicating effectively with healthcare providers and patients. Staying organized, maintaining up-to-date knowledge of Aetna's policies, and utilizing digital workflow tools can help manage these demands. Regular communication with team members and ongoing training are also key to ensuring accurate and timely authorizations while working remotely.

What is the difference between Remote Aetna Prior Authorization vs Remote Medical Billing Specialist?

AspectRemote Aetna Prior AuthorizationRemote Medical Billing Specialist
CredentialsInsurance, healthcare, or medical administration certificationsMedical billing or coding certifications
Work EnvironmentHealthcare insurance companies, remote or office-basedMedical offices, hospitals, or remote billing companies
Industry UsageHealth insurance providers, specifically AetnaHealthcare providers, billing companies, insurance payers

Remote Aetna Prior Authorization specialists focus on obtaining approval for medical services from Aetna insurance, requiring knowledge of insurance policies and authorization procedures. Remote Medical Billing Specialists handle billing, coding, and claims processing for healthcare providers. While both roles involve healthcare and insurance, the primary difference lies in their responsibilities: authorization versus billing. Understanding these distinctions helps job seekers find the right role aligned with their skills and certifications.

Does Aetna offer remote positions?

Aetna offers remote positions for roles such as remote Aetna Prior Authorization specialists, allowing employees to work from home. These positions typically require familiarity with healthcare systems, prior authorization processes, and remote work tools like teleconferencing and electronic health records.
More about Remote Aetna Prior Authorization jobs

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

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Remote Aetna Prior Authorization jobs near you
Infographic showing various Remote Aetna Prior Authorization job openings in the United States as of August 2026, with employment types broken down into 71% Full Time, 23% Part Time, 3% Temporary, and 3% Contract. Highlights an 3% In-person, and 97% Remote job distribution, with an average salary of $134,701 per year, or $64.8 per hour.

Remote Prior Authorization Coordinator

Evolution Sports Group

Remote

$35 - $50/hr

Other

Medical, Dental, Vision, PTO

Posted 21 days ago

Job description

Remote Prior Authorization Coordinator

New York, New York, United States

$ 35.00 - 50.00 (US Dollar)

About the Job

Position: Remote Prior Authorization Coordinator

Company Overview:

Evolution Sports Group is a leading sports management company that represents top athletes in various sports such as basketball, football, and soccer. Our company is dedicated to providing our clients with the best resources and opportunities to excel in their respective sports. We are currently seeking a Prior Authorization Coordinator to join our team and help us continue to grow and succeed.

Position Overview:

As a Prior Authorization Coordinator, you will be responsible for obtaining prior authorizations from insurance companies for medical procedures and services for our clients. You will work closely with our clients, medical providers, and insurance companies to ensure timely and accurate processing of prior authorizations.

Key Responsibilities:

  • Review and verify insurance coverage for medical procedures and services
  • Communicate with medical providers to obtain necessary documentation for prior authorizations
  • Submit prior authorization requests to insurance companies and follow up on status
  • Keep track of all prior authorization requests and ensure they are completed in a timely manner
  • Work with insurance companies to resolve any issues or denials related to prior authorizations
  • Educate clients on the prior authorization process and provide support and guidance as needed
  • Maintain accurate records and documentation of all prior authorization activities
  • Stay up-to-date on insurance policies and procedures related to prior authorizations

Qualifications:

  • High school diploma or equivalent, Bachelor's degree preferred
  • Minimum of 2 years experience in prior authorization coordination or related field
  • Knowledge of medical terminology and insurance policies
  • Excellent communication and interpersonal skills
  • Strong attention to detail and ability to multitask
  • Proficient in Microsoft Office and other computer applications
  • Ability to work independently and in a team environment
  • Prior experience working in a sports management or healthcare setting is a plus

We Offer:

  • Competitive salary and benefits package
  • Opportunities for growth and advancement within the company
  • A dynamic and supportive work environment
  • The chance to work with top athletes and make a difference in their careers

If you are passionate about sports and have a strong background in prior authorization coordination, we want to hear from you! Join our team at Evolution Sports Group and help us continue to provide the best services for our clients. Apply now!

Package Details

Pay Rate: $35-50 per hour, depending on experience

Training Pay: $30 per hour (1-week paid training)

Training Bonus: $700 incentive upon completion

Work Schedule: Flexible — Full-time (30–40 hrs/week) or Part-time (20 hrs/week)

Work Type: 100% Remote (U.S.-based only)

Benefits: Paid Time Off, Health, Dental & Vision Coverage

Home Office Setup: Company-provided workstation and equipment

Growth Opportunities: Internal promotion and career development support

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