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Remote Aetna Prior Authorization Jobs in Rochester, NY

Valera Health

Mental Health Therapist

Rochester, NY · On-site +1

... prior authorizations. This means you can practice at the top of your license alongside ... Telehealth or remote experience * Self-motivated with strong independent work skills and ...

All JobsAetna Prior Authorization JobsRemote Aetna Prior Authorization JobsRemote Aetna Prior Authorization Jobs in Rochester, NY

Remote Aetna Prior Authorization information

See Rochester, NY salary details

$85.8K

$132.9K

$186.5K

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

As of Aug 14, 2026, the average yearly pay for remote aetna prior authorization in Rochester, NY is $132,905.00, according to ZipRecruiter salary data. Most workers in this role earn between $102,600.00 and $161,300.00 per year, depending on experience, location, and employer.

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 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.

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. Availability may vary based on the role and location, but remote work options are common within the company.

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 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.

What are popular job titles related to Remote Aetna Prior Authorization jobs in Rochester, NY?

For Remote Aetna Prior Authorization jobs in Rochester, NY, the most frequently searched job titles are:

What job categories do people searching Remote Aetna Prior Authorization jobs in Rochester, NY look for?

The top searched job categories for Remote Aetna Prior Authorization jobs in Rochester, NY are:

What cities near Rochester, NY are hiring for Remote Aetna Prior Authorization jobs?

Cities near Rochester, NY with the most Remote Aetna Prior Authorization job openings:

Remote Aetna Prior Authorization jobs near you
Infographic showing various Remote Aetna Prior Authorization job openings in Rochester, NY as of June 2026, with employment types broken down into 70% Full Time, 19% Part Time, 3% Temporary, and 8% Contract. Highlights an 100% Remote job distribution, with an average salary of $132,905 per year, or $63.9 per hour.

Licensed Clinical Psychologist

Optimum Care Counseling & Wellness

Rochester, NY • Remote

$95K - $150K/yr

Part-time

Retirement

Re-posted yesterday

Job description

Benefits:
  • 401(k) matching
  • Bonus based on performance
  • Competitive salary
  • Flexible schedule

Come join Optimum Care Counseling and Wellness Solutions

We are seeking licensed Psychologists (PhD or PsyD) residing in the United States who are passionate about providing high-quality, evidence-based care to diverse populations across the United States.
At Optimum Care Counseling and Wellness Solutions, our mission is to empower clients to use their individual strengths to gain insight into their challenges and feel more in control of their lives. As part of our growing team, you will provide psychological services while collaborating with an interdisciplinary team of psychiatrists, nurse practitioners, and therapists.
This is a full remote position, offering telehealth opportunities based on client and program needs. 
We offer flexible scheduling:
  • Monday–Friday: 7:00 AM – 9:00 PM
  • Saturday: 7:00 AM – 4:00 PM
We are seeking psychologists available for Part-Time.
Psychologists will provide diagnostic evaluations, psychological testing, and individual therapy to children, adolescents, adults, and older adults. Our practice utilizes a robust Electronic Health Records (EHR) system with an integrated telehealth platform to ensure efficient and secure service delivery.
Practice Support & Resources

  • New patient scheduling
  • Credentialing support
  • Advertising and marketing
  • Copay collection
  • Prior authorizations
  • Patient relations support
  • Established referral base
  • In-house prescribers for medication management
  • Electronic EHR system
  • Secure phone system (to maintain professional boundaries)
  • Online fax system
  • Paid training
  • Collaborative, team-based work environment

Responsibilities

  • Conduct comprehensive psychological evaluations and diagnostic assessments
  • Administer and interpret psychological and cognitive testing
  • Provide evidence-based therapeutic interventions
  • Develop and implement individualized treatment plans
  • Collaborate with psychiatrists, nurse practitioners, and other treatment providers
  • Maintain accurate and timely documentation
  • Complete required EHR training modules

Qualifications

  • Doctoral degree (PhD or PsyD) in Clinical Psychology or related field
  • Active Psychologist license required in New York.
  • Experience in psychological assessment and testing preferred
  • Strong written and verbal communication skills
  • Ability to build rapport with clients across the lifespan
  • Strong organizational and clinical leadership skills

This is a remote position.