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Remote Insurance Prior Authorization Jobs (NOW HIRING)

CareMed Specialty Pharmacy

$23 - $25/hr

Remote work possible after initial on-site training. Company Benefits * Medical; Dental; Vision ... Company Paid Life Insurance; and Short/Long-Term Disability Why Join Us? * A career with purpose:

PainPoint

Prior Authorization Coordinator

Atlanta, GA · On-site +1

$19 - $21/hr

Remote About DxTx Pain & Spine At DxTx Pain & Spine, we're redefining how pain and spine practices ... Communicate with practices, vendors, insurance companies, patients, and management to secure ...

Axelon

Prior Authorization Specialist

$18.50 - $24.50/hr

Remote Responsibilities * Prioritizes incoming prior authorization requests received from faxes and the provider portal. * Processes incoming requests, including authorizing specified services, as ...

Pharmacy Careers

Remote Prior Authorization Pharmacist

$59.50 - $71.75/hr

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 ...

Pharmacy Careers

Remote Prior Authorization Pharmacist

$59.50 - $71.75/hr

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 ...

Pharmacy Careers

Remote Prior Authorization Pharmacist

$59.50 - $71.75/hr

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 ...

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Remote Insurance Prior Authorization information

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

As of Jul 12, 2026, the average yearly pay for remote insurance prior authorization in the United States is $65,651.00, according to ZipRecruiter salary data. Most workers in this role earn between $61,000.00 and $77,000.00 per year, depending on experience, location, and employer.

What is the difference between Remote Insurance Prior Authorization vs Remote Insurance Claims Processor?

AspectRemote Insurance Prior AuthorizationRemote Insurance Claims Processor
Required CredentialsInsurance knowledge, certification preferredClaims processing experience, basic insurance knowledge
Work EnvironmentOffice or remote, healthcare or insurance companiesRemote, insurance companies or third-party administrators
Employer & Industry UsageHealth insurance, healthcare providersInsurance carriers, third-party payers
Common Search & ComparisonYesNo

Remote Insurance Prior Authorization involves obtaining approval from insurance companies before services are provided, ensuring coverage. Remote Insurance Claims Processors handle the submission and management of claims after services are rendered. While both roles require insurance knowledge and often work remotely within the insurance industry, they focus on different stages of the insurance process, making them distinct but related positions.

What cities are hiring for Remote Insurance Prior Authorization jobs? Cities with the most Remote Insurance Prior Authorization job openings:
What are the most commonly searched types of Insurance Prior Authorization jobs? The most popular types of Insurance Prior Authorization jobs are:
What states have the most Remote Insurance Prior Authorization jobs? States with the most job openings for Remote Insurance Prior Authorization jobs include:
Remote Insurance Prior Authorization jobs near you
Prior Authorization/Referral Specialist

Prior Authorization/Referral Specialist

Froedtert South, Inc.

Pleasant Prairie, WI • On-site, Remote

$17 - $25.25/hr

Part-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 4 hours ago

Froedtert South rating

6.9

Company rating: 6.9 out of 10

Based on 39 frontline employees who took The Breakroom Quiz

447th of 881 rated healthcare providers

Job description

  • POSITION PURPOSE
    • The Prior-Authorization/Referral Specialist plays a key role in supporting patient access to care by verifying insurance eligibility and benefits, and securing required pre-certifications, authorizations, and referrals for both facility and professional services. This position ensures timely and accurate communication with payors and healthcare providers, obtains necessary clinical documentation to support medical necessity, and maintains detailed records throughout the authorization process.
  • MINIMUM EDUCATION REQUIRED
    • High School or GED
  • MINIMUM EXPERIENCE REQUIRED
    • One (1) year of insurance/prior authorization experience (preferred)
    • Experience and familiarity with using insurance portals
  • LICENSES / CERTIFICATIONS REQUIRED
    • None
  • KNOWLEDGE, SKILLS & ABILITIES REQUIRED
    • Strong customer service orientation with excellent interpersonal and computer skills.
    • Working knowledge of medical terminology and healthcare documentation standards.
    • Demonstrated ability to manage time effectively, prioritize tasks, and maintain accuracy in a high-volume environment.
    • Proficient with internet-based tools, email communication, and Microsoft Office applications (e.g., Word, Excel, Outlook).
    • Strong written and verbal communication skills, with the ability to interact professionally with patients, clinicians, and insurance representatives.
    • Proven experience in prior authorizations, referrals, patient registration, insurance verification, and understanding of various health insurance plans (preferred).
    • Proficient in navigating online prior authorization portals and working with multiple commercial and government payors (preferred).
    • Knowledge of medical coding systems, including ICD-10, CPT, and HCPCS codes (preferred).
  • PRINCIPLE ACCOUNTABILITIES AND ESSENTIAL DUTIES
    • Verify insurance eligibility and benefits for scheduled services to determine prior-authorization or referral requirements.
    • Initiate and follow through on prior-authorization and referral requests with payors, ensuring timely approvals.
    • Collect and submit required clinical documentation to support medical necessity and facilitate authorization.
    • Document all authorization activities accurately in the electronic health record (EHR) and/or designated tracking systems.
    • Communicate authorization status and requirements clearly to providers, clinical staff, and patients as needed.
    • Coordinate with providers and clinical teams to obtain additional information or clarification required by payors.
    • Maintain up-to-date knowledge of payer policies, coding guidelines (ICD-10, CPT, HCPCS), and authorization processes.
    • Ensure timely resolution of authorization-related issues to prevent delays or denials in patient care or billing.
    • Provide exceptional customer service when interacting with internal teams, external payors, and patients.
    • Participate in continuous quality improvement efforts, including audits, training, and performance reviews.
       
      Salary Range: $17.00 to $25.25/hr (based on experience)
       

      Benefits:

      • Medical, dental and vision benefits available
      • 403(b) company match available
      • Tuition reimbursement
      • Employee discount program
      • Competitive PTO

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