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Remote International Prior Authorization Jobs (NOW HIRING)

WELLDYNE

Prior Authorization Technician II

$28K - $40K/yr

Prior Authorization Technician II This position is fully remote. The required working schedule is 8:00 AM - 5:00 PM Mountain Time (MST) or 10:00 AM - 7:00 PM Eastern Time (EST) , depending on ...

WellDyne

Prior Authorization Technician II

$18 - $21.75/hr

Prior Authorization Technician II This position is fully remote. The required working schedule is 8:00 AM - 5:00 PM Mountain Time (MST) or 10:00 AM - 7:00 PM Eastern Time (EST) , depending on ...

PainPoint

Prior Authorization Team Lead

Atlanta, GA · On-site +1

$23/hr

Prior Authorization Team Lead Full-Time | Remote | $23/hr Schedule: Monday-Friday 8:00 AM-4:30 PM About DxTx DxTx Pain & Spine is a physician-aligned partner organization dedicated to supporting ...

Onco360

Pharmacy Prior Authorization Specialist

Houston, TX · On-site +1

$19.50 - $25.25/hr

Remote work possible after initial on-site training. Why Join Us? * A career with purpose: Help ... Manage prior authorization requests and appeals with insurance carriers. * Collaborate with ...

Onco360

Pharmacy Prior Authorization Specialist

Louisville, KY · On-site +1

$18.75 - $24.25/hr

Remote work possible after initial on-site training. Why Join Us? * A career with purpose: Help ... Manage prior authorization requests and appeals with insurance carriers. * Collaborate with ...

Onco360

Pharmacy Prior Authorization Specialist

Buffalo, NY · On-site +1

$19.75 - $25.75/hr

Pharmacy Prior Authorization Specialist - Onco360 Pharmacy Buffalo, NY | Full-Time | Starting at ... Remote work possible after initial on-site training. Company Benefits * Medical; Dental; Vision ...

Onco360

Pharmacy Prior Authorization Specialist

Waltham, MA · On-site +1

$22.25 - $29/hr

Remote work possible after initial on-site training. Why Join Us? * A career with purpose: Help ... Manage prior authorization requests and appeals with insurance carriers. * Collaborate with ...

Onco360

Pharmacy Prior Authorization Specialist

Scottsdale, AZ · On-site +1

$20.75 - $26.75/hr

Remote work possible after initial on-site training. Why Join Us? * A career with purpose: Help ... Manage prior authorization requests and appeals with insurance carriers. * Collaborate with ...

Onco360

Pharmacy Prior Authorization Specialist

Woodridge, IL · On-site +1

$20.25 - $26.25/hr

Remote work possible after initial on-site training. Why Join Us? * A career with purpose: Help ... Manage prior authorization requests and appeals with insurance carriers. * Collaborate with ...

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Showing results 21-40

All JobsInternational Prior Authorization JobsRemote International Prior Authorization Jobs

Remote International Prior Authorization information

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How much do remote international prior authorization jobs pay per hour?

As of Jul 28, 2026, the average hourly pay for remote international prior authorization in the United States is $20.89, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $23.08 per hour, depending on experience, location, and employer.

What is a Remote International Prior Authorization specialist?

A Remote International Prior Authorization specialist is a professional who works from a remote location to review and process requests for prior authorization of medical treatments, medications, or procedures, specifically for patients who are receiving care internationally. Their role involves evaluating insurance coverage, coordinating with healthcare providers, and ensuring that all necessary documentation is in place to approve or deny requests in accordance with policy guidelines. They often communicate with international healthcare providers, insurance companies, and patients to facilitate access to needed medical services. Strong attention to detail, knowledge of international healthcare systems, and familiarity with insurance processes are important for this role.

What is the difference between Remote International Prior Authorization vs Remote Domestic Prior Authorization?

AspectRemote International Prior AuthorizationRemote Domestic Prior Authorization
CredentialsTypically requires healthcare or insurance-related certifications, possibly with international compliance knowledgeRequires similar healthcare or insurance certifications, focused on domestic policies
Work EnvironmentRemote, often collaborating with international healthcare providers and insurersRemote, working primarily with domestic healthcare providers and insurance companies
Employer & Industry UsageUsed by global health insurers, international healthcare organizationsUsed by domestic health insurers, healthcare organizations within the country
Search & Comparison IntentOften searched for by professionals working with international health plans or providersMore common for those focusing on domestic health insurance processes

The main difference between Remote International Prior Authorization and Remote Domestic Prior Authorization lies in their scope and work environment. International roles involve working with global healthcare providers and insurers, requiring international compliance knowledge. Domestic roles focus on local policies and providers. Both require similar certifications but serve different markets.

What are the main challenges of working as a Remote International Prior Authorization specialist, and how can they be managed?

One of the main challenges in this role is navigating varying healthcare regulations and documentation requirements across different countries, which can be complex and time-consuming. Additionally, working remotely may require strong self-motivation and excellent communication skills to coordinate with international teams, providers, and insurance companies. Successful specialists often stay organized by using digital tools, maintaining up-to-date knowledge of global payer policies, and proactively addressing time zone differences to ensure timely authorizations and patient care.

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

To excel in a Remote International Prior Authorization Specialist role, you need strong knowledge of healthcare regulations, insurance processes, and medical terminology, often supported by relevant experience in medical billing or healthcare administration. Familiarity with prior authorization software, electronic health records (EHR) systems, and proficiency in using secure communication platforms is typically required. Attention to detail, problem-solving abilities, and effective communication skills are crucial for managing complex cases and collaborating with providers across different countries. These competencies ensure efficient processing of authorizations, compliance with international standards, and positive outcomes for patients and healthcare organizations.
More about Remote International Prior Authorization jobs
What cities are hiring for Remote International Prior Authorization jobs? Cities with the most Remote International Prior Authorization job openings:
What are the most commonly searched types of International Prior Authorization jobs? The most popular types of International Prior Authorization jobs are:
What states have the most Remote International Prior Authorization jobs? States with the most job openings for Remote International Prior Authorization jobs include:
What job categories do people searching Remote International Prior Authorization jobs look for? The top searched job categories for Remote International Prior Authorization jobs are:
Remote International Prior Authorization jobs near you
Infographic showing various Remote International Prior Authorization job openings in the United States as of July 2026, with employment types broken down into 93% Full Time, 5% Part Time, and 2% Temporary. Highlights an 100% Remote job distribution, with an average salary of $43,459 per year, or $20.9 per hour.
Prior Authorization Specialist - Per Diem

Prior Authorization Specialist - Per Diem

Boston Medical Center

Remote

$18.50 - $24.50/hr

Part-time

Medical, Dental, Vision, Retirement, PTO

Posted 6 days ago

Boston Medical Center rating

7.1

Company rating: 7.1 out of 10

Based on 106 frontline employees who took The Breakroom Quiz

467th of 1,051 rated hospitals

Job description

POSITION SUMMARY:
Responsible for screening prior-authorization and coordination of specialized services requests in the medical care management program, including a broad range of requests for inpatient, outpatient and ancillary services. Adheres to policies and procedures in order to comply with performance and compliance standards and to ensure cost effective and appropriate healthcare delivery. Maintains current knowledge of network resources for referral and linkage to member's and provider's needs. Authorizes certain specified services, under the supervision of the manager, according to departmental guidelines. Per standard workflows, forwards specified requests to the clinician for review and processing. Answers ACD line calls from providers and other departments and redirects, as needed.
The Prior Authorization Specialist role belongs to the Revenue Cycle Patient Access team and is responsible for coordinating all financial clearance activities by navigating all pre-registration (to include acquiring or validating patient demographic, insurance, and other required elements along with insurance verification activities), obtaining referral authorization, or precertification number(s). The role ensures timely access to care while maximizing BMC hospital reimbursement. This role requires adherence to quality assurance guidelines as well as established productivity standards to support the work unit's performance expectations. This position reports to the Patient Access Supervisor and requires interaction and collaboration with important stakeholders in the financial clearance process including but not limited to insurance company representatives, patients, physicians, Boston Medical Center (BMC) practice staff, case management and Patient Financial Counseling. This is a Remote Position.
Position: Prior Authorization Specialist I
Department: Insurance Verification
Schedule: Part Time
ESSENTIAL RESPONSIBILITIES/DUTIES:
  • Prioritizes incoming Prior Authorization requests.
  • Processes incoming requests, including authorizing specified services, as outlined in departmental policies, procedures, and workflow guidelines.
  • Refers authorization requests that require clinical judgment to Prior Authorization Clinician, Manager, or Medical Director.
  • Meets or exceeds position metrics and Turn-Around Timeframes while maintaining a full caseload.
  • Supports Prior Authorization Clinicians.
  • Answers ACD line calls, verifies member eligibility and enters into CCMS or Facets the information necessary to complete the caller's request.
  • Identifies and informs callers of network providers, services, and available member benefits.
  • Informs provider of decision per department procedure.
  • Coordinates resolution of escalated member or provider inquiries as related to Prior Authorization.
  • Works with members, providers and key departments to promote an understanding of Prior Authorization requirements and processes.
  • Maintains general understanding of applicable sections of member handbooks, and evidence of coverage.
  • Monitors accounts routed to registration and prior authorization work queues and clears work queues by obtaining all necessary patient and/or payer-specific financial clearance elements in accordance with established management guidelines.
  • Maintains knowledge of and complies with insurance companies' requirements for obtaining prior authorizations/referrals, and completes other activities to facilitate all aspects of financial clearance.
  • Acts as subject matter experts in navigating both the BMC and payer policies to get the appropriate approvals (authorizations, pre-certs, referrals, for example) for the scheduled care to proceed. The Authorization Specialist is an important part of the larger patient care team and helps clinicians understand what payer requirements are necessary for the widest possible patient access to services.
  • Uses appropriate strategies to underscore the most efficient process to obtaining insurance verification, authorizations and referrals, including on line databases, electronic correspondence, faxes, and phone calls.
  • Obtains and clearly documents all referral/prior authorizations for scheduled services prior to admission within the Epic environment.
  • Works collaboratively with primary care practices, specialty practices, referring physicians, primary care physicians, insurance carriers, patients and any other parties to ensure that required managed care referrals and prior authorizations for specified specialty visits and other services are obtained and appropriately recorded in the relevant practice management systems for patient appointments/visits prior to scheduled patient visits or retro-actively if not in place at the time of the appointment/visit. Ensure that approval numbers are appropriately linked to the relevant patient appointment/visit.
  • Collaborates with patients, providers, and departments to obtain all necessary information and payer permissions prior to patients' scheduled services.
  • Liaison between physician and payer for peer to peer review when needed
  • Escalates accounts that have been denied or will not be financially cleared as outlined by department policy
  • Interview patients, families or referring physicians via telephone in advance of the patient's appointment/visit whenever possible, to obtain all necessary information, including but not limited to, financial and demographic information required for reimbursement and compliance for services rendered.
  • Ensure that all updated demographic and insurance information is accurately recorded in the appropriate registration systems for primary, secondary and tertiary insurances.
  • Review all registration and insurance information in systems and reconcile with information available from insurance carriers. For any insurance updates, utilize any available resources to validate the updated insurance information, insurance plan eligibility, primary care physician, subscriber information, employer information and appointment/visit information. Contact patients as necessary if clarifications or other follow-up is required, and at all times maintain sensitivity and a clear customer friendly approach.
  • For self-pay patients or patients with unresolved insurance, and for financial counseling, refer patients Patient Financial Counseling.
  • Maintains confidentiality of patient's financial and medical records; adheres to the State and Federal laws regulating collection in healthcare; adheres to enterprise and other regulatory confidentiality policies; and advises management of any potential compliance issues immediately.
  • Participates in educational offerings sponsored by BMC or other development opportunities as assigned/available and complies with all applicable organizational workflows, as well as established policies and procedures.
  • Demonstrates knowledge & skills necessary to provide level of customer experience as aligned with BMC management expectations.
  • Demonstrates the ability to recognize situations that require escalation to the Supervisor.
  • Takes opportunity to know and learn other roles and processes and works together to assist with process improvement initiatives as directed.
  • Consistently meets productivity and quality expectations to align performance with assigned roles and responsibilities.
  • Handle ACD telephone calls and emails in a timely fashion, following applicable scripting and customer service standards. Appropriately manage all calls by either working with the customer or referring the call to the appropriate party.
  • Regularly undergo Quality Audits to achieve the required standard.
  • Contact the Help Desk in the BMC Information Technology Department to report faulty systems or hardware. Notify area supervisor or manager if problem is not addressed in a timely manner. For other broken or malfunctioning equipment to be serviced, contact the appropriate vendor or department and notify supervisor.
  • Communicate with all internal and external customers effectively and courteously.
  • Attend all necessary hospital and department training as required.
  • Assists in the orientation of new personnel under the direction of a manager or Supervisor.
  • Perform other related duties as assigned or required.
  • Must adhere to all of BMC's RESPECT behavioral standards.

(The above statements in this job description are intended to depict the general nature and level of work assigned to the employee(s) in this job. The above is not intended to represent an exhaustive list of accountable duties and responsibilities required).
JOB REQUIREMENTS
EDUCATION:
  • High school diploma or GED required.
  • Associate's Degree or higher preferred.

EXPERIENCE:
  • 4-5 years of office experience, specifically in either a high volume data entry office, customer service call center or health care office or hospital administration is required.
  • Experience using Insurance payer websites (i.e Blue Cross Blue Shield, Medicare, etc.)
  • Customer service experience preferred.
  • Experience with insurance verification, prior authorization, pre-certification and financial clearance process.

KNOWLEDGE, SKILLS & ABILITIES (KSAs):
  • Bilingual preferred
  • Ability to process high volume of requests with a 95% or greater accuracy rate
  • Ability to prioritize work load when processing referrals and authorization requests per guidelines and within specified Turn Around Timeframes
  • Effective collaboration skills
  • Strong oral and written communication skills
  • Thorough knowledge of financial clearance process is a must. Familiarity with insurances, referral authorizations and third party billing procedures.
  • Knowledge of basic medical terminology and ICD-9/CPT coding is helpful.
  • Excellent interpersonal skills to build and maintain strong relationships with managers, colleagues, and third party payers.
  • Must be self-directed and highly organized with the ability to multitask, manage complex processes, and maintain fair sense of urgency.
  • Requires ability to make independent decisions under pressure.
  • Requires excellent judgment, diplomacy, collaboration, partnering, teamwork, and customer service skills.
  • Ability to maintain confidentiality of all personal/health sensitive information.
  • Must be comfortable with ambiguity, exhibit good decision making and judgment capabilities, attention to detail.
  • Knowledge of and experience within Epic is preferred.
  • Demonstrates technical proficiency within assigned Epic work queues and applicable ancillary systems, including but not limited to: ADT/Prelude/Grand Centrale.
  • Must be able to maintain strict confidentiality of all personal/health sensitive information.
  • Basic computer proficiency inclusive of ability to access, enter and interpret computerized data/information including proficiency in Microsoft Suite applications, specifically Excel, Word, Outlook and Zoom.
  • Knowledge of medical terminology and/ or coding.

Compensation Range:
$25.42- $30.97
This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, and licensure/certifications directly related to position requirements. In addition, BMCHS offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), contract increases, Flexible Spending Accounts, 403(b) savings matches, earned time cash out, paid time off, career advancement opportunities, and resources to support employee and family wellbeing.
Equal Opportunity Employer/Disabled/Veterans
According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or "apps" job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.

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About Boston Medical Center

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Boston Medical Center (BMC) is more than a hospital. It's a network of support and care that touches the lives of hundreds of thousands of people in need each year. It is the largest and busiest provider of trauma and emergency services in New England. Emphasizing community-based care, BMC is committed to providing consistently excellent and accessible health services to all-and is the largest safety-net hospital in New England. The hospital is also the primary teaching affiliate of the nationally ranked Boston University School of Medicine (BUSM) and a founding partner of Boston HealthNet - an integrated health care delivery systems that includes many community health centers. Join BMC today and help us achieve our Vision 2030 which is a long-term goal to make Boston the healthiest urban population in the world.

Industry

Hospitals

Company size

1,001 - 5,000 Employees

Headquarters location

Boston, MA, US

Year founded

1996

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