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Remote Medical Authorization Jobs (NOW HIRING)

Inspire Healthcare

Medical Director job in Pomona CA

Pomona, CA · Remote

$250K - $350K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

We are seeking a Remote Medical Director for a non-clinical role focused on prior authorization and medical necessity reviews. No direct patient care is required. Candidates must reside in the LAarea ...

Guidehealth

Remote Medical Assistant- Healthguide

Atlanta, GA · Remote

$17 - $22/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Understanding the referral and prior authorization process. * Continuously building a trusting ... Appropriately escalating medical issues to the Health Guide Registered Nurse, Primary Care ...

Guidehealth

Remote Medical Assistant- Healthguide

Atlanta, GA · On-site +1

$17 - $22/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Understanding the referral and prior authorization process. * Continuously building a trusting ... Appropriately escalating medical issues to the Health Guide Registered Nurse, Primary Care ...

Guidehealth

Remote Medical Assistant- Healthguide

Atlanta, GA · Remote

$17 - $22/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Understanding the referral and prior authorization process. * Continuously building a trusting ... Appropriately escalating medical issues to the Health Guide Registered Nurse, Primary Care ...

Guidehealth

Remote Medical Assistant- Healthguide

Atlanta, GA · Remote

$17 - $22/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Understanding the referral and prior authorization process. * Continuously building a trusting ... Appropriately escalating medical issues to the Health Guide Registered Nurse, Primary Care ...

Guidehealth

Remote Medical Assistant- Healthguide

Winston Salem, NC · On-site +1

$16.50 - $21/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Understanding the referral and prior authorization process. * Continuously building a trusting ... Appropriately escalating medical issues to the Health Guide Registered Nurse, Primary Care ...

Guidehealth

Remote Medical Assistant- Healthguide

Chicago, IL · On-site +1

$18.25 - $23.50/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Understanding the referral and prior authorization process. * Continuously building a trusting ... Appropriately escalating medical issues to the Health Guide Registered Nurse, Primary Care ...

Hire Talent

TEMP_NEO_Registered Nurse

... fully remote, non-patient-facing role focused on prior authorization and clinical criteria ... and medical authorization processes, writing denial rationale statements and maintaining ...

Inspire Healthcare

Internal Medicine job in Pomona CA

Pomona, CA · Remote

$250K - $350K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

We are seeking a Remote Medical Director for a non-clinical role focused on prior authorization and medical necessity reviews. No direct patient care is required. Candidates must reside in the LAarea ...

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Remote Medical Authorization information

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

AspectRemote Medical AuthorizationRemote Medical Billing Specialist
Required CredentialsMedical license, certification in medical authorization or prior authorizationMedical billing certification, knowledge of coding and insurance
Work EnvironmentHealthcare providers, insurance companies, remoteMedical offices, insurance companies, remote
Industry UsageUsed to obtain prior approvals for treatments or proceduresHandles billing, coding, and insurance claims processing

Remote Medical Authorization focuses on obtaining prior approvals for medical procedures, requiring medical credentials. Remote Medical Billing Specialists handle billing and coding tasks, often requiring billing certifications. Both roles are essential in healthcare but serve different functions within the industry.

What are the key skills and qualifications needed to thrive as a remote medical authorization specialist?

To thrive as a Remote Medical Authorization Specialist, you need a solid understanding of medical terminology, insurance procedures, and prior authorization processes, usually backed by experience in healthcare administration or a related field. Familiarity with electronic health records (EHR) systems, insurance portals, and authorization management software is typically required. Strong attention to detail, effective communication, and organizational skills are crucial for handling complex cases and collaborating across teams. These competencies are vital for ensuring timely, accurate authorizations that support patient care and optimize reimbursement.

What is a remote medical authorization specialist?

A Remote Medical Authorization specialist is a professional who reviews and processes medical authorization requests from healthcare providers, typically working from a remote location. Their main responsibility is to ensure that medical procedures, treatments, or medications meet specific criteria for insurance coverage or regulatory compliance before approval. They communicate with providers, insurance companies, and sometimes patients to gather necessary information and make informed decisions. This role requires a strong understanding of medical terminology, insurance policies, and healthcare regulations. Remote Medical Authorization specialists play a crucial role in streamlining healthcare access while managing cost and compliance.

What are some common challenges faced by professionals in a remote medical authorization role, and how can they be effectively managed?

Professionals in a Remote Medical Authorization role often encounter challenges such as coordinating with multiple healthcare providers, managing a high volume of authorization requests, and ensuring compliance with complex insurance policies. Effective communication skills, attention to detail, and strong organizational abilities are essential for managing these demands. Utilizing digital tools and maintaining up-to-date knowledge of payer guidelines can help streamline workflows and reduce errors. Building strong relationships with both clinical teams and insurance representatives also supports smoother case resolution.
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What cities are hiring for Remote Medical Authorization jobs?

Cities with the most Remote Medical Authorization job openings:

What are the most commonly searched types of Medical Authorization jobs?

The most popular types of Medical Authorization jobs are:

What states have the most Remote Medical Authorization jobs?

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

Remote Medical Authorization jobs near you
Infographic showing various Remote Medical Authorization job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution.

Remote- Medical Records Specialist

Soundview Medical Supply

Mukilteo, WA • Remote

$18 - $20/hr

Full-time

PTO

Posted yesterday

New

Job description

Job Title: Medical Records Specialist

Location: Remote

Schedule: Monday – Friday, 8:00 AM – 5:00 PM PST

Type: Full-Time

Pay Range: $18–$20 / hour

About Soundview Medical Supply

Soundview Medical Supply is a growing nationwide DME supplier headquartered in Seattle. We operate in a fast-paced environment, but we keep our culture friendly, supportive, and grounded in teamwork. We offer generous paid vacation, competitive benefits, and a team that genuinely enjoys working together. Learn more about us at www.soundviewmed.com.

About the Role

We are looking for a detail-oriented, proactive Medical Records Specialist to join our team. In this role, you will play an essential part in ensuring our patients continue receiving their medical supplies without interruption by maintaining accurate, timely, and compliant medical documentation.

Because we operate in a fast-paced, high-volume environment, you’ll thrive here if you are comfortable making frequent outbound calls to clinics and providers, navigating Excel spreadsheets, and working closely with internal teams to keep all prescription-related records current and aligned with payer requirements.

What You’ll Do

Prescription & Auth Management: Renew, revise, and maintain all prescriptions 30–60 days prior to their expiration date to prevent lapses in patient eligibility, and assist with prior authorization renewals.

High-Volume Provider Outreach: Make outbound calls to clinics, PCPs, and care facilities with professional phone etiquette to secure prescription renewals and resolve documentation issues.

Documentation & Compliance: Review medical documentation and ICD-10 coding to ensure client records meet insurance requirements; stay updated on changing payer guidelines.

Reporting & Tracking: Run expired prescription reports in Brightree and maintain the Expiring Prescription Excel tracker in coordination with Medical Records leadership.

Internal Collaboration: Work closely with CSRs to identify and resolve PCP or documentation conflicts, ensuring smooth cross-departmental workflows.

Portal Operations: Maintain access to and navigate insurance portals for eligibility and documentation verification.

Perform other related duties and special projects as assigned.

What We’re Looking For

Required:

Communication & Phone Skills: Excellent phone etiquette and comfort making high-volume outbound calls to clinics, PCPs, and healthcare facilities.

Coding & Terminology: Working knowledge of ICD-10 coding and medical documentation standards.

Technical Aptitude: Strong proficiency in Excel to maintain tracking reports, alongside comfort navigating databases and web portals.

Work Ethic: Keen attention to detail, strong organizational skills, and the ability to multitask and meet tight deadlines.

Nice-to-Haves / Pluses:

Experience with prior authorizations and insurance workflows.

Experience with Brightree software or similar medical billing/records platforms.

Background in DME, pharmacy, or clinic administration.

Apply