$19.75 - $25.50/hr
Remote work possible after initial on-site training. Why Join Us? * A career with purpose: Help ... Medical; Dental; Vision * 401k with a match * Paid Time Off and Paid Holidays * Tuition ...
New
$19.75 - $25.50/hr
Remote work possible after initial on-site training. Why Join Us? * A career with purpose: Help ... Medical; Dental; Vision * 401k with a match * Paid Time Off and Paid Holidays * Tuition ...
New
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 ... Medical; Dental; Vision * 401k with a match * Paid Time Off and Paid Holidays * Tuition ...
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 ... Medical; Dental; Vision * 401k with a match * Paid Time Off and Paid Holidays * Tuition ...
$19.75 - $25.50/hr
Remote work possible after initial on-site training. Why Join Us? * A career with purpose: Help ... Medical; Dental; Vision * 401k with a match * Paid Time Off and Paid Holidays * Tuition ...
New
$19.75 - $25.50/hr
Remote work possible after initial on-site training. Why Join Us? * A career with purpose: Help ... Medical; Dental; Vision * 401k with a match * Paid Time Off and Paid Holidays * Tuition ...
New
Medical Billing Customer Support 1st SHIFT REMOTE (TEMP)
Murray, KY · Remote
$14 - $18/hr
This fully remote role is ideal for individuals with healthcare experience who thrive in a fast ... Verify insurance eligibility and obtain authorization for services and equipment. * Work ...
Medical Billing Customer Support 1st SHIFT REMOTE (TEMP)
Murray, KY · Remote
$14 - $18/hr
This fully remote role is ideal for individuals with healthcare experience who thrive in a fast ... Verify insurance eligibility and obtain authorization for services and equipment. * Work ...
This fully remote role is ideal for individuals with healthcare experience who thrive in a fast ... Verify insurance eligibility and obtain authorization for services and equipment. * Work ...
Quick apply
This fully remote role is ideal for individuals with healthcare experience who thrive in a fast ... Verify insurance eligibility and obtain authorization for services and equipment. * Work ...
Medical Billing Customer Support 1st SHIFT REMOTE (TEMP)
Murray, KY · On-site +1
$14 - $18/hr
This fully remote role is ideal for individuals with healthcare experience who thrive in a fast ... Verify insurance eligibility and obtain authorization for services and equipment. * Work ...
Medical Billing Customer Support 1st SHIFT REMOTE (TEMP)
Murray, KY · On-site +1
$14 - $18/hr
This fully remote role is ideal for individuals with healthcare experience who thrive in a fast ... Verify insurance eligibility and obtain authorization for services and equipment. * Work ...
In this role, you will assess patients' nutritional status, develop individualized medical ... be authorized to work in the United States without employer sponsorship. Lifepoint Health is a ...
In this role, you will assess patients' nutritional status, develop individualized medical ... be authorized to work in the United States without employer sponsorship. Lifepoint Health is a ...
Clinical Dietitian- Remote
Louisville, KY · On-site +1
In this role, you will assess patients' nutritional status, develop individualized medical ... You must be authorized to work in the United States without employer sponsorship. About Us ...
Clinical Dietitian- Remote
Louisville, KY · On-site +1
In this role, you will assess patients' nutritional status, develop individualized medical ... You must be authorized to work in the United States without employer sponsorship. About Us ...
Medicare D Billing Representative
Louisville, KY · Remote
$19 - $20/hr
... authorization requests. The ideal candiate will be a Certified Pharmacy Technician or Medical Assistant Certification (desired) and have Third party Medical Billing experience Remote: May reside ...
Quick apply
Medicare D Billing Representative
Louisville, KY · Remote
$19 - $20/hr
... authorization requests. The ideal candiate will be a Certified Pharmacy Technician or Medical Assistant Certification (desired) and have Third party Medical Billing experience Remote: May reside ...
Medicare D Billing Representative
Louisville, KY · On-site +1
$15.75 - $20.25/hr
... authorization requests. The ideal candiate will be a Certified Pharmacy Technician or Medical Assistant Certification (desired) and have Third party Medical Billing experience Remote: May reside ...
Medicare D Billing Representative
Louisville, KY · On-site +1
$15.75 - $20.25/hr
... authorization requests. The ideal candiate will be a Certified Pharmacy Technician or Medical Assistant Certification (desired) and have Third party Medical Billing experience Remote: May reside ...
Medicare D Billing Representative
Louisville, KY · Remote
$15.75 - $20.25/hr
... authorization requests. The ideal candiate will be a Certified Pharmacy Technician or Medical Assistant Certification (desired) and have Third party Medical Billing experience Remote: May reside ...
Quick apply
Medicare D Billing Representative
Louisville, KY · Remote
$15.75 - $20.25/hr
... authorization requests. The ideal candiate will be a Certified Pharmacy Technician or Medical Assistant Certification (desired) and have Third party Medical Billing experience Remote: May reside ...
Medicare D Billing Representative
Louisville, KY · Remote
$15.75 - $20.25/hr
... authorization requests. The ideal candiate will be a Certified Pharmacy Technician or Medical Assistant Certification (desired) and have Third party Medical Billing experience Remote: May reside ...
Medicare D Billing Representative
Louisville, KY · Remote
$15.75 - $20.25/hr
... authorization requests. The ideal candiate will be a Certified Pharmacy Technician or Medical Assistant Certification (desired) and have Third party Medical Billing experience Remote: May reside ...
Medicare D Billing Representative
Louisville, KY · On-site +1
$15.75 - $20.25/hr
... authorization requests. The ideal candiate will be a Certified Pharmacy Technician or Medical Assistant Certification (desired) and have Third party Medical Billing experience Remote: May reside ...
Medicare D Billing Representative
Louisville, KY · On-site +1
$15.75 - $20.25/hr
... authorization requests. The ideal candiate will be a Certified Pharmacy Technician or Medical Assistant Certification (desired) and have Third party Medical Billing experience Remote: May reside ...
Claims Analyst- Remote
Louisville, KY · Remote
Multiple levels of medical, dental and vision coverage for full-time and part-time employees ... be authorized to work in the United States without employer sponsorship. Lifepoint Health is a ...
Claims Analyst- Remote
Louisville, KY · Remote
Multiple levels of medical, dental and vision coverage for full-time and part-time employees ... be authorized to work in the United States without employer sponsorship. Lifepoint Health is a ...
Authorized to work in the United States * Available during Eastern Time business hours Preferred ... Full benefits package includes medical, dental, vision, 401(k) with company match, paid time off ...
Authorized to work in the United States * Available during Eastern Time business hours Preferred ... Full benefits package includes medical, dental, vision, 401(k) with company match, paid time off ...
$50K - $150K/yr
Exercise independent medical judgment within clear, evidence-based protocols. * Licensure and DEA ... authorization within insurance networks. * Community of Clinical Excellence: You will work ...
$50K - $150K/yr
Exercise independent medical judgment within clear, evidence-based protocols. * Licensure and DEA ... authorization within insurance networks. * Community of Clinical Excellence: You will work ...
Manager, Accounts Receivable- Remote
Louisville, KY · On-site +1
... authorizations, and denials. * Assign and manage staff work queues through billing software ... Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
Manager, Accounts Receivable- Remote
Louisville, KY · On-site +1
... authorizations, and denials. * Assign and manage staff work queues through billing software ... Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
... authorizations, and denials. * Assign and manage staff work queues through billing software ... Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
... authorizations, and denials. * Assign and manage staff work queues through billing software ... Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
Executive Case Manager (Remote)
Pikeville, KY · On-site +1
... of their medical records, your mastery of the program requirements, and ensuring their ... This includes completing benefit investigations, tracking prior authorizations / denial appeals ...
Executive Case Manager (Remote)
Pikeville, KY · On-site +1
... of their medical records, your mastery of the program requirements, and ensuring their ... This includes completing benefit investigations, tracking prior authorizations / denial appeals ...
... of their medical records, your mastery of the program requirements, and ensuring their ... This includes completing benefit investigations, tracking prior authorizations / denial appeals ...
... of their medical records, your mastery of the program requirements, and ensuring their ... This includes completing benefit investigations, tracking prior authorizations / denial appeals ...
Remote Medical Authorization information
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 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 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.
What is the difference between Remote Medical Authorization vs Remote Medical Billing Specialist?
| Aspect | Remote Medical Authorization | Remote Medical Billing Specialist |
|---|---|---|
| Required Credentials | Medical license, certification in medical authorization or prior authorization | Medical billing certification, knowledge of coding and insurance |
| Work Environment | Healthcare providers, insurance companies, remote | Medical offices, insurance companies, remote |
| Industry Usage | Used to obtain prior approvals for treatments or procedures | Handles 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 popular job titles related to Remote Medical Authorization jobs in Kentucky?
For Remote Medical Authorization jobs in Kentucky, the most frequently searched job titles are:
What job categories do people searching Remote Medical Authorization jobs in Kentucky look for?
The top searched job categories for Remote Medical Authorization jobs in Kentucky are:
- Remote Radiology Pre Authorization Specialist Ft
- Remote Cpt Coding
- Remote Prior Authorization
- Work From Home Medical Records
- Remote Medical Credentialing
- Urgently Hiring Oasis Coding Specialist Hcs D
- Remote Independent Medical Examination
- Remote Medical
- Remote Medical Chart Review
- Full Time Remote Medical Insurance Verification
What cities in Kentucky are hiring for Remote Medical Authorization jobs?
Cities in Kentucky with the most Remote Medical Authorization job openings:
$19.75 - $25.50/hr
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
This job post has expired today. Applications are no longer accepted.
Onco360 rating
7.7
Based on 5 frontline employees who took The Breakroom Quiz
20th of 113 rated pharmacies
Job description
Pharmacy Prior Authorization Specialist - Onco360 Pharmacy Louisville, KY | Full-Time | Starting at $23.00/hr and up
Sign-On Bonus: $5,000 for employees starting before September 30, 2026!
Onco360 Pharmacy is seeking a Pharmacy Prior Authorization Specialist to join our dedicated team in Louisville, KY. This is a full-time position ideal for candidates local to the area. Remote work possible after initial on-site training. Why Join Us?
Company Benefits
What You'll Do
The Pharmacy Prior Authorization Specialist will ensure patients receive the medication that requires pre-authorizations from insurance carriers by receiving prescriptions, addressing and rectifying rejected claims and conducting necessary third party authorization requests.
How You'll Do This
What You Bring
Required:
Ready to make a meaningful impact? Apply today and help us better the lives of those battling cancer.
#Company Values: Teamwork, Respect, Integrity, Passion
#IH Employment Type: Full Time
Sign-On Bonus: $5,000 for employees starting before September 30, 2026!
Onco360 Pharmacy is seeking a Pharmacy Prior Authorization Specialist to join our dedicated team in Louisville, KY. This is a full-time position ideal for candidates local to the area. Remote work possible after initial on-site training. Why Join Us?
- A career with purpose: Help patients access life-saving medications.
- Supportive culture: We value teamwork, respect, integrity, and passion .
- Growth opportunities: We invest in your professional and personal development.
Company Benefits
- Medical; Dental; Vision
- 401k with a match
- Paid Time Off and Paid Holidays
- Tuition Reimbursement
- Quarterly Incentive Bonus
- Paid Volunteer Day
- Referral Incentive Program
- Company Paid Life Insurance; and Short/Long-Term Disability
What You'll Do
The Pharmacy Prior Authorization Specialist will ensure patients receive the medication that requires pre-authorizations from insurance carriers by receiving prescriptions, addressing and rectifying rejected claims and conducting necessary third party authorization requests.
How You'll Do This
- Manage prior authorization requests and appeals with insurance carriers.
- Collaborate with physicians, pharmacists, and other departments.
- Ensure HIPAA compliance while handling sensitive patient information.
- Maintain accurate documentation of authorization details.
- Proactively monitor and renew expiring authorizations.
What You Bring
Required:
- High School Diploma or GED
- 1+ years of pharmacy or prior authorization experience
- Registration with Board of Pharmacy (as required by state law)
- Strong communication, organizational, and customer service skills
- Self-motivated, organized, detail-oriented, and adaptable to changing priorities
- Knowledge of pharmacy terminology, pharmacy insurance claims, Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, experience with CoverMyMeds
- Associate degree or Certified Pharmacy Technician (PTCB)
- 3+ years of experience in pharmacy or prior authorizations
- Specialty pharmacy experience
Ready to make a meaningful impact? Apply today and help us better the lives of those battling cancer.
#Company Values: Teamwork, Respect, Integrity, Passion
#IH Employment Type: Full Time
About Onco360
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
501 - 1,000 Employees
Headquarters location
Louisville, KY, US