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Remote Medical Authorization Jobs in Nevada (NOW HIRING)

UHS

Accounts Receivable Specialist- Remote

Reno, NV · On-site +1

$19.14 - $28.72/hr

As a last resort after exhausting all efforts, performs accurate write-offs (e.g. no authorization ... Excellent Medical, Dental, Vision and Prescription Drug Plans * 401(K) with company match and ...

Liberty Dental Plan Careers

Staff Dentist

Las Vegas, NV · Remote

$150K - $165K/yr

... remote position, you'll use your clinical judgment to review claims and prior authorizations ... Interpret dental records, radiographs, and clinical documentation to assess medical necessity

Open Mind Health

Client Liaison

Las Vegas, NV · On-site +1

$17 - $20/hr

Remote | Reports to Chief Clinical Officer $17-$20/hour About Open Mind Health Open Mind Health is ... Verify insurance eligibility and authorization status * Collect and document required intake and ...

GardaWorld

Business Development Manager

Reno, NV · Remote

$75K/yr

Work Schedule : Full-time * Comprehensive benefits: medical, dental, and vision insurance plans ... Authorized to work in the United States * Must possess a valid driver's license and maintain a ...

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All JobsMedical Authorization JobsRemote Medical Authorization JobsRemote Medical Authorization Jobs in Nevada

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?

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 popular job titles related to Remote Medical Authorization jobs in Nevada?

For Remote Medical Authorization jobs in Nevada, the most frequently searched job titles are:

What job categories do people searching Remote Medical Authorization jobs in Nevada look for?

The top searched job categories for Remote Medical Authorization jobs in Nevada are:

What cities in Nevada are hiring for Remote Medical Authorization jobs?

Cities in Nevada with the most Remote Medical Authorization job openings:

Remote Medical Authorization jobs near you
Infographic showing various Remote Medical Authorization job openings in Nevada as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 16% Part Time, and 6% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution.

Senior Authorization Specialist

Care Options for Kids

Las Vegas, NV • Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 12 days ago

Job description

Care Options for Kids connects leading pediatric specialists with families to provide best-in-class pediatric therapy, nursing, and school-based services. We seamlessly integrate into children’s lives by bringing individualized care to children where they live, work, and play.
Our pediatric specialists are committed to providing high-quality pediatric services that help children and families live their best lives. We empower our community of clinicians to meet children where they are by providing the support and resources necessary to decrease administrative burdens. This focus allows our clinicians to obtain optimal work-life balance.
Senior Authorizations Specialist
Position Summary:
The Senior Associate role serves as a subject matter expert and escalation point within the revenue cycle team. This role requires advanced knowledge of revenue cycle operations, independent problem-solving, and a proactive, solution-oriented mindset. This position requires ownership of complex cases, drives resolution strategies, and delivers exceptional service to both internal and external stakeholders. This position is ideal for a seasoned professional who thrives in a fast-paced, collaborative environment and is committed to continuous improvement and operational excellence.
Key Responsibilities:
  • Obtain prior authorizations and pre-certifications for in-home nursing services for a dedicated caseload of pediatric clients.
  • Verify insurance benefits, coverage limitations, and authorization requirements for Medicaid, managed Medicaid, commercial and federal plans.
  • Submit complete and accurate authorization requests through payer portals, phone, or fax.
  • Track authorization status and follow up with payers to ensure timely approvals.
  • Request, negotiate and complete single case agreements and letter agreements.
  • Communicate authorization determinations, requirements, and delays to providers, scheduling teams, and patients.
  • Review clinical documentation to ensure it meets payer medical necessity criteria.
  • Identify and escalate authorization denials or delays for appeal or peer-to-peer review.
  • Maintain accurate records of authorization activity in company EMR systems.
  • Track authorization-related denial trends and escalate recurring payer issues.
  • Stay current on payer policies, authorization rules, state and federal regulations, and out-of-network reimbursement rules.
  • Support denial prevention initiatives and revenue cycle performance improvement efforts.
Note: All roles include administrative tasks that support core revenue cycle outcomes.
Education, Experience, and Competencies:
 

· Minimum 3 years of experience in healthcare revenue cycle management, with a focus on billing, A/R, or authorizations.

  • Experience with private duty nursing authorizations
  • Nevada and/or Florida Medicaid experience

· Demonstrated success in resolving complex RCM issues independently.

· High school diploma or GED required; associate or bachelor’s degree preferred.

· Advanced proficiency with EMR systems, payer portals, and Microsoft Office tools.

· Strong understanding of payer policies, coding, and reimbursement methodologies.

· Exceptional communication and customer service skills, with the ability to de-escalate and resolve sensitive issues.

· Proven ability to manage competing priorities and meet deadlines in a remote work environment.

 

General Duties and Responsibilities:
 

· General understanding of the departments and functions across the organization, especially those that interlock workflow with RCM) in order to assist and direct possible issues to the appropriate department or expertise when needed.

· Manage and resolve high-complexity revenue cycle issues, including escalated claims, denials, and payer disputes.

· Independently analyze and troubleshoot systemic issues impacting billing, collections, or authorizations.

· Serve as a resource and mentor to junior associates, providing guidance on best practices and complex scenarios.

· Collaborate cross-functionally with clinical, operational, and technical teams to streamline workflows and improve outcomes.

· Identify and implement process improvements that enhance efficiency, accuracy, and compliance.

· Maintain detailed documentation of actions taken and outcomes achieved in EMR and other systems.

· Represent the revenue cycle team in cross-departmental meetings and initiatives.

· Adherence to the company’s telecommuter policy.

 
Core Competencies: 
  • Autonomous Ownership: Takes full responsibility for assigned tasks and sees them through to resolution with minimal oversight.
  • Advanced Problem-Solving: Uses critical thinking and data analysis to identify root causes and implement effective solutions.
  • Escalation Expertise: Skilled in navigating payer systems and internal processes to resolve high-level issues.
  • Customer-Centric Mindset: Delivers outstanding service to patients, providers, and internal teams.
  • Process Improvement: Continuously seeks opportunities to enhance workflows and reduce inefficiencies.
  • Mentorship & Collaboration: Supports team development and fosters a culture of knowledge-sharing.

Job Title: Senior Associate, Authorization Services
Classification: Non-Exempt
Reports to: Lead, Manager or Director of Revenue Cycle
Salary Range: $45,000.00 to $55,000.00/year
Location: Hybrid/Remote
What we Offer:
  • A supportive and collaborative work environment.
  • Opportunity to Join a Rapidly Growing, Fast-Paced Organization!
  • Comprehensive benefits package, including health, dental, and vision insurance.
  • Generous Paid Time Off
  • 401K
  • A chance to make a meaningful impact in the lives of children and families.
If you are the best at what you do, and are ready to work with an innovative, positive and supportive organization, please contact us today.
 
Care Options For Kids is an equal opportunity employer. The Equal Employment Opportunity Policy of Care Options For Kids is to provide a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religion, national origin, gender, sexual orientation, age, marital status or disability. Care Options For Kids hires and promotes individuals solely on the basis of their qualifications for the job to be filled. Care Options For Kids believes that associates should be provided with a working environment which enables each associate to be productive and to work to the best of his or her ability. We do not condone or tolerate an atmosphere of intimidation or harassment based on race, color, religion, national origin, gender, sexual orientation, age, marital status or disability. We expect and require the cooperation of all associates in maintaining a discrimination and harassment-free atmosphere.