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Remote Medical Authorization Jobs in Ohio (NOW HIRING)

Vertiv Co

Controls Engineer (Remote)

Delaware, OH · On-site +1

$79K - $102K/yr

Work Authorization No calls or agencies please. Vertiv will only employ those who are legally ... related medical conditions), marital status, sexual orientation, gender identity / expression ...

Talkiatry

$325K - $375K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Active, unrestricted medical license (multi-state licensing support available) * Interest in ... authorized to work in the U.S. only after a job offer is accepted and Form I-9 is completed. For ...

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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.
Remote Medical Authorization jobs near you
Infographic showing various Remote Medical Authorization job openings in Ohio as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 12% Part Time, and 8% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution.

Insurance Specialist - Prior Authorization (Remote) - Eastern Time zone

Meduit

Rocky River, OH • Remote

$18 - $21/hr

Full-time

Medical, Dental, Vision, Life, Retirement

Re-posted 19 days ago

Meduit rating

7.1

Company rating: 7.1 out of 10

Based on 20 frontline employees who took The Breakroom Quiz

Job description

About Us: 

Meduit is a national leader in healthcare revenue cycle management, supporting hospitals and physician practices in 48 states. We focus on optimizing payments, allowing clients to focus on patient care, and pride ourselves on our core values: Integrity, Teamwork, Continuous Improvement, Client-Focused, and Results-Oriented. Learn more at www.meduitrcm.com. 

About the Role: 

The Insurance Specialist - Prior Authorization is responsible for obtaining prior authorizations, verifying insurance benefits, and ensuring compliance with payer requirements before services are delivered. This role works closely with patients, providers, clinical teams, and insurance carriers to secure approvals, resolve authorization issues, and support accurate reimbursement.

Success in this role requires strong knowledge of insurance verification, payer guidelines, eligibility requirements, authorization processes, and healthcare revenue cycle operations.

Title: Insurance Specialist - Prior Authorization
Schedule: 8am to 4:30pm Eastern Time Zone, Monday – Friday
Location: Remote, Work-from-home - United States
Compensation: $18 - $21 per hour base
 

Key Responsibilities: 

  • Verify patient insurance eligibility, benefits, and coverage requirements.
  • Obtain prior authorizations and referrals from insurance carriers in accordance with payer requirements.
  • Communicate with insurance companies, provider offices, and patients to collect information necessary for authorization approval.
  • Research and resolve authorization-related issues that could impact patient access to services.
  • Review accounts for medical necessity, payer requirements, and benefit limitations.
  • Document authorization activity and maintain accurate account records.
  • Update patient demographic, insurance, and payer information as needed.
  • Monitor authorization status and ensure timely follow-up on pending requests.
  • Utilize payer portals, eligibility tools, and healthcare software systems to support authorization activities.
  • Maintain established productivity, quality, and accuracy standards.
  • Collaborate with operational, billing, and clinical teams to support reimbursement and patient access goals.

Required Qualifications: 

  • High School Diploma or GED
  • 2+ years of prior authorization, insurance verification, medical billing, patient access, or healthcare revenue cycle experience
  • Experience with Medicare, Medicaid, and commercial payers
  • Experience with Workers' Compensation pre-access or authorization processes
  • Knowledge of insurance eligibility, authorization, and benefits verification processes
  • Proficiency with Microsoft Office (Outlook, Word, and Excel)

Preferred Qualifications:

  • Experience working in a hospital, physician practice, or healthcare revenue cycle environment
  • Experience using Epic, Cerner, Meditech, or other healthcare information systems
  • Experience utilizing payer portals and authorization systems
  • Knowledge of medical terminology and coding
  • Previous remote healthcare experience

Work From Home Requirements

This is a work-from-home position. Employees are expected to perform their job duties from a secure and private workspace within their home that protects confidential company and client information.

Because employees may access protected health information (PHI), financial information, and other sensitive data, work must be performed in an environment where information cannot be viewed or overheard by others. This position is designed for work to be performed from a dedicated home workspace and is not intended for public locations, shared workspaces, or environments where confidential information may be observed or overheard.

To be successful in this role, employees must have:

  • A secure and private workspace within their home
  • A reliable wired high-speed internet connection
  • Minimum internet speeds of 30 Mbps download and 10 Mbps upload
  • The ability to maintain a professional and distraction-free work environment during scheduled working hours

As part of our hiring process for work-from-home positions:

  • Candidates will participate in video interviews
  • Video interviews may be recorded and transcribed to support candidate evaluation, interviewer collaboration, and hiring decisions
  • Candidates may be asked to complete and provide the results of an internet speed test during the interview process to verify minimum technical requirements

Employment eligibility: 

  • Candidates must be legally authorized to work in the United States at the time of hire
  • The company does not provide employment visa sponsorship for this position
  • As a condition of employment, a pre-employment background check will be conducted
  • Certain positions may also require pre-employment drug testing
  • At this time, we are unable to consider candidates residing in the state of New York for this position 

What We Offer: 

Comprehensive Paid Training
Medical, Dental & Vision Insurance
HSA & FSA Available
401(k) with Company Match
Paid Wellness Time & Holidays
Employer-Paid Life Insurance & Long-Term Disability
Internal Growth Opportunities

Meduit is an Equal Opportunity Employer. We do not discriminate based on any protected class and welcome applicants from all backgrounds, consistent with applicable laws. Employment is contingent upon successful completion of a background check, satisfactory references, and any required documentation. 

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position. 

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