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Remote Medical Authorization Jobs (NOW HIRING)

PainPoint

Prior Authorization Coordinator

Atlanta, GA · On-site +1

$19 - $21/hr

Remote About DxTx Pain & Spine At DxTx Pain & Spine, we're redefining how pain and spine practices ... Review medical necessity guidelines for procedures by Paycor. * Accurately and promptly submit ...

Sentara Healthcare

Authorization Coordinator II

Norfolk, VA · On-site +1

$18 - $22.25/hr

... cost medical procedures, advanced imaging, specialty services, and outpatient/inpatient care ... Position is available as Remote (SWS State Eligible) Alabama, Delaware, Florida, Georgia, Idaho ...

Sentara Healthcare

Authorization Coordinator II

Norfolk, VA · On-site +1

$18 - $22.25/hr

... cost medical procedures, advanced imaging, specialty services, and outpatient/inpatient care ... Position is available as Remote (SWS State Eligible) Alabama, Delaware, Florida, Georgia, Idaho ...

CareMed Specialty Pharmacy

$23 - $25/hr

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

HEARTS ENTERAL LLC

Be Seen First

Experienced Remote Medical Biller DME Fast Paced

Mountain View, NJ · Remote

$18 - $30/hr

... authorization numbers) is included with claims to support coding accuracy and prevent delays in ... medical foods to sustain and prolong their lives. Web. www,heartsenteral.com. www ...

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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, and why are they important?

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 July 2026, with employment types broken down into 1% As Needed, 87% Full Time, 10% Part Time, and 2% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution.

Patient Access Concierge - Medical Imaging - REMOTE - FT

Trinityhealth

Albany, NY • Remote

$17.25 - $23/hr

Full-time

Life, PTO

Posted yesterday

Job description

Employment Type:Full timeShift:Day ShiftDescription:Patient Access Concierge - Albany, NY

This is a phone-based position to register patients, schedule appointments and surgeries, verifies demographic, clinical, financial, and insurance information during the (pre)-registration process, accepts point of service payments or provides guidance for payment options, and clears the patient for service delivery.

This position is a remote position.

Position Highlights:

Advancement:Strong orientation program, generous tuition allowance and career development

  • Work/Life:Office Hours - Monday - Friday
  • We offer great Benefits including: Competitive Pay, Paid Time Off. Tuition Reimbursement, etc.

What you will do:

  • Verifies patient identification, demographic information, and insurance coverage.
  • Accepts point of service payments.
  • Enters patient information accurately into appropriate hospital information system(s).
  • Refers patients with questions regarding financial liability to appropriate resource(s).
  • Accepts medical authorization or referral forms, if appropriate.
  • Processes key documents to facilitate obtaining insurance information.
  • Provides payment estimates for out of pocket costs.
  • Educates patients/families on the use of registration kiosks or online systems.
  • Identifies routine issues and escalates to Lead Patient Access Concierge.

What you will need:

  • High school diploma. Associate degree in preferred.
  • One to three (1-3) years experience within a hospital or clinic environment, an insurance company, managed care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting or customer service activities.
  • Consideration may be given for commensurate customer service experience in another industry.
  • Knowledge of insurance and governmental programs, regulations and billing processes (Medicare, Medicaid, Social Security Disability, Champus, and Supplemental Security Income Disability), managed care contracts and coordination of benefits is preferred.
  • Working knowledge of medical terminology, anatomy and physiology, and medical record coding (ICD-10, CPT, HCPCS) is preferred. Must have a basic understanding of the core Microsoft suite offerings (Word, PowerPoint, Excel).
  • Excellent communication skills both verbal and written, data entry skills, and organizational abilities. Superior interpersonal skills are necessary for interacting with customers and colleagues. Accuracy, attention to detail, ability to work independently, and good time management skills are required.
  • Must be a self-starter, comfortable working in a fast paced, results oriented, collaborative, people-centered environment.

Pay Range:$17.25 - $23.00
Pay is based on experience. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

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