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Remote Optum Prior Authorization Jobs (NOW HIRING)

1840 & Company

$16.75 - $22.25/hr

Prior Authorization Specialist We are seeking a detail-oriented and experienced Prior Authorization ... BPO) and remote talent solutions, dedicated to propelling businesses forward through our ...

1840 & Company

$16.75 - $22.25/hr

Prior Authorization Specialist We are seeking a detail-oriented and experienced Prior Authorization ... BPO) and remote talent solutions, dedicated to propelling businesses forward through our ...

PainPoint

Prior Authorization Coordinator

$19 - $21/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Prior Authorization Coordinator Full-Time | $19-21/hour | Monday-Friday | 8:00 AM-4:30 PM CST ... Remote About DxTx Pain & Spine At DxTx Pain & Spine, we're redefining how pain and spine practices ...

PainPoint

Prior Authorization Coordinator

Atlanta, GA · On-site +1

$19 - $21/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Prior Authorization Coordinator Full-Time | $19-21/hour | Monday-Friday | 8:00 AM-4:30 PM CST ... Remote About DxTx Pain & Spine At DxTx Pain & Spine, we're redefining how pain and spine practices ...

PainPoint Health

Prior Authorization Coordinator

Atlanta, GA · Remote

$19 - $21/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Prior Authorization Coordinator Full-Time | $19-21/hour | Monday-Friday | 8:00 AM-4:30 PM CST ... Remote About DxTx Pain & Spine At DxTx Pain & Spine, we're redefining how pain and spine practices ...

Pacer Group

Prior Authorization Pharmacist (Remote)

$59.50 - $71.75/hr

Prior Authorization Pharmacist (Remote) Location: Remote (Must be able to work EST hours) Duration: 3 months Schedule: Monday - Friday | 10:00 AM - 6:30 PM EST Weekend Rotation: Possible Saturday ...

A-Line Staffing Solutions

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Prior Authorization Pharmacist

Phoenix, AZ · Remote

$53/hr

  • Medical

  • Dental

  • Vision

Remote Clinical Pharmacist - Specialty Medical Prior Authorization Pay: $53.00+ per hour **based on licensure certifications and experience** Job Type: Remote Contract Opportunity Schedule: Flexible ...

Managed Staffing

Prior Authorization Techician

RI · Remote

$21 - $22/hr

Fully Remote (U.S. based) - West Coast candidates preferred Seeking Pharmacy Technician I (Prior Authorization) professionals to join their remote Caremark team. This role is responsible for ...

Minnesota Jobs

REMOTE Prior Authorization Pharmacist

$59.50 - $71.75/hr

  • Medical

Pharmacist, Prior Authorization (Pa) & Appeals The pharmacist, prior authorization (pa) & appeals, is responsible for reviewing and evaluating prior authorization and appeals requests to determine ...

PainPoint

Prior Authorization Team Lead

$23/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Prior Authorization Team Lead Full-Time | Remote | $23/hr Schedule: Monday-Friday 8:00 AM-4:30 PM About DxTx DxTx Pain & Spine is a physician-aligned partner organization dedicated to supporting ...

WELLDYNE

Prior Authorization Technician II

$28K - $40K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Prior Authorization Technician II This position is fully remote. The required working schedule is 8:00 AM - 5:00 PM Mountain Time (MST) or 10:00 AM - 7:00 PM Eastern Time (EST) , depending on ...

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Remote Optum Prior Authorization information

What is a Remote Optum Prior Authorization?

A Remote Optum Prior Authorization job involves reviewing and processing requests from healthcare providers to determine whether certain medical procedures, medications, or services will be covered under a patient's insurance plan. Employees in this role work from home and use clinical guidelines to assess the necessity and appropriateness of requested treatments. They collaborate with providers, patients, and insurance teams to ensure timely authorization decisions. This position typically requires strong communication skills, attention to detail, and familiarity with healthcare regulations and insurance policies.

How does a Remote Optum Prior Authorization specialist typically interact with healthcare providers and insurance teams?

As a Remote Optum Prior Authorization specialist, you will regularly communicate with healthcare providers, pharmacies, and insurance representatives to obtain and verify necessary information for authorizing medical procedures or medications. Most interactions occur via phone, secure messaging, or electronic health record systems, requiring clear communication and attention to detail. Collaboration is essential, as you'll often need to clarify clinical documentation with providers and ensure compliance with insurance guidelines. This role is well-suited for those who are organized, proactive, and comfortable working independently within a supportive virtual team environment.

What are the key skills and qualifications needed to thrive as a Remote Optum Prior Authorization specialist, and why are they important?

To thrive as a Remote Optum Prior Authorization Specialist, you need strong knowledge of medical terminology, insurance processes, and prior authorization protocols, typically supported by a healthcare-related degree or relevant experience. Familiarity with electronic health record (EHR) systems, insurance verification tools, and prior authorization software is essential. Excellent attention to detail, organizational skills, and effective communication are vital soft skills for efficiently managing high volumes of authorization requests and collaborating with providers. These skills ensure accurate, timely approvals and help optimize patient care while reducing administrative delays.

What is the difference between Remote Optum Prior Authorization vs Remote Optum Claims Reviewer?

AspectRemote Optum Prior AuthorizationRemote Optum Claims Reviewer
CredentialsTypically requires healthcare-related certifications, such as RN, LPN, or medical coding credentialsOften requires similar healthcare certifications, with focus on claims processing
Work EnvironmentRemote, healthcare insurance setting, interacting with providers and patientsRemote, insurance claims processing environment, reviewing submitted claims
Employer & Industry UsageCommonly employed by health insurance companies like Optum, focusing on authorization processesEmployed by insurance companies, focusing on claims review and reimbursement

Remote Optum Prior Authorization specialists focus on obtaining approvals for healthcare services, while Remote Optum Claims Reviewers evaluate submitted claims for accuracy and reimbursement. Both roles require healthcare knowledge and certifications, but differ in their primary functions within the insurance process.

More about Remote Optum Prior Authorization jobs

What cities are hiring for Remote Optum Prior Authorization jobs?

Cities with the most Remote Optum Prior Authorization job openings:

What are the most commonly searched types of Optum Prior Authorization jobs?

The most popular types of Optum Prior Authorization jobs are:

What states have the most Remote Optum Prior Authorization jobs?

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

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The top searched job categories for Remote Optum Prior Authorization jobs are:

Remote Optum Prior Authorization jobs near you
Infographic showing various Remote Optum Prior Authorization job openings in the United States as of August 2026, with employment types broken down into 80% Full Time, and 20% Part Time. Highlights an 100% Remote job distribution.

Remote Prior Authorization Coordinator

Evolution Sports Group

Remote

$35 - $50/hr

Other

Medical, Dental, Vision, PTO

Posted 16 days ago

Job description

Remote Prior Authorization Coordinator

New York, New York, United States

$ 35.00 - 50.00 (US Dollar)

About the Job

Position: Remote Prior Authorization Coordinator

Company Overview:

Evolution Sports Group is a leading sports management company that represents top athletes in various sports such as basketball, football, and soccer. Our company is dedicated to providing our clients with the best resources and opportunities to excel in their respective sports. We are currently seeking a Prior Authorization Coordinator to join our team and help us continue to grow and succeed.

Position Overview:

As a Prior Authorization Coordinator, you will be responsible for obtaining prior authorizations from insurance companies for medical procedures and services for our clients. You will work closely with our clients, medical providers, and insurance companies to ensure timely and accurate processing of prior authorizations.

Key Responsibilities:

  • Review and verify insurance coverage for medical procedures and services
  • Communicate with medical providers to obtain necessary documentation for prior authorizations
  • Submit prior authorization requests to insurance companies and follow up on status
  • Keep track of all prior authorization requests and ensure they are completed in a timely manner
  • Work with insurance companies to resolve any issues or denials related to prior authorizations
  • Educate clients on the prior authorization process and provide support and guidance as needed
  • Maintain accurate records and documentation of all prior authorization activities
  • Stay up-to-date on insurance policies and procedures related to prior authorizations

Qualifications:

  • High school diploma or equivalent, Bachelor's degree preferred
  • Minimum of 2 years experience in prior authorization coordination or related field
  • Knowledge of medical terminology and insurance policies
  • Excellent communication and interpersonal skills
  • Strong attention to detail and ability to multitask
  • Proficient in Microsoft Office and other computer applications
  • Ability to work independently and in a team environment
  • Prior experience working in a sports management or healthcare setting is a plus

We Offer:

  • Competitive salary and benefits package
  • Opportunities for growth and advancement within the company
  • A dynamic and supportive work environment
  • The chance to work with top athletes and make a difference in their careers

If you are passionate about sports and have a strong background in prior authorization coordination, we want to hear from you! Join our team at Evolution Sports Group and help us continue to provide the best services for our clients. Apply now!

Package Details

Pay Rate: $35-50 per hour, depending on experience

Training Pay: $30 per hour (1-week paid training)

Training Bonus: $700 incentive upon completion

Work Schedule: Flexible — Full-time (30–40 hrs/week) or Part-time (20 hrs/week)

Work Type: 100% Remote (U.S.-based only)

Benefits: Paid Time Off, Health, Dental & Vision Coverage

Home Office Setup: Company-provided workstation and equipment

Growth Opportunities: Internal promotion and career development support

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