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Remote Prior Authorization Analyst Jobs in Kentucky

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 ... Manage prior authorization requests and appeals with insurance carriers. * Collaborate with ...

Medicare D Billing Representative

Louisville, KY · On-site +1

$15.75 - $20.25/hr

Additionally, the Medicare D Biller updates and documents prior authorizations, including clinical ... Remote: May reside anywhere with the Continental USA. No matter what time zone in which you reside ...

Medicare B Specialist

Louisville, KY · On-site +1

$19.58 - $25/hr

... prior authorizations on behalf of customers. Working closely with EMAR systems, healthcare ... Medicare B preferred Remote: May reside anywhere with the Continental USA. Schedule: Monday ...

... prior authorizations on behalf of customers. Working closely with EMAR systems, healthcare ... Medicare B preferred Remote: May reside anywhere with the Continental USA. Schedule: Monday ...

... prior authorizations on behalf of customers. Working closely with EMAR systems, healthcare ... Medicare B preferred Remote: May reside anywhere with the Continental USA. Schedule: Monday ...

... Prior Authorization, Claims Assistance, and Appeals) and educating the office on Payer landscape and services available through both remote interaction and on-site training. This position is client ...

... Prior Authorization, Claims Assistance, and Appeals) and educating the office on Payer landscape and services available through both remote interaction and on-site training. This position is client ...

... Prior Authorization, Claims Assistance, and Appeals) and educating the office on Payer landscape and services available through both remote interaction and on-site training. This position is client ...

... Prior Authorization, Claims Assistance, and Appeals) and educating the office on Payer landscape and services available through both remote interaction and on-site training. This position is client ...

... Prior Authorization, Claims Assistance, and Appeals) and educating the office on Payer landscape and services available through both remote interaction and on-site training. This position is client ...

Senior Counsel - Remote

Lexington, KY · Remote

$140 - $400/hr

No prior experience in AI is required -- your domain knowledge is what matters. This opportunity is ... Scope of Work * Conduct comprehensive legal analysis on a variety of US law topics, providing ...

No prior experience in AI is required -- your domain knowledge is what matters. This opportunity is ... Scope of Work * Conduct comprehensive legal analysis on a variety of US law topics, providing ...

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Showing results 1-20

Remote Prior Authorization Analyst information

What is the difference between Remote Prior Authorization Analyst vs Remote Claims Processor?

AspectRemote Prior Authorization AnalystRemote Claims Processor
Required CredentialsHealthcare certifications, knowledge of insurance policiesBasic insurance knowledge, data entry skills
Work EnvironmentHome office, healthcare or insurance companiesHome office, insurance companies or third-party administrators
Employer & IndustryHospitals, insurance providers, healthcare organizationsInsurance companies, third-party claims firms
Common Search/ComparisonYesYes

The Remote Prior Authorization Analyst and Remote Claims Processor roles both operate in the healthcare insurance industry and often require knowledge of insurance policies. However, the analyst focuses on obtaining prior approvals for treatments, while the claims processor handles the processing of insurance claims after services are rendered. Both roles are typically remote, involve working within healthcare or insurance organizations, and are frequently compared by job seekers seeking similar positions in the industry.

What are popular job titles related to Remote Prior Authorization Analyst jobs in Kentucky?

For Remote Prior Authorization Analyst jobs in Kentucky, the most frequently searched job titles are:

What cities in Kentucky are hiring for Remote Prior Authorization Analyst jobs?

Cities in Kentucky with the most Remote Prior Authorization Analyst job openings:

Infographic showing various Remote Prior Authorization Analyst job openings in Kentucky as of June 2026, with employment types broken down into 4% As Needed, 73% Full Time, 13% Part Time, 1% Temporary, and 9% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution.

Pharmacy Prior Authorization Specialist

Onco360

Louisville, KY • On-site, Remote

$18.75 - $24.25/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 11 days ago


Onco360 rating

7.7

Company rating: 7.7 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

19th of 112 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 August 31, 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
Preferred:
  • 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

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