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Remote Prior Authorization Night Shift Jobs in Florida

Coral Connect LLC

Intake Specialist

Boca Raton, FL · On-site +1

$16.75 - $22.50/hr

Ensure all required elements are obtained prior to benefits investigation and authorization ... Location: Remote with limited travel to client locations, internal business meetings, and other ...

Coral Connect LLC

Intake Specialist

Boca Raton, FL · Remote

$16.75 - $22.50/hr

Ensure all required elements are obtained prior to benefits investigation and authorization ... Location: Remote with limited travel to client locations, internal business meetings, and other ...

Actalent

Remote Pharmacy Technician

Orlando, FL · Remote

$21/hr

Prior authorization and insurance billing experience. * Specialty pharmacy experience. * Bilingual Spanish skills are a plus. Work Environment * 100% Remote * Equipment provided, including laptop and ...

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Remote Prior Authorization Night Shift information

What is a remote prior authorization night shift job?

Remote Prior Authorization Night Shift jobs involve reviewing and processing medical prior authorization requests for medications, procedures, or services during overnight hours from a remote location. Professionals in these roles work with healthcare providers, insurance companies, and patients to ensure that medical treatments meet insurance requirements for coverage. The position typically requires knowledge of medical terminology, health insurance policies, and strong communication skills. Working the night shift allows for 24/7 coverage, ensuring timely responses to urgent or after-hours authorization requests.

What are the key skills and qualifications needed to thrive as a remote prior authorization night shift specialist?

To excel as a Remote Prior Authorization Night Shift Specialist, you need a strong understanding of healthcare insurance processes, medical terminology, and prior authorization procedures, often supported by experience in medical billing or a healthcare-related certification. Familiarity with electronic health record (EHR) systems, prior authorization platforms, and secure communication tools is typically required. Attention to detail, strong written communication, and the ability to work independently during off-hours are vital soft skills. These competencies ensure accurate, timely approvals for medical services, minimize claim denials, and support patient care outside regular business hours.

What are the typical challenges faced by remote prior authorization specialists working the night shift, and how can they effectively manage them?

Remote prior authorization specialists on the night shift often encounter challenges such as limited access to real-time support from colleagues, managing communications with providers in different time zones, and maintaining focus during overnight hours. To manage these challenges, it's important to establish a structured routine, utilize available digital resources and knowledge bases, and proactively communicate with daytime teams to ensure continuity of work. Leveraging collaboration tools and setting clear boundaries for work-life balance can also help maintain productivity and job satisfaction during night hours.

What is the difference between Remote Prior Authorization Night Shift vs Remote Prior Authorization Day Shift?

AspectRemote Prior Authorization Night ShiftRemote Prior Authorization Day Shift
Work HoursTypically overnight, 10 PM - 6 AMStandard daytime hours, 8 AM - 4 PM
Work EnvironmentRemote, quiet, focused environmentRemote, collaborative daytime setting
CredentialsSame certifications required, e.g., medical billing, codingSame certifications required, e.g., medical billing, coding
Employer & IndustryHealthcare insurance companies, hospitalsHealthcare insurance companies, hospitals

Both Remote Prior Authorization Night Shift and Day Shift roles require similar credentials and work in remote healthcare settings. The main difference lies in the working hours, with night shift roles covering overnight hours, which may suit those seeking flexible or non-traditional schedules. Employers in healthcare insurance and hospital industries utilize both shifts to ensure 24/7 coverage for prior authorization processes.

What are popular job titles related to Remote Prior Authorization Night Shift jobs in Florida?

For Remote Prior Authorization Night Shift jobs in Florida, the most frequently searched job titles are:

What job categories do people searching Remote Prior Authorization Night Shift jobs in Florida look for?

The top searched job categories for Remote Prior Authorization Night Shift jobs in Florida are:

What cities in Florida are hiring for Remote Prior Authorization Night Shift jobs?

Cities in Florida with the most Remote Prior Authorization Night Shift job openings:

Remote Prior Authorization Night Shift jobs near you
Infographic showing various Remote Prior Authorization Night Shift job openings in Florida as of August 2026, with employment types broken down into 85% Full Time, 5% Part Time, 5% Contract, and 5% Nights. Highlights an 100% Remote job distribution.

Oncology Prior Authorization Case Manager, Non-RN - Remote

University of Miami

Miami, FL • On-site, Remote

Full-time

Medical, Dental

Re-posted 11 days ago

University Of Miami rating

7.7

Company rating: 7.7 out of 10

Based on 52 frontline employees who took The Breakroom Quiz

264th of 623 rated colleges and universities

Job description

Current Employees:

If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position, please review this tip sheet.

The University of Miami Health System Department of UMHC SCCC Business Operations has an exciting opportunity for a full time Utilization Review Case Manager to work to work remote. The incumbent conducts initial, concurrent and retrospective chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team for optimal and efficient patient outcomes, while avoiding treatment delays and authorization denials. They are accountable for a designated patient caseload and provide intervention and coordination to decrease avoidable delays, at all times they provide communication of progress and or determination to the clinical team and or the patient. He/she monitors care and acts as a liaison between patient/family, healthcare personnel, and insurers. Evaluates the needs of the patient, the resources available, and recommends and facilitates for the best outcome to meet ongoing patient needs that encourages compliance with medical advice.

CORE FUNCTIONS:

  • Adhere and perform timely prospective review for services requiring prior authorization as well as timely concurrent review for continuation of care services

  • Follows the authorization process using established criteria as set forth by the payer or clinical guidelines

  • Accurate review of coverage benefits and payer policy limitations to determine appropriateness of requested services

  • Refers to the treatment plan for clinical reviews in accordance with established criteria and guidelines

  • Facilitates communication of denials and or Peer to Peer requests between payers and the healthcare team

  • Identifies potential delays in treatment or inappropriate utilization by reviewing the treatment plan, serves as a resource to provide education regarding payer policies and assists with coordination of alternative treatment options

  • Ensures and Maintains effective communication regarding authorization status and determination to the clinical team and on occasion the patient.

  • Proactive communication with leadership regarding barriers and or potential delays in care Identifies opportunities for expedited requests and prioritizes caseload accordingly

  • Maintains knowledge regarding payer reimbursement policies and clinical guidelines.

  • This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.

CORE QUALIFICATIONS:

Education:

Bachelor's degree in relevant field; or equivalent

Experience:

Minimum of 2 years of relevant experience

Oncology - Preferred

Any relevant education, certifications and/or work experience may be considered

The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.

UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.

The University of Miami is an Equal Opportunity Employer. Applicants and employees are protected from discrimination based on certain categories protected by Federal law.

Job Status:

Full time

Employee Type:

Staff

What University Of Miami employees say

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Benefits

Hours and flexibility

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About University of Miami

Sourced by ZipRecruiter

The University of Miami, located in the beautiful Coral Gables, Florida, is a comprehensive, private research institution in the United States. Operating within the higher education industry, the institution offers a multitude of degree programs spanning over 180 majors and program through its 12 colleges. The University was founded in 1925 with the mission to disseminate knowledge, transform lives, and change the world - a mission it has held faithfully to this day. Notably, the University of Miami has gained global recognition for its commitment to research and innovation, with over $324 million in research and sponsored project funding awarded annually.

Industry

Colleges, universities, and professional schools

Company size

10,000+ Employees

Headquarters location

Coral Gables, FL, US

Year founded

1925

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