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Remote Prior Authorization Night Shift Jobs in Wisconsin

Legion Health

$50K - $150K/yr

... verification, billing, prior authorizations, pharmacy coordination, etc. * Commitment to ... Fully remote within the United States. * Schedule: Part-time * Compensation: $50K-150K per year ...

Advocate Aurora Health

HTM Contract Manager

Burlington, WI · Remote

$47.50 - $71.25/hr

... rate summaries, prior authorization requirements and other contract operational documents ... Premium pay such as shift, on call, and more based on a teammate's job * Incentive pay for select ...

State of Wisconsin

Child Care Counselor 1

Delavan, WI · On-site +1

$19.36/hr

This position is eligible for a $0.80 per hour night differential for hours worked between 6:00pm ... A TB screen will be required prior to start. Legal authorization : Applicants must be legally ...

Ascension

Certified Medical Coder

Milwaukee, WI · On-site +1

$24.87 - $33.64/hr

Remote Department: Revenue Cycle Management Schedule: Full-time | Day Shift Salary Range: $24.87/hr ... obtained prior to hire date or job transfer date. All specialties accepted. * Certified ...

Ascension

Certified Medical Coder

Milwaukee, WI · Remote

$24.87/hr

Remote Department: Revenue Cycle Management Schedule: Full-time | Day Shift Salary Range: $24.87/hr ... obtained prior to hire date or job transfer date. All specialties accepted. * Certified ...

State of Wisconsin

Dentist

Green Bay, WI · On-site +1

$89.81 - $121.56/hr

Job Details Applicants must be legally authorized to work in the United States (i.e. a citizen or ... This position is not eligible for remote work. Jackson Correctional Institution Shift: Monday ...

Legion Health

$300K - $500K/yr

... prior authorizations, pharmacy coordination, etc. * Patient Acquisition: Unlike with a private ... Fully remote within the United States. * Schedule: Full-time or part-time positions are available.

Legion Health

$150K - $300K/yr

... prior authorizations, pharmacy coordination, etc. * Patient Acquisition: Unlike with a private ... Fully remote within the United States. * Schedule: Full-time or part-time positions are available.

State of Wisconsin

Physician

Stanley, WI · On-site +1

$205K - $262K/yr

This position is not eligible for remote work Shift: 1.0 FTE- days of the week will be determined ... The initial screening prior to interview is based on a review of your license(s)/credential(s). You ...

State of Wisconsin

Physician 80%

Green Bay, WI · On-site +1

$205K - $262K/yr

This position is not eligible for remote work Shift: 0.8 FTE- days of the week will be determined ... How To Apply The initial screening prior to interview is based on a review of your license(s ...

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All JobsPrior Authorization JobsRemote Prior Authorization Night Shift JobsRemote Prior Authorization Night Shift Jobs in Wisconsin

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 Wisconsin?

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

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

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

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

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

Remote Prior Authorization Night Shift jobs near you

Field Reimbursement Manager-Mountain West

Harrow, Inc.

Mountain, WI • Remote

Full-time

Posted 15 days ago

Job description

Territory: NM, CO, WY, NE, SD, and NDPosition Summary

Harrow is seeking a Field Reimbursement Manager (FRM) to serve as the trusted, in-market reimbursement expert for physician practices utilizing Harrow's buy-and-bill drug portfolio across the Retina and Surgical franchises. This individual will provide non-promotional, compliant education on coverage, coding, billing, and claims processes - giving customers the confidence and technical know-how to appropriately access and be reimbursed for Harrow brands.

The ideal candidate is a proactive problem-solver who thrives in the field, builds strong relationships with practice staff, and brings sharp analytical skills to identify and resolve access barriers at the account level. This role is part of a hard-charging, high-accountability team focused on one outcome: expanding appropriate patient access to Harrow therapies.

Core Responsibilities

Customer Education & Reimbursement Support

  • Serve as the primary field point of contact for practice administrators, billing/coding staff, and clinical staff on reimbursement matters related to Harrow buy-and-bill brands
  • Provide non-promotional education on payer coverage policy, medical benefit billing/coding (HCPCS/CPT/J-codes, ICD-10, modifiers), prior authorization requirements, and claims submission best practices
  • Support practices through the prior authorization and appeals process by educating staff on payer-specific requirements and documentation needs
  • Educate practices on available support programs, including patient assistance, product replacement, and sample programs, and coordinate warm handoffs to the HUB as needed

Account Management & Business Reviews

  • Build and maintain trusted relationships with key accounts within an assigned territory
  • Conduct regular, structured business reviews with accounts to assess reimbursement performance, identify denial trends, and develop action plans to resolve barriers
  • Proactively identify at-risk accounts (e.g., high denial rates, low utilization due to access friction) and develop targeted intervention plans
  • Partner with Sales to align on account priorities and ensure a coordinated, compliant approach to customer support

Claims & Payer Analysis

  • Conduct account-level claims analysis to identify denial patterns, coding errors, or payer-specific barriers, and translate findings into clear, actionable guidance for the practice
  • Maintain current, deep knowledge of payer policies (commercial, Medicare, Medicare Advantage, Medicaid) relevant to assigned brands and territory
  • Escalate systemic or complex payer issues to the National Sr. Director and Market Access leadership with supporting data and recommendations

Collaboration & Reporting

  • Partner closely with the HUB and Patient Services team to ensure seamless coordination on benefit verification, PA/appeals support, and patient assistance
  • Provide regular field intelligence and account-level insights to leadership to inform national strategy and payer engagement
  • Maintain accurate, timely documentation of account activity, business reviews, and issue resolution in CRM/reporting systems
  • Represent Harrow professionally and compliantly at all times, strictly adhering to all applicable laws, regulations, and company policies
Qualifications & Requirements
  • 7+ years of proven success in the healthcare-related field, reimbursement, brand management, and/or sales experience.
  • Bachelor's degree preferred, or equivalent work experience.
  • Buy-and-bill experience required.
  • Minimum 2 years of Field Reimbursement experience required.
  • Healthcare credentialing and/or certification preferred.
  • Eye care experience preferred.
  • Private equity experience preferred.
  • HCPCS Level II (J-code) and Transitional Pass-Through reimbursement experience preferred.
  • Experience with benefit verifications, prior authorizations, claim assistance, and appeals.
  • Payer coverage experience with Medicare (MACs), Medicare Advantage, Commercial, and Medicaid plans.
  • Experience in conducting claims analysis and conducting regular QBRs with accounts
Position Type
  • Remote
Travel
  • Up to 80%
Harrow logo

About Harrow

Sourced by ZipRecruiter

Industry

Pharmaceutical and medicine manufacturing

Company size

201 - 500 Employees

Headquarters location

Nashville, TN, US

Year founded

1998

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