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Remote Prior Authorization Nurse Jobs in Renton, WA

Evergreen Health

Denial Management Specialist

Kirkland, WA · Remote

$28.83 - $46.14/hr

... prior authorization in a hospital, provider, or healthcare system. Healthcare medical billing and reimbursement Remote in Washington State only Posted wage ranges represent the entire range from ...

EvergreenHealth

Denial Management Specialist

Kirkland, WA · Remote

$28.83 - $46.14/hr

... prior authorization in a hospital, provider, or healthcare system. Healthcare medical billing and reimbursement Remote in Washington State only Posted wage ranges represent the entire range from ...

IQVIA

Flex Nurse Educator

Seattle, WA · Remote

Bilingual in English/Spanish and prior Ambassador experience desirable. * BSN preferred ... authorization to work in the US without the need for sponsorship. #LI-CES #LI-REMOTE IQVIA is a ...

IQVIA

Flex Nurse Educator

Renton, WA · Remote

Bilingual in English/Spanish and prior Ambassador experience desirable. * BSN preferred ... authorization to work in the US without the need for sponsorship. #LI-CES #LI-REMOTE IQVIA is a ...

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Remote Prior Authorization Nurse information

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$43

$73

How much do remote prior authorization nurse jobs pay per hour?

As of Aug 28, 2026, the average hourly pay for remote prior authorization nurse in Renton, WA is $43.44, according to ZipRecruiter salary data. Most workers in this role earn between $33.27 and $48.65 per hour, depending on experience, location, and employer.

What is a remote prior authorization nurse?

A Remote Prior Authorization Nurse is a registered nurse (RN) or licensed practical nurse (LPN) who reviews medical insurance requests to determine if they meet coverage criteria. They work remotely to assess patient records, collaborate with healthcare providers, and communicate approval or denial decisions based on insurance guidelines. Their role helps ensure patients receive necessary treatments while managing costs for insurance companies. Strong clinical knowledge, attention to detail, and familiarity with insurance policies are essential for this position.

What does a remote prior authorization nurse do?

A typical day for a Remote Prior Authorization Nurse involves reviewing medical records and provider documentation, communicating with physicians or healthcare providers to gather additional information, and submitting authorizations to insurance companies. You may spend much of your time using specialized software to track requests, document outcomes, and ensure compliance with payer guidelines. Collaboration is often required with case managers, providers, and insurance representatives to resolve questions and expedite approvals. While the work is primarily independent, staying organized and communicating effectively with the healthcare team are essential for success in this remote position.

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

To thrive as a Remote Prior Authorization Nurse, you need a current RN license, knowledge of medical terminology, and experience with insurance or utilization review processes. Familiarity with prior authorization software, electronic medical records (EMRs), and payer systems is typically required, along with certifications like CCM or CPUR as a plus. Strong attention to detail, organizational skills, and effective written communication are valuable soft skills for this role. These skills are crucial to ensure accurate and efficient authorization of healthcare services, reduce claim denials, and facilitate patient care in a remote setting.

What are popular job titles related to Remote Prior Authorization Nurse jobs in Renton, WA?

For Remote Prior Authorization Nurse jobs in Renton, WA, the most frequently searched job titles are:

What job categories do people searching Remote Prior Authorization Nurse jobs in Renton, WA look for?

The top searched job categories for Remote Prior Authorization Nurse jobs in Renton, WA are:

What cities near Renton, WA are hiring for Remote Prior Authorization Nurse jobs?

Cities near Renton, WA with the most Remote Prior Authorization Nurse job openings:

Remote Prior Authorization Nurse jobs near you
Infographic showing various Remote Prior Authorization Nurse job openings in Renton, WA as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $90,347 per year, or $43.4 per hour.

Prior Authorizations Specialist

Puget Sound Home Health

Tacoma, WA • Remote

$25 - $30/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 8 days ago

Job description

Home Health & Hospice Prior Authorization Specialist$25-$30/hour | Full-Time | RemotePut Your Insurance Prior Authorization Expertise to Work From Home

Puget Sound Home Health & Hospice is seeking an experienced Insurance Prior Authorization Specialist to help ensure patients receive the care they need without unnecessary delays.

Compensation & Benefits

$25-$30/hour, DOE | Full-Time | Remote | Working PST

  • Health: Medical, dental & vision, health concierge, HSA/FSA
  • Time Off: Paid holidays, sick time & PTO
  • Financial: 401(k) match, company-paid life & AD&D
  • Extras: Disability & voluntary insurance options
  • Growth: Professional development & advancement opportunities
What You'll Bring
  • 2 years of Home Health and/or Hospice agency prior authorization or billing experience
  • Homecare Homebase (HCHB) experience required
  • Strong attention to detail and ability to manage multiple priorities
  • Excellent written and verbal communication skills
  • Strong customer service and collaborative problem-solving skills
  • Ability to stay organized and work independently in a remote environment
What You'll Do
  • Verify primary and secondary insurance coverage and patient eligibility
  • Obtain visit authorizations from payers and submit required clinical documentation
  • Verify Medicare and Medicaid eligibility using UGS/DDE and EDS
  • Enter and maintain accurate authorization and patient information in Homecare Homebase (HCHB)
  • Track authorized and unauthorized visits and follow up as needed
  • Maintain current payer requirements and initiate appeals for denied authorizations
  • Prepare patient copay estimates and communicate authorized visits to scheduling
  • Collaborate with clinical, contracting, scheduling, and office teams to resolve authorization issues
  • Assist patients, referral sources, and community partners with payer authorization and coverage questions

The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at http://www.pennantgroup.com.

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