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Remote Prior Authorization Nurse Jobs (NOW HIRING)

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 ...

Inspire Medical Systems I

Prior Authorization Specialist

$51K - $70K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Prior Authorization Specialist Minneapolis, MN Inspire is the first of its kind medical device designed to make a difference in the lives of those living with Obstructive Sleep Apnea (OSA). We are ...

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 ...

Ohm Systems, Inc

Be Seen First

Prior Authorization Technician - Remote

Philadelphia, PA · Remote

$26.50 - $28.50/hr

Shift Position is remote. No time zone preference but shift times offered will be in EST time so ... Reporting directly to the Supervisor, Prior Authorization Technicians, the Prior Authorization ...

New

Sarah Bush Lincoln

RN Prior Authorization

$27.68/hr

Please ensure that you are logged into Workday and applying through the Jobs Hub before proceeding. RN Prior Authorization Prior Authorization RN is responsible to obtain prior authorization for ...

Sarahbush

RN Prior Authorization

$27.68/hr

Please ensure that you are logged into Workday and applying through the Jobs Hub before proceeding. RN Prior Authorization Prior Authorization RN is responsible to obtain prior authorization for ...

Flagler Health

Prior Authorization Specialist (Contract)

$18.50 - $24.50/hr

Prior authorizations are a critical component of that success. We are seeking a Prior Authorization Specialist (Contract) to support high-volume authorizations for both procedures and prescription ...

Moda Health

Prior Authorization Coordinator I

Portland, OR · On-site +1

$19.43 - $21.86/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Consults the RN, Manager or Supervisor on complex cases. * Responsible for daily administrative ... A reliable, high-speed, hard-wired internet connection required to support remote or hybrid work.

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

As of Aug 17, 2026, the average hourly pay for remote prior authorization nurse in the United States is $38.62, according to ZipRecruiter salary data. Most workers in this role earn between $29.57 and $43.27 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.

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What cities are hiring for Remote Prior Authorization Nurse jobs?

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

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What states have the most Remote Prior Authorization Nurse jobs?

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Remote Prior Authorization Nurse jobs near you
Infographic showing various Remote Prior Authorization Nurse job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 17% Part Time, 1% Temporary, and 2% Contract. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution, with an average salary of $80,321 per year, or $38.6 per hour.

Prior Authorization Coordinator

PainPoint Health

Atlanta, GA • Remote

$19 - $21/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 2 hours ago

Job description

 
Prior Authorization Coordinator
Full-Time | $19-21/hour | Monday–Friday | 8:00 AM–4:30 PM CST
Location: Remote
About DxTx Pain & Spine
At DxTx Pain & Spine, we’re redefining how pain and spine practices thrive. As a physician-aligned partner organization, we empower independent, award-winning physicians across the country by combining clinical autonomy with strong operational support.
The Opportunity
As a Prior Authorization Coordinator, you’ll play a vital role in ensuring patients receive timely approval for the care they need. You’ll manage the entire authorization process for interventional pain management procedures—supporting both office-based and advanced outpatient treatments. This role is ideal for someone detail-oriented, collaborative, and dedicated to process accuracy and patient impact.
What You’ll Do:
Authorization Management & Compliance
  • Monitor advanced procedure trackers for each practice to identify authorization opportunities.
  • Collect all required documentation for prior authorizations.
  • Review medical necessity guidelines for procedures by Paycor.
  • Accurately and promptly submit prior and retro authorization requests to payors.
  • Document account activity, updating patient and claim information to ensure efficient claim processing.
  • Identify trends or issues that delay authorization or claims processing.
Collaboration & Communication
  • Communicate with practices, vendors, insurance companies, patients, and management to secure necessary approvals.
  • Provide the highest level of customer service to internal teams.
  • Serve as a backup to the Contact Center Team during peak scheduling call times.
  • Perform other related duties as assigned to support smooth operations and patient care continuity.
You’ll Thrive in This Role If You…
  • Excel at organization, accuracy, and time management.
  • Communicate clearly and professionally—both verbally and in writing.
  • Are a proactive problem-solver who enjoys navigating complex processes.
  • Value teamwork, adaptability, and supporting patient-centered care.
  • Are comfortable working remotely in a fast-paced, detail-driven environment.
Qualifications
  • High School Diploma or GED (required)
  • Minimum of 1 year of prior authorization and clinical setting experience (required)
  • Experience working within Pain Management required
  • Proficient in Microsoft Office Suite
  • Strong analytical and problem-solving abilities
  • Excellent organizational skills and attention to detail
  • Knowledge of HIPAA privacy and security requirements
  • Basic understanding of medical terminology
  • Familiarity with payor portals and medical policy navigation
  • Must be able to sit for extended periods, communicate clearly, perform computer-based tasks, occasionally lift up to 25 lbs, and maintain close vision, depth perception, and focus adjustment.
What We Offer
  • Health, Dental & Vision Insurance
  • Accident and Life/AD&D Insurance
  • Short & Long-Term Disability 
  • Emergency Travel Assistance Program
  • ID-theft Protection Services
  • LifeMart Employee Discount Program
  • Health Savings Account (HSA)
  • Health Management Tools
  • Paid Time Off (PTO)
  • Company Paid Holidays
  • Paternal Leave
  • 401(k) Retirement Plan
  • Remote Stipend
  • Travel Reimbursement
  • Continuing Education Reimbursement
  • Bonusly (employee recognition platform)
  • DailyPay (on-demand pay access)
Why You’ll Love Working at DxTx Pain & Spine
At DxTx, you’ll join a supportive, mission-driven team that values transparency, innovation, and growth. You’ll have the opportunity to contribute to a national network that’s transforming pain care—while enjoying the flexibility of remote work and the satisfaction of meaningful impact.
Ready to Make a Difference?
If you’re detail-driven, patient-focused, and eager to play a key role in delivering exceptional pain care, we’d love to hear from you.
 

An Equal Opportunity Employer

We do not discriminate based on race, color, religion, national origin, sex, age, disability, genetic information, or any other status protected by law or regulation. It is our intention that all qualified applicants are given equal opportunity and that selection decisions be based on job-related factors.

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