ZipRecruiter

Log In

2

Remote Prior Authorization Rn Jobs in Colorado (NOW HIRING)

Onco360

Pharmacy Prior Authorization Specialist

Denver, CO · Remote

$21 - $27.25/hr

Remote work if licensed in State of Colorado. Why Join Us? * A career with purpose: Help patients ... Manage prior authorization requests and appeals with insurance carriers. * Collaborate with ...

Rightway

Clinical Guide, RN

Denver, CO · Remote

$34 - $40.86/hr

The RN Care Manager supports members participating in Rightway's Disease Management Programs (e.g ... Denver Hybrid role: remote Monday, Wednesday, and Friday; in-office Tuesday and Thursday * Shift ...

Valeris

Remote Field Reimbursement Manager

Denver, CO · Remote

As a Remote Field Reimbursement Manager you will help support patient access to critical therapies ... prior authorizations, appeals processes, and patient support financial assistance offerings. This ...

next page

Showing results 1-20

All JobsPrior Authorization Rn JobsRemote Prior Authorization Rn JobsRemote Prior Authorization Rn Jobs in Colorado

Remote Prior Authorization Rn information

What is the difference between Remote Prior Authorization Rn vs Remote Medical Coder?

AspectRemote Prior Authorization RnRemote Medical Coder
CredentialsRN license, certification in case management or utilization reviewCertification in coding (CPC, CCS), high school diploma or equivalent
Work EnvironmentHealthcare facilities, insurance companies, telehealthMedical offices, insurance companies, remote coding platforms
Industry UsageUtilization review, patient authorization, insurance approvalMedical record review, billing, coding for insurance claims

Remote Prior Authorization Rns focus on reviewing patient information to approve treatments, while Remote Medical Coders translate medical records into codes for billing. Both roles require healthcare knowledge but serve different functions within the healthcare industry.

What are popular job titles related to Remote Prior Authorization Rn jobs in Colorado?

For Remote Prior Authorization Rn jobs in Colorado, the most frequently searched job titles are:

What job categories do people searching Remote Prior Authorization Rn jobs in Colorado look for?

The top searched job categories for Remote Prior Authorization Rn jobs in Colorado are:

What cities in Colorado are hiring for Remote Prior Authorization Rn jobs?

Cities in Colorado with the most Remote Prior Authorization Rn job openings:

Remote Prior Authorization Rn jobs near you
Infographic showing various Remote Prior Authorization Rn job openings in Colorado as of September 2026, with employment types broken down into 65% Full Time, and 35% Part Time. Highlights an 100% Remote job distribution.

Prior Authorization Specialist / Remote

Englewood, CO • Remote

BrightSpring Health Services
Health Care and Social Assistance • 10K+ employees
Learn more about BrightSpring Health Servicesexternal

$21 - $26/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 7 days ago

BrightSpring Health Services rating

4.9

Company rating: 4.9 out of 10

Based on 65 frontline employees who took The Breakroom Quiz

Job description

Overview

This role will be responsible for activities relating to the proper initiation, clinical review, submission, and follow up of prior authorizations. This role requires working knowledge of pharmacy benefits and prior authorization process.

Schedule:
Monday - Friday
9:30am - 6:30pm CST

We Offer:

• Competitive Pay 

• Health, Dental, Vision & Life Insurance

• Company-Paid Short & Long-Term Disability
• Flexible Schedules & Paid Time Off
• Tuition Reimbursement 
• Employee Discount Program & DailyPay
• 401k

• Pet Insurance


Responsibilities

  • Initiate, process, and oversee the clinical review of prior authorization requests for medication and supply, ensuring compliance with payer requirements and clinical guidelines.
  • Collaborate with healthcare providers, insurance companies, and patients to gather necessary clinical information and documentation to support prior authorization submissions.
  • Submit prior authorization requests accurately and in a timely manner, utilizing electronic submission platforms and following established protocols.
  • Knowledgeable to perform all PA functions.

Qualifications

  • High School Diploma or GED or licensed/registered pharmacy technician or previous experience in Pharmacy
  • 1+ years pharmacy experience
  • Pharmacy or healthcare-related knowledge
  • Knowledge of pharmacy terminology including sig codes, and Roman numbers, brand/generic names of medication
  • Basic math and analytical skills
  • Intermediate typing/keyboard skills

What BrightSpring Health Services employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom