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Remote Prior Authorization Rn Jobs in Durham, NC

Cityblock Health

Lead RN - NC - Primarily Remote

Raleigh, NC · Remote

$100K - $115K/yr

  • Medical

  • Life

  • Retirement

  • PTO

... remote, with required on-site components based on specific member and business needs. This operational model is subject to change based on evolving organizational and member needs. RN Lead, Care ...

Valeris

Remote Registered Nurse (RN) Case Manager

Raleigh, NC · Remote

$50K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Must have active RN licensure in current state of practice. * 2-3 years of nursing experience with ... Remote work eligibility is subject to all work from home criteria met and based on business need.

Jj

Field Liaison, PSC Program Operations

Raleigh, NC · Remote

Identify field-reported access barriers (e.g., prior authorization criteria shifts, denial ... Primarily remote role with periodic travel (approximately 10-30%) for Field Reimbursement regional ...

Veterans Health Administration

Nurse - Operating Room

Durham, NC · On-site +1

$82K - $155K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Not Authorized. Financial Disclosure Report: Not required. The role of the Implant Coordinator ... to become registered as a nurse with a state licensing board prior to completion of the bridge ...

Amerihealth Caritas

Quality Perform Spec Clinical

Raleigh, NC · On-site +1

$31.25 - $41.75/hr

  • Medical

  • Retirement

  • PTO

Remote based position with a strong preference for a North Carolina resident. Will support the ... Clinical license (RN) in the plan's state or any other state he/she works required. * Prior ...

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Remote Prior Authorization Rn information

See Durham, NC salary details

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

As of Aug 13, 2026, the average hourly pay for remote prior authorization rn in Durham, NC is $40.82, according to ZipRecruiter salary data. Most workers in this role earn between $30.43 and $48.32 per hour, depending on experience, location, and employer.

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 Durham, NC? For Remote Prior Authorization Rn jobs in Durham, NC, the most frequently searched job titles are:
What job categories do people searching Remote Prior Authorization Rn jobs in Durham, NC look for? The top searched job categories for Remote Prior Authorization Rn jobs in Durham, NC are:
What cities near Durham, NC are hiring for Remote Prior Authorization Rn jobs? Cities near Durham, NC 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 Durham, NC as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $84,907 per year, or $40.8 per hour.

Pre-Authorization Specialist I - Remote, United States

Labcorp

Burlington, NC • On-site, Remote

$17.75 - $19/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 6 days ago

Labcorp rating

6.6

Company rating: 6.6 out of 10

Based on 1,140 frontline employees who took The Breakroom Quiz

97th of 120 rated laboratories

Job description

Labcorp is a global leader in laboratory services, providing the insights and answers that help healthcare providers, patients, researchers, pharmaceutical companies and health systems make confident decisions and improve outcomes. Through our unparalleled science, data, technology and laboratory network, we advance diagnostics, accelerate innovation and help address some of the world's most important health challenges. As we shape the future of healthcare, we are leveraging advanced technologies, intelligent digital solutions and data-driven innovation across our operations to enhance how work gets done and deliver greater value to customers and patients. With our global scale and deep expertise, you'll have the opportunity to do meaningful work, grow your career and make a real impact on people's health around the world. Together, we're improving health and improving lives.
Labcorp is seeking a Pre-Authorization Specialist (Remote, United States)
Work Schedule
  • First shift, Monday - Friday 8-5 Central time zone
  • Remote/work-from-home position with flexibility in hours based on business needs.

Work Location
  • REMOTE

Job Responsibilities
Prior Authorization & Benefits Verification
  • Research and review medical policies using Policy Reporter, payer websites, and other payer resources.
  • Contact health plans to verify patient insurance eligibility, benefits, and coverage information.
  • Initiate and manage prior authorization requests with health plans and payers.
  • Provide status updates on prior authorization requests to internal and external stakeholders.
  • Perform benefit investigations to support authorization and billing activities.

Patient & Client Support
  • Prepare and deliver patient cost estimates based on insurance benefits and coverage information.
  • Request missing information from patients and clients and follow up to obtain required documentation.
  • Manage correspondence from clients, patients, and health plans regarding authorization and coverage requests.

Documentation & Operational Support
  • Accurately document prior authorization activities within the designated prior authorization platform.
  • Prioritize work activities based on request urgency and business requirements.
  • Identify authorization, eligibility, and coverage issues and escalate concerns as appropriate.
  • Perform additional billing-related duties and other responsibilities as assigned.

Minimum Qualifications
  • High school diploma with 2 or more years of experience in insurance claims processing, prior authorization, medical benefits verification, or healthcare reimbursement operations.

Preferred Qualifications
  • Associate degree or higher in Healthcare Administration, Business Administration, Health Information Management, or a healthcare-related field.
  • 2 or more years of experience documenting healthcare authorization activities within authorization, billing, reimbursement, or revenue cycle management systems
  • 2 or more years of experience working with Labcorp systems, including LCLS and/or LCBS.
  • 2 or more years of experience in Revenue Cycle Management (RCM) operations.
  • 1 or more years of experience using Microsoft Word, Excel, and Outlook in a healthcare, reimbursement, billing, or authorization environment.

Additional Job Standards
  • Demonstrate effective customer service and customer relations practices when interacting with patients, clients, payers, and internal stakeholders.
  • Communicate authorization outcomes, benefit information, and status updates through verbal and written communications.
  • Apply time management practices to prioritize workload and meet established service levels.
  • Perform basic mathematical calculations including addition, subtraction, multiplication, and division.
  • Maintain attention to detail when reviewing medical policies, benefits information, authorization requirements, and documentation.
  • Collaborate with patients, clients, health plans, and internal teams to obtain required information and resolve authorization-related issues.
  • Escalate authorization, eligibility, coverage, and reimbursement concerns according to established procedures.

About the Role
The Pre Authorization Specialist supports reimbursement and revenue cycle activities by conducting benefit investigations, reviewing payer medical policies, initiating, and managing prior authorizations, and providing patient cost estimates. This role partners with patients, health plans, clients, and internal stakeholders to ensure required authorization and coverage requirements are met while maintaining accurate documentation and supporting timely billing and reimbursement processes. The position is a first-shift remote role with flexibility in scheduling based on business needs.
Application Window Closes: 8/11/2026
**Pay Range: $17.75 - $19.00 hourly
All job offers will be based on a candidate's skills and prior relevant experience, applicable degrees/certifications, as well as internal equity and market data
Benefits: Employees regularly scheduled to work 20 or more hours per week are eligible for comprehensive benefits including: Medical, Dental, Vision, Life, STD/LTD, 401(k), Paid Time Off (PTO) or Flexible Time Off (FTO), Tuition Reimbursement and Employee Stock Purchase Plan. Employees regularly scheduled to work less than 20 hours, Casual, Intern, and Temporary employees are only eligible to participate in the 401(k) Plan. Employees who are regularly scheduled to work a 7 on/7 off schedule are eligible to receive all the foregoing benefits except PTO or FTO. For more detailed information, please click here.
Labcorp is proud to be an Equal Opportunity Employer:
Labcorp strives for inclusion and belonging in the workforce and does not tolerate harassment or discrimination of any kind. We make employment decisions based on the needs of our business and the qualifications and merit of the individual. Qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, childbirth, or related medical conditions), family or parental status, marital, civil union or domestic partnership status, sexual orientation, gender identity, gender expression, personal appearance, age, veteran status, disability, genetic information, or any other legally protected characteristic. Additionally, all qualified applicants with arrest or conviction records will be considered for employment in accordance with applicable law.
We encourage all to apply
If you are an individual with a disability who needs assistance using our online tools to search and apply for jobs, or needs an accommodation, please visit our accessibility site or contact us at Labcorp Accessibility. For more information about how we collect and store your personal data, please see our Privacy Statement.

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