Montgomery, AL · Remote
$59/hr
**FULLY REMOTE** The Pharmacist, Prior Authorization (PA) & Appeals, is responsible for reviewing and evaluating prior authorization and appeals requests to determine coverage based on clinical ...
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Montgomery, AL · Remote
$59/hr
**FULLY REMOTE** The Pharmacist, Prior Authorization (PA) & Appeals, is responsible for reviewing and evaluating prior authorization and appeals requests to determine coverage based on clinical ...
Montgomery, AL · Remote
$20.50/hr
The Prior Authorization Pharmacy Technician is responsible for supporting members, providers, and pharmacies by processing prior authorization requests for prescription medications while ensuring ...
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Montgomery, AL · Remote
$20.50/hr
The Prior Authorization Pharmacy Technician is responsible for supporting members, providers, and pharmacies by processing prior authorization requests for prescription medications while ensuring ...
Montgomery, AL · Remote
$50K - $150K/yr
... nurse practitioners through secure telehealth workflows. Our innovative model combines the ... verification, billing, prior authorizations, pharmacy coordination, etc. * Commitment to ...
New
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Montgomery, AL · Remote
$50K - $150K/yr
... nurse practitioners through secure telehealth workflows. Our innovative model combines the ... verification, billing, prior authorizations, pharmacy coordination, etc. * Commitment to ...
New
Montgomery, AL · Remote
$180K - $215K/yr
Minimal administrative burden in a fully remote, outpatient model What your day-to-day practice ... authorized to work in the U.S. only after a job offer is accepted and Form I-9 is completed. For ...
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Montgomery, AL · Remote
$180K - $215K/yr
Minimal administrative burden in a fully remote, outpatient model What your day-to-day practice ... authorized to work in the U.S. only after a job offer is accepted and Form I-9 is completed. For ...
Tyler, AL · Remote
$84 - $115/hr
Flexible & Remote Telemedicine: Evidence-based approach to psychiatric care via telemedicine ... Active and clear APRN license * Licensed Nurse Practitioner - Certified in Psychiatric & Mental ...
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Tyler, AL · Remote
$84 - $115/hr
Flexible & Remote Telemedicine: Evidence-based approach to psychiatric care via telemedicine ... Active and clear APRN license * Licensed Nurse Practitioner - Certified in Psychiatric & Mental ...
Montgomery, AL · Remote
$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.
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Montgomery, AL · Remote
$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.
New
Montgomery, AL · On-site +1
Valid work authorization in the country where the job is located is required. Successful candidates ... prior to their start date. This hiring process may utilize machine-based systems to assist in ...
Montgomery, AL · On-site +1
Valid work authorization in the country where the job is located is required. Successful candidates ... prior to their start date. This hiring process may utilize machine-based systems to assist in ...
Montgomery, AL · Remote
Valid work authorization in the country where the job is located is required.Successful candidates ... prior to their start date. This hiring process may utilize machine-based systems to assist in ...
Montgomery, AL · Remote
Valid work authorization in the country where the job is located is required.Successful candidates ... prior to their start date. This hiring process may utilize machine-based systems to assist in ...
Montgomery, AL · On-site +1
$15.25 - $19.75/hr
... authorizations, etc.). * Understand Medicare/Medicaid plans and regulations, and explain plan ... Previous call center experience and/or prior experience in the health insurance industry (preferred)
Montgomery, AL · On-site +1
$15.25 - $19.75/hr
... authorizations, etc.). * Understand Medicare/Medicaid plans and regulations, and explain plan ... Previous call center experience and/or prior experience in the health insurance industry (preferred)
... authorizations, etc.). * Understand Medicare/Medicaid plans and regulations, and explain plan ... Previous call center experience and/or prior experience in the health insurance industry (preferred)
... authorizations, etc.). * Understand Medicare/Medicaid plans and regulations, and explain plan ... Previous call center experience and/or prior experience in the health insurance industry (preferred)
Valid work authorization in the country where the job is located is required. Successful candidates ... prior to their start date. This hiring process may utilize machine-based systems to assist in ...
Valid work authorization in the country where the job is located is required. Successful candidates ... prior to their start date. This hiring process may utilize machine-based systems to assist in ...
Valid work authorization in the country where the job is located is required.Successful candidates ... prior to their start date. This hiring process may utilize machine-based systems to assist in ...
Valid work authorization in the country where the job is located is required.Successful candidates ... prior to their start date. This hiring process may utilize machine-based systems to assist in ...
Montgomery, AL · Remote
$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.
New
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Montgomery, AL · Remote
$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.
New
Montgomery, AL · On-site +1
$28.82 - $33.62/hr
... registered or you are not eligible for appointment in this agency ( **This position may be authorized a recruitment or relocation incentive for up to 25%. All incentives must be approved prior to the ...
Montgomery, AL · On-site +1
$28.82 - $33.62/hr
... registered or you are not eligible for appointment in this agency ( **This position may be authorized a recruitment or relocation incentive for up to 25%. All incentives must be approved prior to the ...
Montgomery, AL · On-site +1
$124K - $315K/yr
Authorized to work from any VA facility Virtual : This is not a virtual position. Relocation ... prior to appointment. Applicants who refuse to be tested will be denied employment with VA.
Montgomery, AL · On-site +1
$124K - $315K/yr
Authorized to work from any VA facility Virtual : This is not a virtual position. Relocation ... prior to appointment. Applicants who refuse to be tested will be denied employment with VA.
Montgomery, AL · Remote
$70 - $80/hr
Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... No prior experience in AI is required -- your domain knowledge is what matters. This opportunity is ...
Montgomery, AL · Remote
$70 - $80/hr
Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... No prior experience in AI is required -- your domain knowledge is what matters. This opportunity is ...
Montgomery, AL · Remote
$70 - $80/hr
Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... No prior experience in AI is required -- your domain knowledge is what matters. This opportunity is ...
Montgomery, AL · Remote
$70 - $80/hr
Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... No prior experience in AI is required -- your domain knowledge is what matters. This opportunity is ...
Montgomery, AL · On-site +1
$30K - $160K/yr
No prior experience in sales or insurance is required. Core Responsibilities: • Consult with ... authorized to work in the U.S. What you'll get: • The ability to work when and where you choose ...
Montgomery, AL · On-site +1
$30K - $160K/yr
No prior experience in sales or insurance is required. Core Responsibilities: • Consult with ... authorized to work in the U.S. What you'll get: • The ability to work when and where you choose ...
Montgomery, AL · On-site +1
$225K - $400K/yr
Authorized Pay: Competitive salary, annual performance bonus, regular salary increases Paid Time ... specialists, nursing staff, social services, utilization management, and other members of the ...
Montgomery, AL · On-site +1
$225K - $400K/yr
Authorized Pay: Competitive salary, annual performance bonus, regular salary increases Paid Time ... specialists, nursing staff, social services, utilization management, and other members of the ...
$7.37 - $13.19
0% of jobs
$13.19 - $19
0% of jobs
$19 - $24.82
4% of jobs
$24.82 - $30.63
18% of jobs
$31.40 is the 25th percentile. Wages below this are outliers.
$30.63 - $36.45
20% of jobs
The median wage is $38.84 / hr.
$36.45 - $42.26
18% of jobs
$47.50 is the 75th percentile. Wages above this are outliers.
$42.26 - $48.08
16% of jobs
$48.08 - $53.89
10% of jobs
$53.89 - $59.71
6% of jobs
$59.71 - $65.52
4% of jobs
$65.52 - $71.34
3% of jobs
$7
$41
$71
| Aspect | Remote Prior Authorization Rn | Remote Medical Coder |
|---|---|---|
| Credentials | RN license, certification in case management or utilization review | Certification in coding (CPC, CCS), high school diploma or equivalent |
| Work Environment | Healthcare facilities, insurance companies, telehealth | Medical offices, insurance companies, remote coding platforms |
| Industry Usage | Utilization review, patient authorization, insurance approval | Medical 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.
For Remote Prior Authorization Rn jobs in Montgomery, AL, the most frequently searched job titles are:
The top searched job categories for Remote Prior Authorization Rn jobs in Montgomery, AL are:
Cities near Montgomery, AL with the most Remote Prior Authorization Rn job openings:
$59/hr
Full-time
Medical, Dental, Vision, Retirement
Posted 6 days ago
**FULLY REMOTE**
The Pharmacist, Prior Authorization (PA) & Appeals, is responsible for reviewing and evaluating prior authorization and appeals requests to determine coverage based on clinical guidelines, pharmacy policies, and health plan benefits.
In this fast-paced, high-volume environment, the pharmacist works closely with physicians, healthcare providers, pharmacy technicians, and internal teams to gather and assess clinical information, make evidence-based coverage determinations, recommend formulary-compliant and cost-effective treatment alternatives, and ensure compliance with federal and state regulations.
The role requires strong clinical judgment, attention to detail, effective communication skills, and the ability to manage competing priorities while meeting productivity and quality standards. Additionally, the pharmacist supports quality assurance initiatives, resolves provider and pharmacy inquiries, participates in process improvement efforts, and contributes to a collaborative, customer-focused team environment. Maintain full compliance with state and federal pharmacy laws, Medicare Part D, Medicaid, and commercial benefit regulations. Accurately document case decisions in accordance with internal protocols, auditing standards, and confidentiality policies. Effectively manage case volume by organizing workload, setting daily priorities, and meeting productivity and quality benchmarks. Adapt to fluctuating demands while maintaining accuracy and professionalism under pressure.
