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Remote Prior Authorization Rn Jobs in Rock Hill, SC

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Pharmacist - Remote / Prior Authorization

Charlotte, NC Β· Remote

$59.50 - $71.75/hr

Pharmacist needed for Remote / Work From Home Position! Multiple openings with a July and August ... Evaluate and review all prior authorization requests and render coverage determinations based on ...

REMOTE across the US working EST, CST or PST Duration : 6 - 10 months - extensions are based on ... This position will take incoming requests for prior authorizations, for formulary and non-formulary ...

GI- Advanced Practice Provider

Charlotte, NC Β· Remote

$85K - $117K/yr

Preferred RN compact License Required Location: We are only hiring from the following states ... Prior experience with telehealth platforms * Comfort operating in an entrepreneurial or start-up ...

Charlotte, NC (Hybrid - onsite with one remote day per week) Compensation: $70,000 - $80,000 ... Ensure efficient handling of insurance verifications, benefits reviews, and prior authorizations

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Remote Prior Authorization Rn information

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$6

$35

$59

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

As of Sep 14, 2026, the average hourly pay for remote prior authorization rn in Rock Hill, SC is $35.07, according to ZipRecruiter salary data. Most workers in this role earn between $26.15 and $41.49 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 Rock Hill, SC?

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

What job categories do people searching Remote Prior Authorization Rn jobs in Rock Hill, SC look for?

The top searched job categories for Remote Prior Authorization Rn jobs in Rock Hill, SC are:

What cities near Rock Hill, SC are hiring for Remote Prior Authorization Rn jobs?

Cities near Rock Hill, SC with the most Remote Prior Authorization Rn job openings:

Infographic showing various Remote Prior Authorization Rn job openings in Rock Hill, SC as of September 2026, with employment types broken down into 66% Full Time, and 34% Part Time. Highlights an 100% Remote job distribution, with an average salary of $72,948 per year, or $35.1 per hour.

Pharmacist - Remote / Prior Authorization

Charlotte, NC β€’ Remote

A-Line Staffing Solutions
Recruiting and Staffing ServicesΒ β€’Β 201 - 500 employees

$59.50 - $71.75/hr

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 20 days ago

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Job description

Pharmacist needed for Remote / Work From Home Position! Multiple openings with a July and August Start Dates coming next!


Pay Rate: 53.00 per hour depending on what role we get you in for!


3 Different Departments hiring during this time of year - Here is the options:

  • 1 Opening: 8am to 8pm EST/CST - 8hours per day M-F or 7am-330p EST/CST rotating weekends
  • 1 Opening: Monday - Friday 930am - 6pm
  • 1 Opening: (Sun-Thurs or Tues-Sat): 10:30am-7pm CST or 11am-7:30pm CST or 11:30am-8pm CST


Job Description:

  • Evaluate and review all prior authorization requests and render coverage determinations based on clinical criteria and plan design. Includes verifying insurance coverage and eligibility, interpreting clinical guideline criteria, consulting physicians and other healthcare providers, and appropriately utilizing clinical knowledge and resources while complying with department protocols.
  • One of the crucial responsibilities is to guarantee that the decisions regarding cases are conveyed promptly and efficiently to all the healthcare providers, health plans/employers, patients, and other healthcare professionals following agreed-upon approval & denial management processes.
  • As an RPh Advisor you will be directly supporting Medicare Part D members and providers with requests related to their pharmacy benefits.
  • You will be responsible for ensuring cases are accurately set up for our members, review clinical information for decisioning the request, performing outreach to providers for more information when needed, and ensuring accurate decisions that comply with compendia and Medicare guidance and timelines.
  • This is a great opportunity to initiate a career with a leading healthcare company by reviewing information and completing timely and accurate documentation of all Medicare Part D requests, in compliance with Medicare guidelines, while promoting a best-in-class service experience.


Job Requirements:

  • Must be licensed Pharmacist in the State you Reside in
  • Looking for Pharmacist with Prior Authorization Experience - PBM! (Not retail experience)
  • Must have home office/ability to work from home with no distractions and plug in ethernet


Benefits/401k Opportunity!

  • Benefits are available to full-time employees after 90 days of employment
  • A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates


Please apply now to these Pharmacist Openings! - Jared Petrill


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About A-Line Staffing Solutions

Sourced by ZipRecruiter

A-Line Staffing Solutions is an established full-service recruiting and staffing provider that operates in the industry of human resources and recruitment. Based in Utica, Michigan, A-Line Staffing Solutions has been committed to its mission of providing innovative and effective workforce solutions since its foundation. The company specializes in providing high-quality staffing solutions for a range of disciplines, including Information Technology, Professional, Administrative, Healthcare, and more. A-Line prides itself on its ability to offer comprehensive and tailored staffing solutions in line with the varying needs of different businesses, which has played a crucial role in the company's growth and success.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Utica, MI, US

Year founded

2004

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