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Remote Prior Authorization Specialist Jobs (NOW HIRING)

CareMed Specialty Pharmacy

$23 - $25/hr

Pharmacy Prior Authorization Specialist - CareMed Specialty Pharmacy Buffalo, NY | Full-Time | ... Remote work possible after initial on-site training. Company Benefits * Medical; Dental; Vision ...

1840 & Company

$16.75 - $22.25/hr

Prior Authorization Specialist We are seeking a detail-oriented and experienced Prior Authorization ... BPO) and remote talent solutions, dedicated to propelling businesses forward through our ...

Onco360

Pharmacy Prior Authorization Specialist

Waltham, MA · On-site +1

$22.25 - $29/hr

Remote work possible after initial on-site training. Why Join Us? * A career with purpose: Help ... Prior Authorization Specialist will ensure patients receive the medication that requires pre ...

Onco360

Pharmacy Prior Authorization Specialist

Scottsdale, AZ · On-site +1

$20.75 - $26.75/hr

Remote work possible after initial on-site training. Why Join Us? * A career with purpose: Help ... Prior Authorization Specialist will ensure patients receive the medication that requires pre ...

Onco360

Pharmacy Prior Authorization Specialist

Houston, TX · On-site +1

$19.50 - $25.25/hr

Remote work possible after initial on-site training. Why Join Us? * A career with purpose: Help ... Prior Authorization Specialist will ensure patients receive the medication that requires pre ...

Onco360

Pharmacy Prior Authorization Specialist

Louisville, KY · On-site +1

$18.75 - $24.25/hr

Remote work possible after initial on-site training. Why Join Us? * A career with purpose: Help ... Prior Authorization Specialist will ensure patients receive the medication that requires pre ...

Onco360

Pharmacy Prior Authorization Specialist

Woodridge, IL · On-site +1

$20.25 - $26.25/hr

Remote work possible after initial on-site training. Why Join Us? * A career with purpose: Help ... Prior Authorization Specialist will ensure patients receive the medication that requires pre ...

Onco360

Pharmacy Prior Authorization Specialist

Buffalo, NY · On-site +1

$19.75 - $25.75/hr

Pharmacy Prior Authorization Specialist - Onco360 Pharmacy Buffalo, NY | Full-Time | Starting at ... Remote work possible after initial on-site training. Company Benefits * Medical; Dental; Vision ...

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Remote Prior Authorization Specialist information

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

As of Jul 27, 2026, the average hourly pay for remote prior authorization specialist in the United States is $20.89, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $23.08 per hour, depending on experience, location, and employer.

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

AspectRemote Prior Authorization SpecialistRemote Medical Coder
CertificationsTypically requires insurance or healthcare-related certificationsRequires coding certifications like CPC or CCS
Work EnvironmentHealthcare offices, insurance companies, or remoteHealthcare facilities, billing companies, or remote
Industry UsageUsed in insurance, healthcare, and provider organizationsUsed in hospitals, clinics, and billing services
Job FocusReviewing and obtaining prior authorizations for proceduresTranslating medical records into billing codes

The Remote Prior Authorization Specialist focuses on obtaining approvals for medical procedures, while the Remote Medical Coder translates medical documentation into billing codes. Both roles require healthcare knowledge but serve different functions within the healthcare industry.

What are the key skills and qualifications needed to thrive as a Remote Prior Authorization Specialist, and why are they important?

To thrive as a Remote Prior Authorization Specialist, you need a solid understanding of insurance guidelines, medical terminology, and prior authorization processes, often supported by experience in healthcare administration or a related certification. Familiarity with electronic health record (EHR) systems, payer portals, and claims management software is typically required. Strong attention to detail, effective communication, and the ability to multitask are essential soft skills for managing complex cases remotely. These skills ensure accurate processing, timely authorizations, and seamless coordination between providers, payers, and patients.

What is a Remote Prior Authorization Specialist?

A Remote Prior Authorization Specialist is a healthcare professional who works remotely to help secure approval from insurance companies for certain medical procedures, medications, or treatments. They review clinical documentation, communicate with healthcare providers and payers, and ensure that all necessary information is submitted for authorization. Their work helps patients access the care they need without unnecessary delays or denials. These specialists typically have experience in medical billing, coding, and insurance processes. Working remotely allows them to perform these duties from home or another location outside of a traditional office.

What are some common challenges faced by Remote Prior Authorization Specialists, and how can they be managed?

Remote Prior Authorization Specialists often encounter challenges such as navigating complex insurance requirements, communicating with multiple healthcare providers, and handling high volumes of authorization requests. To manage these challenges, it's important to stay organized, keep up-to-date with payer policies, and leverage digital tools for tracking requests and documentation. Additionally, proactive communication and strong attention to detail can help ensure timely approvals and reduce errors, making the workflow more efficient even in a remote setting.
More about Remote Prior Authorization Specialist jobs
What cities are hiring for Remote Prior Authorization Specialist jobs? Cities with the most Remote Prior Authorization Specialist job openings:
What are the most commonly searched types of Prior Authorization Specialist jobs? The most popular types of Prior Authorization Specialist jobs are:
What states have the most Remote Prior Authorization Specialist jobs? States with the most job openings for Remote Prior Authorization Specialist jobs include:
What job categories do people searching Remote Prior Authorization Specialist jobs look for? The top searched job categories for Remote Prior Authorization Specialist jobs are:
Remote Prior Authorization Specialist jobs near you
Infographic showing various Remote Prior Authorization Specialist job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 87% Full Time, 10% Part Time, and 2% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution, with an average salary of $43,459 per year, or $20.9 per hour.
Prior Authorization Specialist

Prior Authorization Specialist

CareMed Specialty Pharmacy

Waltham, MA • On-site, Remote

$23 - $28/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 29 days ago

Job description

Pharmacy Prior Authorization Specialist – CareMed Specialty Pharmacy
Waltham, MA | Full-Time | Starting at $23.00/hr and up
Sign-On Bonus: $5,000 for employees starting before August 31, 2026!
Join a mission-driven team making a difference in the lives of cancer and rare disease patients.
CareMed Specialty Pharmacy is seeking a Pharmacy Prior Authorization Specialist to join our dedicated team in Waltham, MA. This is a full-time position ideal for candidates local to the area. Remote work possible after initial on-site training.
Company Benefits
  • Medical; Dental; Vision
  • 401k with a match
  • Paid Time Off and Paid Holidays
  • Tuition Reimbursement
  • Quarterly Incentive Bonus
  • Paid Volunteer Day
  • Referral Incentive Program
  • Company Paid Life Insurance; and Short/Long-Term Disability
Why Join Us?
  • A career with purpose: Help patients access life-saving medications.
  • Supportive culture: We value teamwork, respect, integrity, and passion.
  • Growth opportunities: We invest in your professional and personal development.
What You’ll Do
The Pharmacy Prior Authorization Specialist will ensure patients receive the medication that requires pre-authorizations from insurance carriers by receiving prescriptions, addressing and rectifying rejected claims and conducting necessary third party authorization requests.
How You’ll Do This
  • Manage prior authorization requests and appeals with insurance carriers.
  • Collaborate with physicians, pharmacists, and other departments.
  • Ensure HIPAA compliance while handling sensitive patient information.
  • Maintain accurate documentation of authorization details.
  • Proactively monitor and renew expiring authorizations.
What You Bring
Required:
  • High School Diploma or GED
  • 1+ years of pharmacy or prior authorization experience
  • Registration with Board of Pharmacy (as required by state law)
  • Strong communication, organizational, and customer service skills
  • Self-motivated, organized, detail-oriented, and adaptable to changing priorities
  • Knowledge of pharmacy terminology, pharmacy insurance claims, Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, experience with CoverMyMeds
Preferred:
  • Associate degree or Certified Pharmacy Technician (PTCB)
  • 3+ years of experience in pharmacy or prior authorizations
  • Specialty pharmacy experience
Ready to make a meaningful impact? Apply today and help us better the lives of those battling cancer.

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