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Remote Prior Authorization Specialist Jobs (NOW HIRING)

Minnesota Jobs

REMOTE Prior Authorization Pharmacist

$59.50 - $71.75/hr

  • Medical

Pharmacist, Prior Authorization (Pa) & Appeals The pharmacist, prior authorization (pa) & appeals, is responsible for reviewing and evaluating prior authorization and appeals requests to determine ...

Actalent

REMOTE Prior Authorization Pharmacy Technician

$18 - $22/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Remote Pharmacy Technician (prior authorization review) As a Remote Prior Authorization Review Pharmacy Technician, you will perform duties in various areas including Formulary Management, Pharmacy ...

Actalent

REMOTE Prior Authorization Pharmacy Technician

$18 - $22/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Remote Pharmacy Technician (prior authorization review) As a Remote Prior Authorization Review Pharmacy Technician, you will perform duties in various areas including Formulary Management, Pharmacy ...

Actalent

REMOTE Prior Authorization Pharmacy Technician

$18 - $22/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Remote Pharmacy Technician (prior authorization review) As a Remote Prior Authorization Review Pharmacy Technician, you will perform duties in various areas including Formulary Management, Pharmacy ...

Actalent

REMOTE Prior Authorization Pharmacy Technician

$18 - $22/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Remote Pharmacy Technician (prior authorization review) As a Remote Prior Authorization Review Pharmacy Technician, you will perform duties in various areas including Formulary Management, Pharmacy ...

Actalent

REMOTE Prior Authorization Pharmacy Technician

$18 - $22/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Remote Pharmacy Technician (prior authorization review) As a Remote Prior Authorization Review Pharmacy Technician, you will perform duties in various areas including Formulary Management, Pharmacy ...

A-Line Staffing Solutions

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Remote Pharmacist - Prior Authorization / PBM Experience

Phoenix, AZ · Remote

$53 - $55/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Pay: $53.00 per hour Remote Pharmacist - Prior Authorization / PBM Experience Pay Rate: $53.00/hr Start Dates * October 12th * October 26th Training Requirements * Mandatory paid training is held ...

Oak St. Health

Authorization Specialist

$17 - $31.30/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Authorization Specialist We're building a world of health around every individual -- shaping a more ... In this dynamic and fast-paced role, you will be responsible to obtain prior authorization ...

CVS Health

Authorization Specialist

$17 - $31.30/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Authorization Specialist Coram/CVS Health is looking for a high-energy healthcare professional to ... In this dynamic and fast-paced role, you will be responsible to obtain prior authorization for both ...

CVS Health

Authorization Specialist

$17 - $31.30/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Authorization Specialist Coram/CVS Health is looking for a high-energy healthcare professional to ... In this dynamic and fast-paced role, you will be responsible to obtain prior authorization for both ...

CVS Health

Authorization Specialist

$17 - $31.30/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Authorization Specialist Coram/CVS Health is looking for a high-energy healthcare professional to ... In this dynamic and fast-paced role, you will be responsible to obtain prior authorization for both ...

Minnesota Jobs

Authorization Specialist

$17 - $31.30/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Authorization Specialist Coram/CVS Health is looking for a high-energy healthcare professional to ... In this dynamic and fast-paced role, you will be responsible to obtain prior authorization ...

Oak St. Health

Authorization Specialist

$17 - $31.30/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Authorization Specialist We're building a world of health around every individual -- shaping a more ... In this dynamic and fast-paced role, you will be responsible to obtain prior authorization ...

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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 Aug 18, 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 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 the key skills and qualifications needed to thrive as a remote prior authorization specialist?

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 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.

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.

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 August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 17% Part Time, 1% Temporary, and 2% Contract. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution, with an average salary of $43,459 per year, or $20.9 per hour.

REMOTE Prior Authorization Pharmacist

Minnesota Jobs

Remote

$59.50 - $71.75/hr

Other

Medical

Posted 14 days ago

Job description

Pharmacist, Prior Authorization (Pa) & Appeals

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.

Skills and requirements:

-Bachelors or doctorate of pharmacy; active state pharmacist license

-current licensed pharmacist within the state of work

-6+ months of customer service/customer relations with healthcare professionals

-technology savvy - basic proficiency with microsoft excel (ability to create, edit, and save a basic spreadsheet), microsoft word (ability to create, edit, and save a basic document) and basic proficiency with microsoft outlook (ability to send emails)

-comfortable with call center / production-based environment

-ability to perform responsibilities and duties remotely with little to no supervision

-comfortable in a fast-paced, high-volume workload

-ability to be adaptable, team-oriented culture requiring flexibility and adaptability to changing business needs.

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