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Remote Prior Authorization Supervisor Jobs in Virginia

MCKESSON

Field Reimbursement Manager

Arlington, VA · On-site +1

... Prior Authorization, Claims Assistance, and Appeals) and educating the office on Payer landscape and services available through both remote interaction and on-site training. This position is client ...

MCKESSON

Field Reimbursement Manager

Fairfax, VA · On-site +1

... Prior Authorization, Claims Assistance, and Appeals) and educating the office on Payer landscape and services available through both remote interaction and on-site training. This position is client ...

MCKESSON

Field Reimbursement Manager

Richmond, VA · On-site +1

... Prior Authorization, Claims Assistance, and Appeals) and educating the office on Payer landscape and services available through both remote interaction and on-site training. This position is client ...

MCKESSON

Field Reimbursement Manager

Woodbridge, VA · On-site +1

... Prior Authorization, Claims Assistance, and Appeals) and educating the office on Payer landscape and services available through both remote interaction and on-site training. This position is client ...

US Fertility, LLC

Financial Educator Remote

Annandale, VA · On-site +1

$23 - $27/hr

Opportunity Overview We have an immediate opening for an Financial Educator Remote to join our team ... Perform aspects of benefit verification and prior authorization * Provide ongoing financial ...

US Fertility

Financial Educator Remote

Annandale, VA · On-site +1

$23 - $27/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Opportunity Overview We have an immediate opening for an Financial Educator Remote to join our team ... Perform aspects of benefit verification and prior authorization * Provide ongoing financial ...

Shady Grove Fertility

Financial Educator Remote

Annandale, VA · On-site +1

$23 - $27/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Opportunity Overview We have an immediate opening for an Financial Educator Remote to join our team ... Perform aspects of benefit verification and prior authorization * Provide ongoing financial ...

Jetset With J

Travel Coordinator (Remote)

Richmond, VA · Remote

$35K - $65K/hr

No prior travel industry experience is required. Comprehensive training, ongoing support, and ... Must be authorized to work in the United States What We Offer * 100% Remote work * Flexible ...

New

asrcfh

Supervisor Procurement

Reston, VA · On-site +1

Fully remote will be considered for the right candidate. Standard work hours: Due to the varied ... authorization, specifications, delivery requirements, and compliance with contract and FAR ...

asrcfh

Supervisor Procurement

Reston, VA · On-site +1

Fully remote will be considered for the right candidate. Standard work hours: Due to the varied ... authorization, specifications, delivery requirements, and compliance with contract and FAR ...

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All JobsPrior Authorization Supervisor JobsRemote Prior Authorization Supervisor JobsRemote Prior Authorization Supervisor Jobs in Virginia

Remote Prior Authorization Supervisor information

What does a remote prior authorization supervisor do?

A Remote Prior Authorization Supervisor oversees the team responsible for reviewing and processing prior authorization requests for medical procedures, medications, or treatments, all while working remotely. They ensure compliance with healthcare regulations, monitor staff performance, and streamline workflows to facilitate timely authorizations. Their role also involves training staff, resolving complex cases, and acting as a liaison between providers, payers, and patients to ensure authorization requirements are met efficiently.

What are some common challenges faced by a remote prior authorization supervisor, and how can they be addressed?

A Remote Prior Authorization Supervisor often encounters challenges such as coordinating a dispersed team, maintaining consistent communication, and ensuring adherence to compliance standards across various regions. To address these, supervisors can implement regular virtual meetings, utilize collaborative workflow platforms, and provide ongoing training to keep the team updated on policy changes. Establishing clear protocols for documentation and escalation also helps maintain efficiency and quality in the prior authorization process.

What are the key skills and qualifications needed to thrive as a remote prior authorization supervisor, and why are they important?

To thrive as a Remote Prior Authorization Supervisor, you need a solid background in healthcare administration, insurance processes, and prior authorization procedures, often supported by a degree in health sciences or related fields and relevant experience. Familiarity with healthcare management software, electronic medical records (EMRs), and payer authorization portals is usually required, along with certification such as Certified Prior Authorization Specialist (CPAS) being a plus. Strong leadership, problem-solving abilities, and effective communication are crucial soft skills for managing remote teams and resolving authorization challenges. These skills and qualities ensure timely, accurate authorizations, team productivity, and compliance with regulatory standards in a virtual work environment.

What is the difference between Remote Prior Authorization Supervisor vs Remote Prior Authorization Coordinator?

AspectRemote Prior Authorization SupervisorRemote Prior Authorization Coordinator
CredentialsTypically requires relevant healthcare certifications, experience in insurance or healthcare administrationUsually requires similar certifications, often with less managerial experience
Work EnvironmentSupervises teams, manages workflows, and ensures compliance in healthcare or insurance settingsHandles authorization requests, reviews documentation, and communicates with providers and patients
Employer & Industry UsageCommonly employed by health insurance companies, healthcare providers, and third-party administratorsFound in similar settings, focusing on processing and coordinating prior authorizations

The main difference between a Remote Prior Authorization Supervisor and a Coordinator lies in their responsibilities. Supervisors oversee teams and workflows, while Coordinators focus on processing authorization requests. Both roles require healthcare knowledge and certifications, but supervisors typically have more leadership duties.

What are the most commonly searched types of Prior Authorization Supervisor jobs in Virginia?

The most popular types of Prior Authorization Supervisor jobs in Virginia are:

What are popular job titles related to Remote Prior Authorization Supervisor jobs in Virginia?

For Remote Prior Authorization Supervisor jobs in Virginia, the most frequently searched job titles are:

What job categories do people searching Remote Prior Authorization Supervisor jobs in Virginia look for?

The top searched job categories for Remote Prior Authorization Supervisor jobs in Virginia are:

What cities in Virginia are hiring for Remote Prior Authorization Supervisor jobs?

Cities in Virginia with the most Remote Prior Authorization Supervisor job openings:

Remote Prior Authorization Supervisor jobs near you
Infographic showing various Remote Prior Authorization Supervisor job openings in Virginia as of August 2026, with employment types broken down into 75% Full Time, 19% Part Time, and 6% Contract. Highlights an 100% Remote job distribution.

Reimbursement Specialist - Days - Remote

VCU Health

Richmond, VA • On-site, Remote

$19 - $26.25/hr

Full-time

Re-posted 5 days ago

VCU Health rating

7.3

Company rating: 7.3 out of 10

Based on 171 frontline employees who took The Breakroom Quiz

307th of 887 rated healthcare providers

Job description

***Must have BOTH a current VA Pharmacy and PTCB License***
The Reimbursement Specialist improves revenue collection pertaining to high cost medications that require prior authorization. This job will initiate, follow-up, and proceed with approval and/or denials of prior authorizations efficiently via phone, fax, or electronically.
The Reimbursement Specialist carries out benefit investigation and coordinates Patient Assistance Programs and/or copay cards for patients with high co-pays or those without insurance coverage. This role works closely with nursing and physicians in order to obtain required documentation for prior authorization and billing.
The Reimbursement Specialist arranges refills, transfers, and delivery of medications. Updates patient case management system regularly. Ideally, this role is familiar with disease state terminology or willingness to research. This role also works as a Pharmacy Technician when deemed necessary.
Licensure, Certification, or Registration Requirements for Hire:
Current certification by the Pharmacy Technician Certification Board (PTCB)
Current licensure with the Virginia State Board of Pharmacy
By virtue of societal trust and security explicitly imparted to pharmacies for the control of drugs, candidate/incumbent must have a clean criminal record (i.e. no felony conviction; no drug or pharmacy related convictions, including misdemeanors); no denial, suspension, revocation, or restriction of registration or licensure by any State Board of Pharmacy
Licensure, Certification, or Registration Requirements for continued employment:
Current certification by the Pharmacy Technician Certification Board (PTCB)
Current licensure with the Virginia State Board of Pharmacy
Experience REQUIRED:
Minimum of one (1) year of previous pharmacy practice experience in a similar setting
Minimum of three (3) years of prior experience with Manufacturers Patient Assistance Programs and prior experience with prescription on-line adjudication
Previous work experience using a personal computer and various billing software applications as well as e-mail, spreadsheets, word processing, databases, etc.
Experience PREFERRED: N/A
Education/training REQUIRED:
High School Diploma or equivalent
Education/training PREFERRED:
Associate's Degree in Business or related field from an accredited program
Independent action(s) required:
Identifies equipment problems; various aspects of assisting the pharmacist that don't require a pharmacist's supervision or check.
Supervisory responsibilities (if applicable): N/A
Additional position requirements:
Able to work all shifts, weekends, holidays, emergency coverage
Age Specific groups served: N/A
Physical Requirements (includes use of assistance devices as appropriate):
Physical: Lifting less than 20 lbs.
Activities: Prolonged standing, Prolonged sitting, Frequent bending, Walking (distance), Climbing (steps, ladder, other), Reaching (overhead, extensive, repetitive), Repetitive motion
Mental/Sensory: Strong recall, Reasoning, Problem solving, Hearing, Speak clearly, Write legibly, Reading, Logical thinking
Emotional: Fast pace environment, Steady pace, Able to handle multiple priorities, Frequent and intense customer interactions, Noisy environment, Able to adapt to frequent change
EEO Employer/Disabled/Protected Veteran

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