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Remote Prior Authorization Jobs in Maine (NOW HIRING)

STRATEGIC SYSTEMS PROGRAMS (SSP)

$83K - $109K/yr

You will be required to obtain and maintain an interim and/or final security clearance prior to ... A relocation incentive may be authorized. This position is covered by the Department of Defense ...

UnitedHealth Group

Customer Service Representative

Brewer, ME · On-site +1

$16.25 - $22/hr

$1,500 Sign-On Bonus for External Candidates This position is Remote in Maine. If you are located ... prior to employment to ensure compliance. Candidates must be able to perform all essential job ...

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All JobsPrior Authorization JobsRemote Prior Authorization JobsRemote Prior Authorization Jobs in Maine

Remote Prior Authorization information

See Maine salary details

$13

$20

$31

How much do remote prior authorization jobs pay per hour?

As of Sep 3, 2026, the average hourly pay for remote prior authorization in Maine is $20.23, according to ZipRecruiter salary data. Most workers in this role earn between $16.78 and $22.36 per hour, depending on experience, location, and employer.

What is a remote prior authorization job?

Remote prior authorization jobs involve reviewing and processing requests from healthcare providers to determine if specific medical treatments, medications, or procedures are covered by a patient's insurance plan. Employees in these roles work from home, utilizing online systems to evaluate clinical information, communicate with providers, and ensure compliance with insurance policies. This position requires a strong understanding of medical terminology, insurance guidelines, and attention to detail to facilitate timely and accurate approvals or denials. Remote prior authorization specialists help streamline patient care by acting as a liaison between healthcare providers and insurance companies.

What is a remote prior authorization job?

Remote prior authorization jobs focus on working with insurance companies to coordinate benefit coverage and get approval to provide care for a patient. In this pre-authorization role, you may collect documentation and proof of insurance, perform data entry, help evaluate the need for a particular process, and otherwise work from home to help manage the prior authorization process. Remote prior authorization personnel often answer telephone calls to provide consultations, perform initial benefit verification, document case status, actions, and outcomes in a database, and use customer service skills to help expedite cases as needed. Since this is a remote call center-style job, you may be asked to arrange for a quiet office in your house that is free of distractions.

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 medical terminology, insurance processes, and healthcare regulations, often supported by experience in medical billing or coding. Familiarity with electronic health record (EHR) systems, insurance portals, and prior authorization software is typically required. Attention to detail, strong organizational skills, and effective communication are crucial soft skills in this role. These skills ensure timely and accurate processing of authorizations, reducing claim denials and supporting efficient patient care.

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

Remote Prior Authorization specialists often encounter challenges such as navigating complex insurance requirements, managing high volumes of requests, and maintaining clear communication with healthcare providers and payers. Staying organized and up-to-date on payer policies is crucial, as requirements can vary widely between insurers. Utilizing workflow management tools and fostering strong collaboration with clinical and administrative teams can help streamline processes and reduce delays, ultimately ensuring patients receive timely care.

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

AspectRemote Prior AuthorizationRemote Medical Coder
Required CredentialsMedical credentials, insurance knowledgeMedical coding certification (CPC, CCS)
Work EnvironmentHealthcare offices, insurance companies, remoteHealthcare facilities, remote coding jobs
Industry UsageInsurance, healthcare providersHospitals, clinics, billing companies
Job FocusReviewing and approving insurance requestsTranslating medical records into codes

Remote Prior Authorization and Remote Medical Coder roles both operate within the healthcare industry but focus on different tasks. Remote Prior Authorization involves reviewing insurance requests for coverage approval, requiring insurance and medical knowledge. Remote Medical Coders translate medical records into standardized codes, primarily focusing on billing and documentation. Both roles can be performed remotely and require healthcare-related credentials, but their daily responsibilities and skill sets differ significantly.

Are remote prior authorization jobs in high demand?

Remote prior authorization jobs are in moderate to high demand due to the increasing need for efficient healthcare administration and insurance processing. These roles often require knowledge of healthcare policies, strong communication skills, and familiarity with electronic health record systems. The demand is expected to grow as healthcare providers and insurers continue to prioritize remote and streamlined authorization processes.
More about Remote Prior Authorization jobs

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

The most popular types of Prior Authorization jobs in Maine are:

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

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

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

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

What cities in Maine are hiring for Remote Prior Authorization jobs?

Cities in Maine with the most Remote Prior Authorization job openings:

Remote Prior Authorization jobs near you
Infographic showing various Remote Prior Authorization job openings in Maine as of August 2026, with employment types broken down into 10% As Needed, and 90% Full Time. Highlights an 100% Remote job distribution, with an average salary of $42,077 per year, or $20.2 per hour.

FACILITY MANAGEMENT SPECIALIST

STRATEGIC SYSTEMS PROGRAMS (SSP)

On-site, Remote

$83K - $109K/yr

Full-time

This job post has expired 1 day ago. Applications are no longer accepted.

Job description

Summary
This is a public notice flyer to notify interested applicants of anticipated vacancies. Applications will not be accepted through this flyer. Interested applicants must follow the directions in the "How to Apply" section of this flyer to be considered. There may or may not be actual vacancies filled from this flyer. Notice of Result letters will not be sent to applicants who respond to this flyer.
Learn more about this agency
Duties
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  • You will develop, plan, and coordinate all maintenance and repair work for SWFPAC, including developing and maintaining the SWFPAC Life Cycle Replacement Program.
  • You will conduct special interest projects specified by management to include facility, layaway plans, special project documentation, equipment failure summary reports, and Annual Inspection Summary (AIS) report.
  • You will track discretionary and corrective maintenance/repair, moves, and other Base Operating Service Contract (BOSC) provided service call support to ensure this resource is being effectively and efficiently used
  • You will be responsible for a number of the command's facilities, ensuring the facilities are in good operating condition and initiating corrective actions, as necessary.
  • You will provide assessments of the BOSC support in the areas of janitorial, Roads and Grounds, Pest Control, and Facility and Utility Maintenance and Repair. and assesses contractor performance by providing a written summary on a quarterly basis

Requirements
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Conditions of employment
  • Must be a US Citizen.
  • Must be determined suitable for federal employment.
  • Must participate in the direct deposit pay program.
  • New employees to the Department of the Navy will be required to successfully pass the E-Verify employment verification check. To learn more about E-Verify, including your rights and responsibilities, visit e-verify.gov
  • Within the Department of Defense (DoD), the appointment of retired military members within 180 days immediately following retirement date to a civilian position is subject to the provisions of 5 United States Code 3326.
  • Males born after 12-31-59 must be registered for Selective Service.
  • You will be required to obtain and maintain an interim and/or final security clearance prior to entrance on duty. Failure to obtain and maintain the required level of clearance may result in the withdrawal of a job offer or removal.
  • This position may require travel from normal duty station to CONUS and OCONUS and may include remote or isolated sites. You must be able to travel on military and commercial aircraft for extended periods of time
  • This position is considered Key/Non-Combat Essential. You will be required to provide immediate and continuing support of the expeditionary requirements in other than combat or combat support situations.

Qualifications
Your resume must also demonstrate at least one year of specialized experience at or equivalent to the GS-09 grade level or pay band in the Federal service or equivalent experience in the private or public sector. Specialized experience must demonstrate the following: Planning, coordinating, and administering facility maintenance, repair, and lifecycle replacement projects from development through construction and closeout; evaluating contractor performance and ensuring compliance for Base Operating Service Contracts (BOSC) encompassing facility and utility maintenance; overseeing facility service call programs and managing utility outages to resolve operational impacts; and developing facility-related documentation (i.e. Basic Facility Requirements, property records, and special project reports).
Additional qualification information can be found from the following Office of Personnel Management website:https://www.opm.gov/policy-data-oversight/classification-qualifications/general-schedule-qualification-standards/1600/facility-operations-services-series-1640/
Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., professional, philanthropic, religious, spiritual, community, student, social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment.
Education
To qualify based on substitution of education:
Ph.D. or equivalent doctoral degree
or
3 full years of progressively higher level graduate education leading to such a degree
or
LL.M., if related
Additional information
This announcement uses the Defense Industrial Base, Major Range and Test Facilities direct hire authority to recruit and appoint qualified candidates to certain positions in the competitive service.
This position is subject to work an uncommon tour, including nights, weekends, and holidays to meet mission requirements. Overtime or night differential pay and/or unusual duty hours may be required.
Certain incentives (such as Recruitment, Relocation or Student Loan Repayment) may be authorized to eligible selectees.
A relocation incentive is generally a single payment intended to offset some of the relocation costs experienced by the selectee. A relocation incentive may be authorized.
This position is covered by the Department of Defense Priority Placement Program.
Several vacancies may be filled.
A tentative offer of employment will be rescinded if the selectee fails to meet the pre-employment requirements, including failure to report to any of the scheduled appointments.
Federal annuitant information: The selection of an annuitant is subject to the Department of Defense and Department of the Navy policy on the employment of annuitants. Policy information may be found at: http://www.secnav.navy.mil/donhr/Documents/CivilianJobs/FedCivAnnuitants.pdf.
Veteran's preference does not apply when selecting individuals under this specific hiring authority. However, if you claim veteran's preference, you will be required to submit supporting documentation with your application as described in the Required Documents section below.
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Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.
Benefits
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A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.
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Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.

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