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Remote Prior Authorization Jobs in Puerto Rico (NOW HIRING)

Customer Service Representative

Mayaguez, PR · Remote

$16 - $21.75/hr

Remote-NearShore Job Type: Full-time About Firstsource Firstsource Solutions is a leading provider of customized Business Process Management (BPM) services. Firstsource specialises in helping ...

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Remote Prior Authorization information

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.

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

The most popular types of Prior Authorization jobs in Puerto Rico are:

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

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

What cities in Puerto Rico are hiring for Remote Prior Authorization jobs?

Cities in Puerto Rico with the most Remote Prior Authorization job openings:

Infographic showing various Remote Prior Authorization job openings in Puerto Rico as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 16% Part Time, 1% Temporary, and 2% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution.

Data Analytics Engineer (Puerto Rico)

Collins Aerospace

Santa Isabel, PR • On-site, Remote

$103K - $124K/yr

Full-time

Medical, Life, Retirement

Posted 11 days ago


Collins Aerospace rating

8.4

Company rating: 8.4 out of 10

Based on 251 frontline employees who took The Breakroom Quiz

33rd of 72 rated aerospace companies


Job description

Date Posted:

2026-08-06

Country:

United States of America

Location:

US-PR-SANTA ISABEL-B1 ~ Felicia Industrial Park - St B1 ~ BLDG 1

Position Role Type:

Remote

U.S. Citizen, U.S. Person, or Immigration Status Requirements:

U.S. citizenship is required, as only U.S. citizens are authorized to access information under this program/contract.

Security Clearance:

None/Not Required

At RTX, the world's largest aerospace and defense company, 185,000 great minds are united by purpose and inspired to make a difference solving the world’s most complex problems. With our three market leading businesses, world-class operations and investments in research and development, we offer capabilities and opportunity no one else can. Together, we push the boundaries of known science and find new ways to connect and protect our world. Join us and help shape the future of aerospace and defense.

The following position is to join our RTX Enterprise Services team in Santa Isabel, Puerto Rico:

The Data & Insights team in RTX Corporate is seeking a Data Analytics Engineer to develop reliable, scalable data and analytics solutions that improve business performance, operational efficiency, and decision-making. This role is responsible for integrating and transforming complex data from multiple sources, building trusted datasets and data pipelines, and applying analytical methods to solve business challenges. Working closely with stakeholders, the engineer will deliver data products, analytical solutions, and data models that drive informed decisions and support the team's AI/ML initiatives through data preparation, feature engineering, and scalable engineering solutions. The ideal candidate combines strong data engineering and analytical expertise with curiosity, critical thinking, and problem-solving skills, is comfortable navigating ambiguity, proactively partners with stakeholders to understand business needs, communicates complex data effectively to diverse audiences, and contributes technical leadership while owning projects from requirements through implementation in a fast-paced, collaborative environment.

What You Will Do

  • Design, build, and maintain reliable, scalable data pipelines, data models, and curated datasets supporting analytics, reporting, decision-making, and AI/ML applications.
  • Integrate, transform, standardize, and validate data from diverse and non-standard sources, including enterprise applications, spreadsheets, databases, text files, APIs, and operational data sources.
  • Develop and maintain data visualization, statistical analysis, reporting, and analytical solutions that improve understanding of enterprise and infrastructure data.
  • Establish and improve data quality, validation, monitoring, governance, documentation, and data management practices to ensure trusted and reusable data.
  • Work directly with customers and stakeholders to understand business and operational needs, identify opportunities for improvement, and translate requirements into practical data and analytical solutions.
  • Independently lead projects using appropriate software development and agile practices, from requirements and solution design through development, testing, implementation, and continuous improvement.
  • Develop and maintain technical and business documentation, including requirements, data definitions, process flows, use cases, user stories, technical designs, and operational procedures.
  • Provide data engineering and analytical support for AI/ML initiatives, including data preparation, feature development, dataset creation, experimentation support, evaluation, and integration of AI/ML outputs into operational solutions.
  • Collaborate with cross-functional teams across IT and operations while providing technical guidance, peer review, and mentoring to other members of the Data & Insights team.
  • Apply information security, information assurance, governance, privacy, and compliance requirements to all data, analytics, and AI/ML-related activities.
  • This position will reference written work instructions for guidance with daily job activities. Work instructions are available in English only.

Qualifications You Must Have

  • A University Degree or equivalent experience and minimum 8 years prior relevant experience, or an Advanced Degree in a related field and minimum 5 years experience
  • 5+ years of experience working in data engineering, data analytics, business intelligence, or a related technical discipline.
  • Experience working with Python and SQL, with hands-on experience using PySpark or comparable distributed data-processing technologies.
  • Demonstrated experience designing and developing production-quality data pipelines, data models, ETL/ELT processes, and data integration solutions.
  • Experience with data quality, data governance, data warehousing, data modeling, and modern cloud data architectures.
  • Experience analyzing complex datasets, developing meaningful metrics and visualizations, and translating findings into actionable insights and recommendations.
  • Experience independently owning technical projects and delivering solutions with limited day-to-day direction, including the ability to work through ambiguous or complex problems.
  • Experience preparing, structuring, and curating data to support machine learning, AI/ML, advanced analytics, or other data science applications.

Qualifications We Prefer

  • Experience with technologies such as Azure, Databricks, Snowflake, Delta Lake, Power BI, ServiceNow/ITSM data, Git/CI/CD, or machine learning platforms.
  • Strong problem-solving, communication, technical documentation, stakeholder-management, and cross-functional collaboration skills.

What We Offer

Whether you’re just starting out on your career journey or are an experienced professional, we offer a robust total rewards package with compensation; healthcare, wellness, retirement and work/life benefits; career development and recognition programs. Some of the benefits we offer include parental (including paternal) leave, flexible work schedules, achievement awards, educational assistance and child/adult backup care.

Learn More & Apply Now!
Location:
This position is remote. However, the successful candidate must be currently living in Puerto Rico.

Please consider the following role type definition as you apply for this role:
Remote:
This position is currently designated as remote. Employees who are working in Remote roles will work primarily offsite (from home). The employee may be expected to travel to the Santa Isabel site location as needed.

RTX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or veteran status, or any other applicable state or federal protected class. RTX provides affirmative action in employment for qualified Individuals with a Disability and Protected Veterans in compliance with Section 503 of the Rehabilitation Act and the Vietnam Era Veterans’ Readjustment Assistance Act.

Privacy Policy and Terms:

Click on this link to read the Policy and Terms


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About Collins Aerospace

Sourced by ZipRecruiter

Collins Aerospace, a Raytheon Technologies company, is a leader in technologically advanced and intelligent solutions for the global aerospace and defense industry. Collins Aerospace has the capabilities, comprehensive portfolio and expertise to solve customers' toughest challenges and to meet the demands of a rapidly evolving global market.

Industry

Aviation

Company size

10,000+ Employees

Headquarters location

Charlotte, NC, US

Year founded

2018