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Remote Prior Authorization Jobs in Wisconsin (NOW HIRING)

Physician 80%

Green Bay, WI · On-site +1

$205K - $262K/yr

Job Details Applicants must be legally authorized to work in the United States (i.e. a citizen or ... This position is not eligible for remote work Shift: 0.8 FTE- days of the week will be determined ...

Child Care Counselor 1

Delavan, WI · On-site +1

$19.36/hr

Remote Work : This position is not eligible for remote work and requires the employee to be onsite ... A TB screen will be required prior to start. Legal authorization : Applicants must be legally ...

Social Worker

Green Bay, WI · On-site +1

$35.56 - $38.95/hr

Candidates with no prior permanent employment with the State of Wisconsin in the past 5 years may ... Applicants must be legally authorized to work in the United States (i.e. a citizen or national of ...

Prefer that the candidate has prior ROI experience and customer service experience. Supports ... This is a hybrid position that is primarily remote. Candidates must reside within 100 miles of a ...

$75K - $85K/yr

Remote positions and candidates can be located anywhere in the US. There will be in excess of 75 ... Performs site verification testing prior to cutting a site into a production environment.

Job Details Applicants must be legally authorized to work in the United States (i.e. a citizen or ... This position is not eligible for remote work. Shifts: (0.75 FTE) Dodge Correctional Institution ...

Supervising Officer 2

Green Bay, WI · On-site +1

$51.63 - $55.31/hr

Job Details Applicants must be legally authorized to work in the United States (i.e. a citizen or ... As public safety employees, remote work is not an option for these positions. These positions have ...

Teacher - Production Baking

Lisbon, WI · On-site +1

$30 - $35.76/hr

Job Details Remote work is not available for this position. Anticipated schedule is Monday-Thursday ... Applicants must be legally authorized to work in the United States (i.e. a citizen or national of ...

Teacher - Cabinet Making

Lisbon, WI · On-site +1

$30 - $35.76/hr

Job Details This position is not eligible for remote work. Anticipated schedule will be Monday ... Applicants must be legally authorized to work in the United States (i.e. a citizen or national of ...

Showing results 21-40

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 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 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 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.

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 most commonly searched types of Prior Authorization jobs in Wisconsin?

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

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

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

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

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

Infographic showing various Remote Prior Authorization job openings in Wisconsin as of August 2026, with employment types broken down into 83% Full Time, 15% Part Time, and 2% Temporary. Highlights an 100% Remote job distribution.

Advanced Practice Nurse Prescriber (Part Time)

State of Wisconsin

Fox Lake, WI • On-site, Remote

$60 - $72.87/hr

Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 20 days ago


State Of Wisconsin rating

7.8

Company rating: 7.8 out of 10

Based on 129 frontline employees who took The Breakroom Quiz

21st of 50 rated states


Job description

Introduction
The Department of Corrections is focused on public safety through the custody and supervision of those in our care. Corrections employees have the opportunity to positively impact the lives of others through careers in a variety of fields. Using research and evidence-based approaches, employees implement lasting change with a positive impact for the people of Wisconsin.
The Department of Corrections is recruiting to fill part-time Advanced Practice Nurse Prescriber positions. Current vacancies are listed below.
Current Vacancies:
0.8 FTE Kettle Moraine Correctional Institution in Plymouth, WI
0.6 FTE Fox Lake Correctional Institution in Fox Lake, WI
0.8 FTE Waupun Correctional Institution in Waupun, WI
Position Summary
The Nurse Practitioner is an advanced professional nurse who is responsible for the provision of comprehensive care to well and ill incarcerated adult populations. The practitioner demonstrates a high degree of clinical expertise in providing preventive and primary care in the correctional setting. This practitioner educates Persons in Our Care to promote wellness, prevent health problems, maintain current health, and intervene in acute and chronic illness. This practitioner will function independently in managing the direct and indirect care of incarcerated individuals in collaboration with all disciplines employed or practicing at the institutional Health Services Unit. The practitioner will participate in the planning, development, implementation and evaluation of care and education programs and protocols used by the health care staff to meet the needs of incarcerated individuals who exhibit health problems across the continuum from prevention to complex medical and/or psychiatric conditions.
Salary Information
This position is in pay schedule and range 11-11 with a starting pay rate of $60.00/hour - $72.87/hour
Pay will be set in accordance with the Compensation Plan and Wisconsin Administrative Code in effect at the time of hire.
In addition to meaningful and rewarding work, we offer a competitive benefits package featuring:
  • Substantial leave time including at least 3.5 weeks of vacation to start, 9 paid holidays, and ample accrued sick time that rolls over each year.

  • Insurance : Excellent and affordable health, dental, vision, and life insurance.

  • An exceptional pension plan including a lifetime retirement payment.

  • An optional tax-advantaged 457 retirement savings plan .

  • The Well Wisconsin Program helps participants set health and well-being goals, track progress, stay motivated, and earn incentives.

  • Our Employee Assistance Program offers employees and their immediate family a variety of tools, resources, and professional consultation services to support their health, goals, and overall well-being.

  • DOC is a qualifying employer for the Public Service Loan Forgiveness program.

  • Please click here for a summary of State of Wisconsin employment benefits or click here to explore employment benefits on the website.

  • To help you understand what your benefit package would be worth, please see the Total Rewards Calculator here .

Job Details
Applicants must be legally authorized to work in the United States (i.e. a citizen or national of the U.S., a lawful permanent resident, or an alien authorized to work in the U.S. without DOC sponsorship) at the time of application.
The Department of Corrections may conduct pre-employment drug screens. Any applicant who is offered employment in a position which requires a pre-employment drug screen must pass the screen as a contingency of employment.
The Department of Corrections will conduct criminal background checks on applicants prior to selection. Upon hire, all new DOC employees are subject to fingerprinting.
This position is not eligible for remote work.
Shifts:
Kettle Moraine Correctional Institution- Monday, Tuesday, Thursday, Friday 8:00am-4:30pm
Fox Lake Correctional Institution- Monday, Tuesday, Friday 8:00am-4:30pm
Waupun Correctional Institution- Monday, Tuesday, Thursday, Friday 8:00am-4:30pm
Qualifications
SPECIAL REQUIREMENTS:
  • Applicants must have a current Wisconsin licensure as a Advanced Practice Nurse-Prescriber or licensed in another state and eligible to obtain Wisconsin licensure by time of appointment. For more information regarding licensure as an Advanced Practice Nurse Prescriber, please click HERE .
  • Applicants must have a valid personal DEA number.
  • Applicants must have and maintain certification in BLS by the American Heart Association and training in the use of the AED and have the ability to perform BLS and/or first aid to prevent loss of life and relieve suffering until appropriate care arrives.
  • Applicants must be enrolled, or be eligible for enrollment, in Wisconsin Medicaid as a provider.

How To Apply
To apply, click on "Apply for Job" to start the application process.
The initial screening prior to interview is based on a review of your license(s)/credential(s). You will affirm your possession of the required credential and enter your credential number into a text box.
Current State of Wisconsin employees: If you arrived at this posting through the Wisc.Jobs site, you will need to go to your Employee Self Services portal and apply through the "Careers" tile on the front page. Permanent classified employees who are eligible for consideration as a transfer or voluntary demotion must complete the application process in order to be considered.
Questions can be directed to Jordan Hampton , HR Specialist - Senior , at Jordan.Hampton@wisconsin.gov
The State of Wisconsin is an Equal Opportunity and Affirmative Action employer seeking a diverse and talented workforce. We provide reasonable accommodations to applicants and employees with disabilities.
The State of Wisconsin offers a special program for qualified veterans with a 30% or greater service-connected disability. If you are a qualified veteran, please visit the Veterans Employment page for application instructions to be considered for the Veterans Non-Competitive Appointment program. Current State employees are not eligible for non-competitive appointment.
Deadline to Apply
Applications and materials will be accepted on an ongoing basis until 11:59 pm on August 30, 2026.
For general wisc.jobs user information and technical assistance, please see the wisc.jobs Commonly Asked Questions page. Some users report better performance when using the Chrome browser.

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