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Remote Prior Authorization Jobs in Akron, OH (NOW HIRING)

Pharmacy Careers

MTM Pharmacist

Cleveland, OH · On-site +1

$56.50 - $67.75/hr

Many MTM pharmacist positions offer remote or hybrid work. * Impact: Directly improve patient ... Competitive pay, benefits, and opportunities to expand into roles like prior authorization ...

Pharmacy Careers

MTM Pharmacist

Cleveland, OH · On-site +1

$56.50 - $68/hr

Many MTM pharmacist positions offer remote or hybrid work. * Impact: Directly improve patient ... Competitive pay, benefits, and opportunities to expand into roles like prior authorization ...

Pharmacy Careers

MTM Pharmacist

Cleveland, OH · On-site +1

$56.50 - $67.75/hr

Many MTM pharmacist positions offer remote or hybrid work. * Impact: Directly improve patient ... Competitive pay, benefits, and opportunities to expand into roles like prior authorization ...

Nexus Engineering Group

Senior Electrical Engineer

Cleveland, OH · On-site +1

$104.30K - $135.80K/yr

For candidates outside this area, a remote arrangement may be considered, with required travel to ... Any resumes submitted without prior authorization or a current agreement will not be eligible for ...

Nexus Engineering Group

Senior Electrical Engineer

Cleveland, OH · Hybrid

$104.30K - $135.80K/yr

For candidates outside this area, a remote arrangement may be considered, with required travel to ... Any resumes submitted without prior authorization or a current agreement will not be eligible for ...

Quadax, Inc.

RPA Analyst

Cleveland, OH · On-site +1

Open to remote employees ONLY in: OH (if outside commutable distance), PA, MI, IN, KY, WV, WI, AL ... Understands core RCM functions such as billing, payment posting, denials, prior authorization ...

System One

Sr Software Engineer

Cleveland, OH · On-site +1

$118.60K - $156.40K/yr

Hybrid (3days Office / 2days Remote) Duration: Contract to Hire Years Of Exp Required: 10+ Years ... authorization patterns (CIAM, OAuth, JWT) • Experience working with distributed systems ...

VortexWorks

Remote Customer Service Representative

Akron, OH · Remote

$15.25 - $20.75/hr

We connect motivated professionals with flexible, remote opportunities where performance, professionalism, and communication truly matter. What You'll Do * Handle customer-service or sales calls ...

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How much do remote prior authorization jobs pay per hour?

As of May 28, 2026, the average hourly pay for remote prior authorization in Akron, OH is $19.99, according to ZipRecruiter salary data. Most workers in this role earn between $16.54 and $22.07 per hour, depending on experience, location, and employer.

What Are Remote Prior Authorization Jobs?

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.

More about Remote Prior Authorization jobs
What are popular job titles related to Remote Prior Authorization jobs in Akron, OH? For Remote Prior Authorization jobs in Akron, OH, the most frequently searched job titles are:
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What cities near Akron, OH are hiring for Remote Prior Authorization jobs? Cities near Akron, OH with the most Remote Prior Authorization job openings:
Remote Prior Authorization jobs near you

Remote Prior Authorization Pharmacist

Pharmacy Careers

Cleveland, OH • Remote

$56.50 - $68/hr

Other

Posted 4 days ago

Job description

Remote Prior Authorization Pharmacist - Work From Home in Managed Care
A confidential managed care organization is seeking a motivated Remote Prior Authorization Pharmacist to evaluate prescription requests, ensure medical necessity, and improve patient access to safe and effective therapies. This work-from-home position is ideal for pharmacists who want to transition out of retail or hospital settings while building expertise in managed care.
Key Responsibilities

  • Review prior authorization requests for accuracy, appropriateness, and clinical necessity.
  • Apply plan criteria, evidence-based guidelines, and regulatory standards to determinations.
  • Communicate approval/denial decisions clearly to providers and patients.
  • Collaborate with physicians, nurses, and medical directors on complex cases.
  • Document outcomes in compliance with health plan policies and CMS/state regulations.
  • Support process improvements to streamline workflow and turnaround times.


What You'll Bring

  • Education: Doctor of Pharmacy (PharmD) or Bachelor of Pharmacy degree.
  • Licensure: Active and unrestricted pharmacist license in the U.S.
  • Experience: Prior authorization, utilization management, or managed care preferred - retail or hospital pharmacists with strong clinical judgment are encouraged to apply.
  • Skills: Excellent clinical review, documentation, and communication skills.

Why This Role?

  • Flexibility: 100% remote work from home with flexible scheduling options.
  • Impact: Directly influence patient access to safe and cost-effective medications.
  • Growth: Build specialized skills in utilization management and managed care.
  • Rewards: Competitive compensation, benefits, and career advancement opportunities.


About Us
We are a confidential healthcare partner working with health plans and PBMs across the U.S.. Our pharmacists ensure patients receive the right therapy at the right time while maintaining compliance with all regulations.
Apply Today
Take the next step in your career with our Remote Prior Authorization Pharmacist opportunity - and enjoy the benefits of working from home while shaping the future of managed care.

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