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Remote Prior Authorization Jobs in Appleton, WI (NOW HIRING)

Adecco

Pharmacist Pipeline Green Bay WI

Green Bay, WI · On-site +1

$55 - $57.75/hr

Adecco Healthcare & Life Sciences is hiring remote pharmacists! For this role you must reside ... reviewing prior authorizations and receiving phone calls from prior authorization pharmacy ...

Adecco

Pharm Tech Green Bay WI

Green Bay, WI · Remote

$19 - $21.05/hr

Respond to Prior Authorization Requests: Answer inbound calls (up to 50 to 70 calls per day) from providers/members and electronic inquiries related to prior authorizations (PAs) with a high level of ...

State of Wisconsin

Psychologist Supervisor

Oshkosh, WI · On-site +1

$141.07K/yr

Any remote work must be performed from Wisconsin. Anticipated schedule will be Monday - Friday 7:45 ... Applicants must be legally authorized to work in the United States (i.e. a citizen or national of ...

State of Wisconsin

Correctional Officer

Green Bay, WI · On-site +1

$34.67/hr

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

State of Wisconsin

Physician 70%

Green Bay, WI · On-site +1

$96.64 - $126.13/hr

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: 0.7 FTE- days of the week will be determined ...

Molina Healthcare

Registered Nurse

Green Bay, WI · Remote

$29.05 - $67.97/hr

Job Duties • Facilitates medical review of prospective, retrospective, and concurrent review of appeals for denied prior authorizations. Includes standard and expedited cases, inpatient, outpatient ...

Ascension

Clinical Documentation Auditor

De Pere, WI · Remote

$96.21K - $134.11K/yr

Partially Remote Department/Specialty: Clinical Documentation Integrity Schedule: Full Time | Days ... prior to hire date or job transfer date. Education: * High School diploma equivalency with 2 years ...

State of Wisconsin

Licensed Practical Nurse

Green Bay, WI · On-site +1

$37.83/hr

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 ...

State of Wisconsin

Dentist

Green Bay, WI · On-site +1

$89.81 - $121.56/hr

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. Jackson Correctional Institution Shift: Monday ...

State of Wisconsin

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 ...

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Remote Prior Authorization information

See Appleton, WI salary details

$13

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$31

How much do remote prior authorization jobs pay per hour?

As of May 31, 2026, the average hourly pay for remote prior authorization in Appleton, WI is $20.39, according to ZipRecruiter salary data. Most workers in this role earn between $16.88 and $22.50 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 Appleton, WI? For Remote Prior Authorization jobs in Appleton, WI, the most frequently searched job titles are:
What job categories do people searching Remote Prior Authorization jobs in Appleton, WI look for? The top searched job categories for Remote Prior Authorization jobs in Appleton, WI are:
What cities near Appleton, WI are hiring for Remote Prior Authorization jobs? Cities near Appleton, WI with the most Remote Prior Authorization job openings:
Remote Prior Authorization jobs near you
Infographic showing various Remote Prior Authorization job openings in Appleton, WI as of May 2026, with employment types broken down into 77% Full Time, 17% Part Time, and 6% Contract. Highlights an 100% Remote job distribution, with an average salary of $42,404 per year, or $20.4 per hour.
Pharmacist Pipeline Green Bay WI

Pharmacist Pipeline Green Bay WI

Adecco

Green Bay, WI • On-site, Remote

$55 - $57.75/hr

Full-time, Contractor

Medical, Dental, Vision, Life, Retirement, PTO

Posted 9 days ago

Job description

Adecco Healthcare & Life Sciences is hiring remote pharmacists! For this role you must reside within Wisconsin. This role is work from home and all equipment is provided. Please read below and apply with an updated resume for consideration.
Type: 6-month contract, opportunity for extension or full-time offer
Schedule: 8-hour shift between 5am - Midnight CST, 5 days a week which may or may not include a weekend day(s)
Pay: $55 to $57.75 an hour, based on location

· Training for the first four weeks is Monday through Friday from 8:00am-5:00pm CST. This training time is subject to change.

· Shift after training is an 8-hour shift with one-half or an hour lunch. Candidate must be available as early as 5am and as late as midnight.

· Candidate will work 5 days a week which may or may not include a weekend day(s).


Primary Responsibilities:

· Serve as a clinical resource working from a computer, reviewing prior authorizations and receiving phone calls from prior authorization pharmacy technicians and/or healthcare providers to gather, clarify, and assess detailed clinical information.

· Interpret medical and pharmacy policy criteria to make sound and timely coverage determinations in accordance with federal, state, and organizational guidelines.

· Consult directly with prescribing physicians and healthcare providers to clarify clinical questions, interpret guideline criteria, and provide decisions on prior authorization requests.

· Collaborate with pharmacy technicians and/or prescribers to provide clinical insights on appropriate medication usage. Recommend cost-effective, formulary-compliant therapeutic alternatives when applicable, supporting optimal patient care and medication access.


Required Qualifications:

· Bachelors or Doctorate of Pharmacy

· Active State Pharmacist License

· 6+ months of pharmacist experience

· Able to work 5am to 12 midnight with ability to work flexible hours, including OT and weekends

· Must reside within Wisconsin


Why work for Adecco?
· Weekly Pay
· 401(k) Plan
· Skills Training
· Excellent medical, dental, + vision benefits

IMPORTANT: This Pharmacist job is being recruited for by Adecco’s Healthcare & Life Sciences division, not your local Adecco Branch Office.

For opportunities available at Adecco Healthcare & Life Sciences go to https://www.adecco.com/en-us/employers/industries/healthcare-life-sciences

Benefit offerings include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and 401K plan. Our program provides employees the flexibility to choose the type of coverage that meets their individual needs. Available paid leave may include Paid Sick Leave, where required by law; any other paid leave required by Federal, State, or local law; and Holiday pay upon meeting eligibility criteria.

Equal Opportunity Employer/Veterans/Disabled. To read our Candidate Privacy Information Statement, which explains how we will use your information, please visit http://www.adeccousa.com/candidate-privacy/. The Company will consider qualified applicants with arrest and conviction record.

Please reply with an updated resume for consideration or forward this email to someone who may be interested.


Pay Details: $55.00 to $57.75 per hour
Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.
Equal Opportunity Employer/Veterans/Disabled
Military connected talent encouraged to apply
To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.adecco.com/en-us/candidate-privacy
The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:
  • The California Fair Chance Act
  • Los Angeles City Fair Chance Ordinance
  • Los Angeles County Fair Chance Ordinance for Employers
  • San Francisco Fair Chance Ordinance

Massachusetts Candidates Only: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.