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Remote Prior Authorization Jobs in Buffalo, NY (NOW HIRING)

Acara Solutions

Accountant

Buffalo, NY · On-site +1

Monday-Friday, remote with flexibility to go onsite when needed About the Opportunity: The ... Investigate and resolve variances identified in account reconciliations prior to close; document ...

DataAnnotation

Registered Nurse

Buffalo, NY · Remote

$40 - $60/hr

Join the DataAnnotation team and contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and setting your own schedule. We are looking for a Medical Expert ...

DataAnnotation

RN

Buffalo, NY · Remote

$40 - $60/hr

Join the DataAnnotation team and contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and setting your own schedule. We are looking for a Medical Expert ...

DataAnnotation

Medical Assistant

Buffalo, NY · Remote

$40 - $60/hr

Join the DataAnnotation team and contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and setting your own schedule. We are looking for a Medical Expert ...

Next Stop Travels

Travel Customer Representative

Buffalo, NY · On-site +1

$15.50 - $21/hr

As a remote company, we value flexibility, creativity, and a passion for travel. Position Overview: We are seeking a highly motivated Travel Customer Representative to join our team. In this role ...

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All JobsRemote Prior Authorization JobsRemote Prior Authorization Jobs in Buffalo, NY

Remote Prior Authorization information

See Buffalo, NY salary details

$13

$20

$31

How much do remote prior authorization jobs pay per hour?

As of May 28, 2026, the average hourly pay for remote prior authorization in Buffalo, NY is $20.24, 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 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 the most commonly searched types of Prior Authorization jobs in Buffalo, NY? The most popular types of Prior Authorization jobs in Buffalo, NY are:
What are popular job titles related to Remote Prior Authorization jobs in Buffalo, NY? For Remote Prior Authorization jobs in Buffalo, NY, the most frequently searched job titles are:
What job categories do people searching Remote Prior Authorization jobs in Buffalo, NY look for? The top searched job categories for Remote Prior Authorization jobs in Buffalo, NY are:
What cities near Buffalo, NY are hiring for Remote Prior Authorization jobs? Cities near Buffalo, NY with the most Remote Prior Authorization job openings:
Remote Prior Authorization jobs near you
Infographic showing various Remote Prior Authorization job openings in Buffalo, NY as of May 2026, with employment types broken down into 60% Full Time, 20% Part Time, and 20% Contract. Highlights an 100% Remote job distribution, with an average salary of $42,098 per year, or $20.2 per hour.
Pharmacy Prior Authorization Specialist

Pharmacy Prior Authorization Specialist

Onco360

Buffalo, NY • On-site, Remote

$23/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 15 days ago

Job description

Pharmacy Prior Authorization Specialist – Onco360 Pharmacy
Buffalo, NY | Full-Time | Starting at $23.00/hr and up
Join a mission-driven team making a difference in the lives of cancer patients.
Onco360 Pharmacy is seeking a Pharmacy Prior Authorization Specialist to join our dedicated team in Buffalo, NY. This is a full-time position ideal for candidates local to the area. Remote work possible after initial on-site training.
Company Benefits
  • Medical; Dental; Vision
  • 401k with a match
  • Paid Time Off and Paid Holidays
  • Tuition Reimbursement
  • Quarterly Incentive Bonus
  • Paid Volunteer Day
  • Referral Incentive Program
  • Company Paid Life Insurance; and Short/Long-Term Disability
Why Join Us?
  • A career with purpose: Help patients access life-saving medications.
  • Supportive culture: We value teamwork, respect, integrity, and passion.
  • Growth opportunities: We invest in your professional and personal development.
What You’ll Do
The Pharmacy Prior Authorization Specialist will ensure patients receive the medication that requires pre-authorizations from insurance carriers by receiving prescriptions, addressing and rectifying rejected claims and conducting necessary third party authorization requests.
How You’ll Do This
  • Manage prior authorization requests and appeals with insurance carriers.
  • Collaborate with physicians, pharmacists, and other departments.
  • Ensure HIPAA compliance while handling sensitive patient information.
  • Maintain accurate documentation of authorization details.
  • Proactively monitor and renew expiring authorizations.
What You Bring
Required:
  • High School Diploma or GED
  • 1+ years of pharmacy or prior authorization experience
  • Registration with Board of Pharmacy (as required by state law)
  • Strong communication, organizational, and customer service skills
  • Self-motivated, organized, detail-oriented, and adaptable to changing priorities
  • Knowledge of pharmacy terminology, pharmacy insurance claims, Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, experience with CoverMyMeds
Preferred:
  • Associate degree or Certified Pharmacy Technician (PTCB)
  • 3+ years of experience in pharmacy or prior authorizations
  • Specialty pharmacy experience
Ready to make a meaningful impact? Apply today and help us better the lives of those battling cancer.

Apply