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Remote Prior Authorization Jobs in Derry, NH (NOW HIRING)

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Remote Prior Authorization information

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$13

$21

$32

How much do remote prior authorization jobs pay per hour?

As of Sep 7, 2026, the average hourly pay for remote prior authorization in Derry, NH is $21.08, according to ZipRecruiter salary data. Most workers in this role earn between $17.45 and $23.27 per hour, depending on experience, location, and employer.

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.
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Remote Prior Authorization jobs near you

New Hampshire Licensed Pharmacy Technician - Prior Authorizations

Shields Health Solutions

Manchester, NH • Remote

$20 - $22/hr

Full-time

Posted 17 days ago

Shields Health Solutions rating

8.4

Company rating: 8.4 out of 10

Based on 41 frontline employees who took The Breakroom Quiz

11th of 113 rated pharmacies

Job description

???? Pharmacy Technician - Prior Authorizations & Medication Access???? Fully Remote | New Hampshire Pharmacy Technician License Required | $20-22 per hour

Help patients get the medications they need while building a rewarding career in healthcare.

We are seeking an experienced Pharmacy Technician to support patients by removing barriers to medication access. In this remote role, you will work closely with patients, insurance providers, healthcare professionals, pharmacists, and financial assistance programs to facilitate medication approvals, reduce out-of-pocket costs, promote medication adherence, and improve patient outcomes.

If you are passionate about patient care, enjoy problem-solving, and thrive in a fast-paced healthcare environment, we encourage you to apply.

???? What You'll Do
  • Facilitate medication approvals by communicating directly with insurance companies and healthcare providers regarding prior authorizations.
  • Navigate pharmacy operating systems to enter data, adjudicate claims, process refills, and develop follow-up action plans.
  • Document patient concerns, prior authorization status, and financial assistance needs within databases, electronic medical records, and email systems.
  • Review prescriptions with physicians' offices to support optimal patient care.
  • Maintain accurate and complete records of patient interactions and communications.
  • Assist patients with pharmacy insurance claims and medication access challenges.
  • Collaborate with pharmacists, pharmacy liaisons, and cross-functional teams to deliver a high-quality patient experience.
  • Provide phone support to patients while promoting medication adherence and compliance.
  • Research and analyze information to support operational and strategic decision-making.
  • Manage, organize, and maintain data within pharmacy and database systems.
  • Identify trends, resolve issues, recommend improvements, and participate in process improvement initiatives.
  • Serve as a trusted partner to stakeholders across the organization.
  • Protect patient and organizational information through strict confidentiality practices.
  • Maintain professional knowledge through continuing education and professional development opportunities.
  • Minimal in-state or out-of-state travel may be required.
  • Perform other duties as assigned.
✅ QualificationsRequired
  • Active New Hampshire Pharmacy Technician License
  • Ability to acquire National Pharmacy Technician Certification within contingency period (9-months), if not already certified
  • High School Diploma or GED
  • At least 1 year of Pharmacy Technician experience
  • Strong familiarity of Test Claims, Adjudication and Prior Authorization and Appeals processes
  • Strong communication, documentation, organizational, and customer service skills
  • Ability to work independently in a fully remote environment
Preferred
  • National Pharmacy Technician Certification (PTCB or NHA)
???? Licensure & Certification Requirements

We are seeking experienced pharmacy technicians with appropriate state registration and licensure.

Important: This position requires an active New Hampshire Pharmacy Technician License at the time of hire.

Candidates residing in states that do not require pharmacy technician registration (such as Delaware, Hawaii, or New York) must obtain applicable state licensure within six months of employment and must possess **PTCB or NHA certification at the time of hire.

For all other candidates, PTCB or NHA certification is strongly preferred. If not already certified, certification must be obtained within nine months of employment. Additional licensure requirements, if applicable, must be completed within an agreed-upon timeframe. Continued employment is contingent upon meeting all licensing and certification requirements.

???? Why Join Us?
  • 100% Remote Position
  • Meaningful work supporting patient access to life-changing medications
  • Collaborative healthcare team environment
  • Opportunities for professional growth and certification development
  • Patient-focused culture dedicated to quality care and service excellence

Keywords: Remote Pharmacy Technician, Certified Pharmacy Technician, PTCB, NHA, Medication Access, Prior Authorization, Patient Support, Pharmacy Insurance, Specialty Pharmacy, Financial Assistance, Pharmacy Operations, Medication Adherence, Healthcare Customer Service, Remote Healthcare Jobs, New Hampshire Pharmacy Technician License.

California residents employed by or applying for work at Shields have certain privacy rights. Please review our: California Workforce Privacy Notice and Privacy Policy.  

By providing your mobile number, you agree to receive text messages from Shields Health Solutions related to job opportunities, interview scheduling, and recruiting updates. Message and data rates may apply. You may opt out at any time by replying 'STOP.' Consent is not a condition of employment.

Solid computer skills are required, including proficiency in Microsoft Office tools (Outlook, Teams, Word, Excel, and PowerPoint) for communication, documentation, and data management, as well as, navigating the internet and web-based platforms. Data entry and computer skills will be evaluated through an assessment as part of the pre-employment process.

Shields Health Solutions provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Shields Health Solutions is committed to providing an inclusive hiring experience; if you need assistance or accommodation during the application or interview process, please email talentacquisition@shieldsrx.com.

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