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Remote Prior Authorization Jobs in Elgin, IL (NOW HIRING)

Addison Group

Insurance Verification Representative

Chicago, IL · Remote

$24/hr

  • Medical

  • Dental

  • Vision

  • Retirement

One remote Saturday per month (8:00 AM-12:00 PM) * Up to 2 remote workdays per week available after ... prior authorization experience *required* * Experience handling insurance denials and appeals ...

Guidehealth

Remote Medical Assistant- Healthguide

Chicago, IL · On-site +1

$18.25 - $23.50/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Understanding the referral and prior authorization process. * Continuously building a trusting ... Demonstrated ability to work successfully in a remote work environment. * Reliable transportation ...

C4 Technical Services

Be Seen First

Member Services Specialist - Remote

Chicago, IL · Remote

$18/hr

  • Medical

  • Dental

Must be authorized to work in the United States without current or future sponsorship requirements ... Prior remote/work-from-home experience. Physical Requirements * Ability to remain seated for ...

Symmetry

Remote Sales Representative

Chicago, IL · Remote

$75K - $180K/yr

  • Life

  • Retirement

Remote Sales Representative Must be authorized to work in the US, no work visas offered at this ... No prior sales or insurance experience is necessary. We are looking for motivated and ambitious ...

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Remote Prior Authorization information

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How much do remote prior authorization jobs pay per hour?

As of Aug 16, 2026, the average hourly pay for remote prior authorization in Elgin, IL is $20.65, according to ZipRecruiter salary data. Most workers in this role earn between $17.12 and $22.79 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 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.

More about Remote Prior Authorization jobs

What are the most commonly searched types of Prior Authorization jobs in Elgin, IL?

The most popular types of Prior Authorization jobs in Elgin, IL are:

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For Remote Prior Authorization jobs in Elgin, IL, the most frequently searched job titles are:

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The top searched job categories for Remote Prior Authorization jobs in Elgin, IL are:

What cities near Elgin, IL are hiring for Remote Prior Authorization jobs?

Cities near Elgin, IL with the most Remote Prior Authorization job openings:

Remote Prior Authorization jobs near you
Infographic showing various Remote Prior Authorization job openings in Elgin, IL as of August 2026, with employment types broken down into 63% Full Time, 26% Part Time, and 11% Contract. Highlights an 100% Remote job distribution, with an average salary of $42,960 per year, or $20.7 per hour.

Remote Insurance Verification Specialist, Specialty (Michigan)

Walgreens

Deerfield, IL • On-site, Remote

$16.50 - $22/hr

Full-time

Medical

Re-posted 21 days ago

Walgreens rating

5.5

Company rating: 5.5 out of 10

Based on 2,201 frontline employees who took The Breakroom Quiz

98th of 112 rated pharmacies

Job description


Job Summary:
Responsible for verifying patient eligibility, coordinating benefits, running test claims, and determining patient coverage/responsibility for services. Handles inbound and outbound calls with customers, physician offices, patients or third-party providers about the company's products or services following standard SOPs and procedures, working under direct supervision. Ensures all contacts receive efficient and courteous service.
Job Responsibilities:
  • Respond to all levels of inbound Pharmacy Benefit Manager (PBM) and major medical insurance related phone calls.
  • Resolves questions and problems submitted by customers and Pharmacy Benefit Manager (PBM) following established guidelines and standard SOPs and procedures. Utilizes all available information to choose the best solution and resolve customer and PBM concerns.
  • Requests and loads PBM and/or Major Medical insurance plans.
  • Processes all non-clinical PBM rejections which may include but not limited to rejections for plan limits, coverage termed or prior authorization.
  • Assists physicians in the prior authorization process including initiation of prior authorizations.
  • May be cross-trained and/or work on Major Medical (MM) and Specialized PBM Plans.
  • Verifies benefits for Major Medical via online resources or over the phone. Confirms network status, reviews FDA guidelines, and prior authorization requirements to ensure payment of claims.
  • Resolves questions and problems submitted by customers and Major Medical plans following established guidelines and standard SOPs and procedures. Utilizes all available information to choose best solutions and resolves customer and plan covers.
  • Facilitates the reimbursement windshields for PBM major medical claims.
  • Identifies and assesses individual customer or patient needs and provide education on or assist with grant applications, complex funding needs, commercial copay assistance enrollment along with appropriate action to satisfy those needs.
  • Provides primary support and expertise for specialized programs such as the patient assistance program or special handling.
  • Manages Pharma requirements including but not limited to warm transfers, bridge/quick start, enhanced prior authorization and appeal support.
  • May administer order queue such as Submission Problems or Waiting for Payment.
  • Documents contact interactions, records details, complaints, comments, and actions taken.
About Walgreens
Founded in 1901, Walgreens (www.walgreens.com) proudly serves nearly 9 million customers and patients each day across its approximately 8,500 stores throughout the U.S. and Puerto Rico. Walgreens has approximately 220,000 team members, including nearly 90,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities.
External Basic Qualifications
  • High school diploma/GED
  • Experience providing customer service to internal and external customers, including meeting quality standards for services, and evaluation of customer satisfaction in healthcare, specialty pharmacy, PBM, call center setting or other related industry
  • Ability to communicate clearly and effectively (written and verbal). Good interpersonal skills with the ability to communicate in a diplomatic and confidential manner
  • Basic level PC skills, MS Windows, MS Office Suite and/or other similar operating/software programs (for example: start up and shut down computer, use mouse to point and click, start and close programs, switch between programs, save files, print documents and/or access information on-line).

Preferred Qualifications
  • Experience with providing customer service related to adherence, complex disease states quality, After Call Work (ACW), etc.
  • Experience in identifying operational issues and recommending and implementing strategies to resolve problems.
  • Intermediate level PC skills, MS Windows, MS Office Suite and/or other similar operating/software programs (for example: start up and shut down computer, use mouse to point and click, start and close programs, switch between programs, save files, print documents and/or access information on-line).
We will consider employment of qualified applicants with arrest and conviction records.
The Salary below is being provided to promote pay transparency and equal employment opportunities at Walgreens. The actual hourly salary within this range that you will be offered will depend on a variety of factors including geography, skills and abilities, education, experience and other relevant factors. This role will remain open until filled. To review benefits, please click here jobs.walgreens.com/benefits. If you are applying on a job board or unable to click on the link, please copy and paste this URL into your browser jobs.walgreens.com/benefits

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