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Remote Prior Authorization Jobs in Gilbert, AZ (NOW HIRING)

A-Line Staffing Solutions

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Remote Pharmacist - Prior Authorization / PBM Experience

Phoenix, AZ · Remote

$53 - $55/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Pay: $53.00 per hour Remote Pharmacist - Prior Authorization / PBM Experience Pay Rate: $53.00/hr Start Dates * October 12th * October 26th Training Requirements * Mandatory paid training is held ...

New

A-Line Staffing Solutions

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Prior Authorization Pharmacist

Phoenix, AZ · Remote

$53/hr

  • Medical

  • Dental

  • Vision

Remote Clinical Pharmacist - Specialty Medical Prior Authorization Pay: $53.00 per hour Job Type: Remote Contract Opportunity Schedule: Flexible 8-hour shifts between 7:00 AM - 10:00 PM CST Training ...

MedImpact

Prior Authorization Coordinator I

Tempe, AZ · On-site +1

$22.55 - $27.41/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Processes prior authorization requests in accordance with standards for accuracy, timeliness ... remote location with management approval based on business requirements). Must provide adequate ...

Onco360

Pharmacy Prior Authorization Specialist

Scottsdale, AZ · On-site +1

$20.75 - $26.75/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Remote work possible after initial on-site training. Why Join Us? * A career with purpose: Help ... Manage prior authorization requests and appeals with insurance carriers. * Collaborate with ...

RemX

Remote Healthcare Insurance Specialist

Phoenix, AZ · On-site +1

$17/hr

  • Medical

Our Fortune 5 client is hiring for Medical Insurance Specialist with Prior-Authorizations background and Insurance verification background! This is Remote ! PAID weekly!!!! Position: Medical ...

RemX

Remote Case Manager $19/hr!

Scottsdale, AZ · On-site +1

$19/hr

  • Medical

Location: 100% Remote?? Equipment: Provided & Shipped to You ?? Schedule: Monday-Saturday | Shifts ... Process Prior Authorizations (PAs) & Insurance Verification ? Communicate with patients, providers ...

Briljent

Clinical Domain Project Manager (PBM)

Phoenix, AZ · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... prior authorization, utilization management, drug utilization review, clinical criteria ... This is a fully remote, full time engagement with an anticipated duration of ten months and an ...

Briljent

Clinical Domain Project Manager (PBM)

Phoenix, AZ · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... prior authorization, utilization management, drug utilization review, clinical criteria ... This is a fully remote, full time engagement with an anticipated duration of ten months and an ...

TEKsystems

Referrals And Authorization Specialist

Phoenix, AZ · Remote

$20/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Fully remote role but MUST live in the state of Arizona Schedule: 5am to 6:30pm, Monday through ... Prior authorization, customer support, customer services, Customer service, Epic, Insurance ...

PharmaCord LLC

Remote Field Reimbursement Manager

Phoenix, AZ · On-site +1

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

As a Remote Field Reimbursement Manager you will help support patient access to critical therapies ... prior authorizations, appeals processes, and patient support financial assistance offerings. This ...

Valeris

Remote Field Reimbursement Manager

Phoenix, AZ · Remote

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

As a Remote Field Reimbursement Manager you will help support patient access to critical therapies ... prior authorizations, appeals processes, and patient support financial assistance offerings. This ...

The State of Arizona

CR EXECUTIVE DIRECTOR

Phoenix, AZ · On-site +1

$120K - $150K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... remote work, should be performed within Arizona unless an exception is properly authorized in ... Such presentations shall be made available to the Council prior to dissemination. Director shall be ...

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All JobsPrior Authorization JobsRemote Prior Authorization JobsRemote Prior Authorization Jobs in Gilbert, AZ

Remote Prior Authorization information

See Gilbert, AZ salary details

$13

$20

$32

How much do remote prior authorization jobs pay per hour?

As of Aug 13, 2026, the average hourly pay for remote prior authorization in Gilbert, AZ is $20.83, according to ZipRecruiter salary data. Most workers in this role earn between $17.26 and $22.98 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 Gilbert, AZ? The most popular types of Prior Authorization jobs in Gilbert, AZ are:
What are popular job titles related to Remote Prior Authorization jobs in Gilbert, AZ? For Remote Prior Authorization jobs in Gilbert, AZ, the most frequently searched job titles are:
What job categories do people searching Remote Prior Authorization jobs in Gilbert, AZ look for? The top searched job categories for Remote Prior Authorization jobs in Gilbert, AZ are:
What cities near Gilbert, AZ are hiring for Remote Prior Authorization jobs? Cities near Gilbert, AZ with the most Remote Prior Authorization job openings:
Remote Prior Authorization jobs near you
Infographic showing various Remote Prior Authorization job openings in Gilbert, AZ as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 15% Part Time, 1% Temporary, and 2% Contract. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution, with an average salary of $43,321 per year, or $20.8 per hour.

Pharmacist - Remote - Prior Authorization

A-Line Staffing Solutions

Phoenix, AZ • Remote

$57.75 - $69.50/hr

Full-time

Retirement

This job post has expired 1 day ago. Applications are no longer accepted.

Job description

Pharmacist needed for Remote / Work From Home Position! Multiple openings with aSeptember Start Dates! Pay Rate: 53.00 per hour depending on what role we get you in for! 3 Different Departments hiring during this time of year - Here is the options: 2 Opening: 8am to 8pm EST/CST - 8hours per day M-F or 7am-330p EST/CST rotating weekends (September 8th and September 28th Start Dates - Hottest Openings) 1 Opening: Monday - Friday 930am - 6pm 1 Opening: (Sun-Thurs or Tues-Sat): 10:30am-7pm CST or 11am-7:30pm CST or 11:30am-8pm CST Job Description: Evaluate and review all prior authorization requests and render coverage determinations based on clinical criteria and plan design. Includes verifying insurance coverage and eligibility, interpreting clinical guideline criteria, consulting physicians and other healthcare providers, and appropriately utilizing clinical knowledge and resources while complying with department protocols. One of the crucial responsibilities is to guarantee that the decisions regarding cases are conveyed promptly and efficiently to all the healthcare providers, health plans/employers, patients, and other healthcare professionals following agreed-upon approval & denial management processes. As an RPh Advisor you will be directly supporting Medicare Part D members and providers with requests related to their pharmacy benefits. You will be responsible for ensuring cases are accurately set up for our members, review clinical information for decisioning the request, performing outreach to providers for more information when needed, and ensuring accurate decisions that comply with compendia and Medicare guidance and timelines. This is a great opportunity to initiate a career with a leading healthcare company by reviewing information and completing timely and accurate documentation of all Medicare Part D requests, in compliance with Medicare guidelines, while promoting a best-in-class service experience. Job Requirements: Must be licensed Pharmacist in the State you Reside in Looking for Pharmacist with Prior Authorization Experience - PBM! (Not retail experience) Must have home office/ability to work from home with no distractions and plug in ethernet Benefits/401k Opportunity! Benefits are available to full-time employees after 90 days of employment A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates Please apply now to these Pharmacist Openings! - Jared Petrill

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About A-Line Staffing Solutions

Sourced by ZipRecruiter

A-Line Staffing Solutions is an established full-service recruiting and staffing provider that operates in the industry of human resources and recruitment. Based in Utica, Michigan, A-Line Staffing Solutions has been committed to its mission of providing innovative and effective workforce solutions since its foundation. The company specializes in providing high-quality staffing solutions for a range of disciplines, including Information Technology, Professional, Administrative, Healthcare, and more. A-Line prides itself on its ability to offer comprehensive and tailored staffing solutions in line with the varying needs of different businesses, which has played a crucial role in the company's growth and success.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Utica, MI, US

Year founded

2004

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