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Remote Prior Authorization Jobs in Holyoke, MA (NOW HIRING)

Medical Insurance Specialist Homecare

Enfield, CT ยท Remote

$17.25 - $21.25/hr

ID# JR-137182 Medical Insurance Specialist - Homecare experience preferred Remote- living in CT, MA ... Obtains timely authorizations for future care/visits and assists with or provides necessary ...

Medical Insurance Specialist Homecare

Enfield, CT ยท Remote

$17.25 - $21.25/hr

ID# JR-137182 Medical Insurance Specialist - Homecare experience preferred Remote- living in CT, MA ... Obtains timely authorizations for future care/visits and assists with or provides necessary ...

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... No prior experience in AI is required -- your domain knowledge is what matters. This opportunity is ...

Remote Prior Authorization information

See Holyoke, MA salary details

$13

$20

$31

How much do remote prior authorization jobs pay per hour?

As of Aug 30, 2026, the average hourly pay for remote prior authorization in Holyoke, MA 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 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.

What job categories do people searching Remote Prior Authorization jobs in Holyoke, MA look for?

The top searched job categories for Remote Prior Authorization jobs in Holyoke, MA are:

What cities near Holyoke, MA are hiring for Remote Prior Authorization jobs?

Cities near Holyoke, MA with the most Remote Prior Authorization job openings:

Infographic showing various Remote Prior Authorization job openings in Holyoke, MA as of August 2026, with employment types broken down into 50% Full Time, and 50% Part Time. Highlights an 100% Remote job distribution, with an average salary of $42,954 per year, or $20.7 per hour.

Remote Licensed Mental Health Counselor - Holistic Care Specialist

Vitality Peak Health Care Inc.

Springfield, MA โ€ข Remote

$80K - $100K/yr

Full-time

Medical, Dental, Life, PTO

This job post hasย expired 3 days ago.ย Applications are no longer accepted.


Job description

Position Overview

Vitality Peak Health Care Inc. is seeking a dedicated Remote Licensed Mental Health Counselor to join our team. In this role, you will provide person-centered mental health services that focus on fostering resilience and well-being in a supportive remote environment. You will be instrumental in delivering therapeutic interventions, conducting insightful assessments, and creating individualized treatment plans that align with the unique needs of our diverse patient population.

About the Organization

At Vitality Peak Health Care Inc., we prioritize holistic, evidence-based approaches to mental health care. Our mission is to enhance access to superior mental health services and reduce stigma surrounding mental wellness. By integrating advances in neuroscience into our therapeutic processes, we ensure that every patient receives comprehensive, high-quality care. Our commitment to this mission drives our collaborative culture within our community health clinic setting, even from a remote work environment.

Work Environment

This position is fully remote, ideal for flexibility and work-life balance while allowing you to connect with patients across Springfield, Massachusetts, and beyond. Despite the remote nature, our team thrives in a collaborative setting fostered through regular virtual meetings, case consultations, and team-building exercises. We recognize the importance of maintaining a support network, ensuring that our counselors feel empowered and connected.

Key Responsibilities
  • Conduct culturally sensitive, strength-based assessments for new patients and their families, ensuring an accurate understanding of each patient's unique challenges.
  • Provide individual and family therapy, tailoring approaches based on the specific needs identified during assessments, utilizing evidence-based practices to facilitate meaningful change.
  • Complete essential documentation including billing, individualized treatment plans, and insurance authorization forms in compliance with organizational deadlines and regulations.
  • Develop crisis plans, safety plans, relapse prevention plans, and wellness plans, equipping patients and their families with strategies to maintain stability and quality of life.
  • Create comprehensive discharge plans that facilitate a smooth transition from therapy, ensuring ongoing support through community resources.
  • Adhere to federal and state regulations alongside NEHS policies, maintaining ethical standards and compliance in all counseling practices.
  • Commit to professional development through ongoing training and continuing education, enhancing your skills to better serve patients.
  • Engage in case consultations and agency meetings to collaborate effectively with team members, sharing insights and strategies for improved outcomes.
  • Fulfill all licensure and mandatory training requirements to ensure a high standard of care.
Patient Population / Client Focus

Our patient population includes individuals and families from diverse backgrounds facing various mental health challenges, including anxiety, depression, trauma, and adjustment disorders. We are committed to creating an inclusive environment that respects and understands cultural differences, thus tailoring our therapeutic practices accordingly to meet the unique needs of our clients.

Qualifications
  • A Master's degree in social work, counseling, marriage and family counseling, or a related field that qualifies for licensure.
  • Active licensure as a Mental Health Counselor (LMHC, LMFT, LICSW) in the State of Massachusetts.
Preferred Experience

While all qualified candidates are encouraged to apply, we prefer applicants with prior experience in community health settings or Telehealth services. Familiarity with electronic health records (EHR) systems is also beneficial for maintaining accurate and efficient patient care documentation.

Compensation and Benefits

We offer a competitive annual salary ranging from $80,000 to $100,000, commensurate with your experience and licensure. In addition to salary, we provide a comprehensive benefits package that includes:

  • Health and dental insurance to maintain your personal wellness.
  • Generous paid time off (PTO) for work-life balance, allowing time to recharge and prevent burnout.
  • Options for short- and long-term disability and life insurance, ensuring peace of mind for you and your family.
  • Flexible scheduling options, supporting both full and part-time positions that align with your lifestyle and preferences.
Career Growth Opportunities

At Vitality Peak Health Care, we are invested in the professional growth of our employees. We provide opportunities for ongoing training and advancement within the organization, fostering a culture of development and mentorship. You'll have the chance to expand your skill set, take on leadership roles, and contribute to innovative projects that directly impact community health outcomes.

Why Join Our Team

Joining Vitality Peak Health Care means becoming part of a passionate team dedicated to transforming lives through quality mental health services. If you are driven by the desire to reduce stigma and improve access to care, we would love to have you on board. By working with us, you will make a direct impact on the lives of those we serve while developing your career in a supportive, innovative environment.

Application Information

If you are ready to take the next step in your career and make a meaningful difference in the lives of individuals and families, please submit your resume and a cover letter detailing your experience and motivation for applying. We look forward to welcoming you to our dynamic team at Vitality Peak Health Care Inc.