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Remote Prior Authorization Jobs in Hudson, WI (NOW HIRING)

Medix

Remote Radiology Scheduler

Minneapolis, MN · On-site +1

$17 - $22/hr

Serve as a liaison between patients, providers, imaging teams, and authorization staff * Answer ... Prior call center or patient access experience Training & Schedule Training (4 Weeks - Mandatory)

Guardian Pharmacy

Collection's Specialist

Minneapolis, MN · Remote

$24 - $26/hr

Remote options available after 30-days of training on-site Starting Pay Range: $24-$26 Schedule ... This includes using pharmacy systems to process prior authorizations, resolve rejections, produce ...

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All JobsPrior Authorization JobsRemote Prior Authorization JobsRemote Prior Authorization Jobs in Hudson, WI

Remote Prior Authorization information

See Hudson, WI salary details

$14

$21

$33

How much do remote prior authorization jobs pay per hour?

As of Aug 23, 2026, the average hourly pay for remote prior authorization in Hudson, WI is $21.60, according to ZipRecruiter salary data. Most workers in this role earn between $17.88 and $23.85 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
Infographic showing various Remote Prior Authorization job openings in Hudson, WI as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 17% Part Time, 1% Temporary, and 2% Contract. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution, with an average salary of $44,933 per year, or $21.6 per hour.

SUD IOP Authorization and Back Up Residential Cycle Specialist

Nystrom & Associates Ltd

Arden Hills, MN • Remote

$23 - $25/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 2 days ago

Nystrom & Associates rating

7.4

Company rating: 7.4 out of 10

Based on 22 frontline employees who took The Breakroom Quiz

Job description

Location: 1200 County Road E., Arden Hills, MN 55112

Working Model: Remote

Employee Type: 1.0 FTE

Schedule: Flexible 8 hour shift worked between 6:00 AM and 6:00 PM

AtSagentBehavioral Health, we believe profound change is possible. As one of the largest behavioral health organizations in the Midwest-with 2,000+ team members across 80+ locations in five states-we offer the stability and resources to help you thrive.
Backed by more than 100 years of combined behavioral health experience,Sagentbrings together the trusted legacies of Ellie Mental Health, LifeWorks, Nystrom & Associates, Psychiatric Associates, Sandhill Counseling & Consultation, and Vantage Point.
Here,you'llfind a supportive, inclusive culture where you can hone your skills, collaborate with a fantastic team, and build a rewarding career focused on what matters most: helping others find hope. Guided by our HOPE values-Humility, Optimism, People-Centered, and Ethical Practice-we provide manageable caseloads, flexible schedules, and compensation options that work for you-from salary to production-based models.

As a SUD RESIDENTAL REVENUE CYCLE SPECIALIST atSagent Behavioral Health, you will manage and optimize revenue-related processes for residential accounts. This role ensures obtaining appropriate prior authorizations, accurate billing, timely collections, accurate and timely payment posting to maximize financial performance.

Full Time Benefits:

  • Medical, Dental, Vision

  • 401k, Long Term Disability, Short Term Disability and Life Insurance

PTO and Time Off

Responsibilities:

  • Research, reconcile and resolve billing discrepancies and payment issues with payors
  • Posting payments in a timely and accurate manner
  • Professional and timely communication with providers and business office staff
  • Attend and participate in monthly staff meetings and any other meetings and/or training sessions as indicated
  • Back up for the end-to-end residential revenue cycle, including account setup, obtaining authorizations, billing, payment posting and collections
  • Field/ resolve provider and clinic inquiries via email or task ensuring inquiries are followed up on within 24 hours of creation
  • Point person for Intensive Outpatient Program extensions and changes
  • Obtain, track, and follow up on initial SUD authorizations/Referrals for Intensive Outpatient Program

Requirements:

  • Previous experience working with IOP SUD or Residential revenue cycle
  • Minimum of two years working in health care residential or SUD IOP facilities preferred, particularly with billing, authorizations and unpaid claims
  • Familiarity with insurance company guidelines and HIPAA regulations

Compensation: $23.00 - $25.00/hr

*Actual compensation may bedeterminedbyvarious factorssuch as education, experience, skillset, internal equity,scheduleand/or location.

* Employees in these positions are W2.

SagentBehavioral Health is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

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