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Remote Prior Authorization Jobs in Isabela, PR (NOW HIRING)

Customer Service Representative

Mayaguez, PR · Remote

$16 - $21.75/hr

Remote-NearShore Job Type: Full-time About Firstsource Firstsource Solutions is a leading provider of customized Business Process Management (BPM) services. Firstsource specialises in helping ...

Remote Prior Authorization information

See Isabela, PR salary details

$10

$16

$25

How much do remote prior authorization jobs pay per hour?

As of Aug 17, 2026, the average hourly pay for remote prior authorization in Isabela, PR is $16.77, according to ZipRecruiter salary data. Most workers in this role earn between $13.89 and $18.51 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 are popular job titles related to Remote Prior Authorization jobs in Isabela, PR?

For Remote Prior Authorization jobs in Isabela, PR, the most frequently searched job titles are:

What cities near Isabela, PR are hiring for Remote Prior Authorization jobs?

Cities near Isabela, PR with the most Remote Prior Authorization job openings:

Staff Psychiatric Mental Health Nurse Practitioner (PMHNP) -- Remote | Telehealth | Full-Time or Part

Legion Health

Arecibo, PR • Remote

$150K - $300K/yr

Full-time

Posted 18 hours ago

Posted today


Job description

[We show compassion to heal minds.]

 
🧠 About Legion Health

Legion Health is a technology-forward psychiatry company delivering world-class outpatient mental health care while expanding access for patients through insurance.

We are seeking exceptional Psychiatric Mental Health Nurse Practitioners (PMHNPs) across the United States who are passionate about evidence-based psychiatry and want the time, support, and clinical autonomy needed to provide exceptional patient care.

Our innovative model combines the stability of a traditional hospital position with the flexibility of a private practice. We prioritize our clinicians' well-being and professional growth, offering a competitive compensation package and fostering a vibrant, collaborative culture.

Quality and patient experience are paramount to us. This means recruiting exceptional providers, championing evidence-based protocols, and displaying compassion in every patient interaction. Our exceptional PMHNPs operate with clinical autonomy, supported by experienced psychiatrists through consults and peer case reviews.

Our vision is to pioneer a new era of medicine by delivering world-class psychiatry. We believe in a future where every person can access the compassionate, high-quality care they need.

 
🚀 About the Role

Practice at the top of your license, from wherever you do your best work. This role is designed for PMHNPs who want meaningful clinical autonomy without having to build and operate a private practice alone.

We are looking for clinically excellent, patient-centered PMHNPs to provide psychiatric care through telehealth. Full-time and part-time positions are available.

 
💙 Benefits

Legion’s model is built to give clinicians more time for patients, fewer administrative distractions, and the support of a high-caliber psychiatric community.

  • Flexibility: Set your own schedule for optimal work-life balance.

  • Work from Home: See patients from the comfort of your home via telehealth.

  • Significant Administrative Support: You focus on patient care, and we’ll handle scheduling, insurance verification, billing, prior authorizations, pharmacy coordination, etc.

  • Patient Acquisition: Unlike with a private practice, we’ll work to fill your schedule, so you don’t have to do your own marketing.

  • Collaborating Physician Coverage: Where applicable, we provide your collaborating psychiatrist and fully cover the costs.

  • Competitive Pay: We compensate our providers at market-leading rates.

  • Weekly Pay: We pay our providers every week for immediate financial benefit and planning ease.

  • Legal Protection: We provide full malpractice insurance coverage.

  • Clinical Autonomy: We hire the most skilled providers and trust them to do what’s best for patients.

  • Technical Support: We cover the costs for you to have best-in-class EHR, e-Prescribe, and AI tools.

  • Credentialing Support: We handle all aspects and costs of credentialing with a large number of insurance plans, including commercial, ACA, and government, ensuring your legal and effective authorization within insurance networks.

  • Licensure and DEA Coverage: We’ll reimburse you for all fees associated with getting licensed in other states as required by Legion.

  • Commitment to Responsible Prescribing and High-Quality Care: We have rigorous, evidence-based protocols and provide objective diagnostic tools to ensure responsible and ethical prescriptions of controlled substances.

  • Community of Clinical Excellence: You will work alongside the most talented PMHNPs and psychiatrists in the world. Our current PMHNPs have trained at some of the country’s most prestigious institutions, including Vanderbilt, UT Austin, Johns Hopkins, Columbia, NYU, and UTHealth Houston.

  • Opportunities for Professional Growth: As we expand, we intend to promote clinical leadership from the best of our active providers.

  • Culture of Excellence through Innovation: Actively participate in ushering in a new era of mental health care through superior clinical care and technology.

  • Resources: We provide premium subscriptions to resources such as UpToDate and Carlat.

  • Exclusive Events: Engage with your colleagues through exclusive in-person and virtual events.

 
✅ Responsibilities
  • Provide excellent patient care for conditions including depression, anxiety, ADHD, insomnia, PTSD, bipolar disorder, etc.

  • Perform comprehensive psychiatric assessments, including mental-health history, medical history, diagnostic evaluation, and risk analysis.

  • Create and execute individualized treatment plans that may combine medication management and brief psychotherapy.

  • Provide compassionate, respectful, and patient-centered care.

  • Use evidence-based clinical protocols and responsible prescribing practices.

  • Collaborate with psychiatrists and clinical peers through consultations and case reviews.

  • Use technology and operational systems effectively to deliver reliable telehealth care.

 
🧰 Qualifications
  • Active, unrestricted state-issued authority to practice as a PMHNP in at least one U.S. state or jurisdiction.

  • Strong clinical assessment, diagnostic, and medication-management skills.

  • Excellent communication and interpersonal skills.

  • Comfort providing care remotely and using electronic health record systems.

  • Commitment to patient-centered, compassionate, evidence-based care.

 
📍 Role Logistics
  • Location: Fully remote within the United States.

  • Schedule: Full-time or part-time positions are available.

  • Compensation: $150K–$300K per year, depending on completed patient-care hours.

 
🤝 Clinical Advisory Board

Legion’s Clinical Advisory Board brings together nationally recognized psychiatrists, physician executives, telepsychiatry pioneers, and primary-care leaders. Working closely with Legion’s medical leadership, they help shape our clinical quality standards, evidence-based care protocols, prescribing safeguards, risk-management practices, and continuous quality-improvement efforts as the company scales.

Members of our Clinical Advisory Board include:

  • Madhukar Trivedi, M.D. — Psychiatrist; Professor of Psychiatry and Distinguished Chair in Mental Health at UT Southwestern

  • Alexander Ruvalcaba, M.D. — Psychiatrist; Physician Executive at MultiCare Behavioral Health Network

  • Jon Kole, M.D. — Psychiatrist; Senior Medical Director at Headspace

  • Liberty Eberly, D.O. — Psychiatrist; Co-Founder and Former Chief Medical Officer at innovaTel Telepsychiatry

  • John Lusins, M.D. — Psychiatrist; Founder and President at South Texas Mental Health Associates

  • Jacqueline Champlain, M.D. — Family Medicine Physician; Lead Physician at WellMed and Fellow of the American Academy of Family Physicians

 
✨ Bring Your Best Clinical Work to Legion

If you are a thoughtful, evidence-based PMHNP who wants the flexibility of remote practice, meaningful clinical autonomy, robust operational support, and a community committed to excellent psychiatric care, we would be excited to learn more about you.

 
🤝 Equal Employment Opportunity

Legion Health is proud to be an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees, contractors, and applicants without regard to race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, veteran status, genetic information, or any other protected characteristic under applicable law. We encourage applicants from all backgrounds to apply.

Compensation Range: $150K - $300K