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Remote Prior Authorization Jobs in Lexington, SC

Afni, Inc.

Remote Customer Service Representative

SC · On-site +1

$14.75 - $20/hr

Iowa What You Need to Thrive in Our Remote Environment: * Cable or Fiber Internet Service only (no dial-up, DSL, satellite or cellular) * 25Mbps Download/10Mbps Upload * Ping Rate - Less than 100 ms

Integrityfex

Client Services Representative

Columbia, SC · Remote

$14.75 - $20/hr

Remote Opportunity** Integrity FEX is growing and seeking Client Services Representatives to help individuals and families explore life insurance options that meet their financial goals. We provide ...

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All JobsPrior Authorization JobsRemote Prior Authorization JobsRemote Prior Authorization Jobs in Lexington, SC

Remote Prior Authorization information

See Lexington, SC salary details

$11

$17

$27

How much do remote prior authorization jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for remote prior authorization in Lexington, SC is $17.88, according to ZipRecruiter salary data. Most workers in this role earn between $14.81 and $19.76 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.
More about Remote Prior Authorization jobs

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The top searched job categories for Remote Prior Authorization jobs in Lexington, SC are:

What cities near Lexington, SC are hiring for Remote Prior Authorization jobs?

Cities near Lexington, SC with the most Remote Prior Authorization job openings:

Remote Prior Authorization jobs near you
Infographic showing various Remote Prior Authorization job openings in Lexington, SC as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $37,199 per year, or $17.9 per hour.

Remote Customer Service Representative

Afni, Inc.

SC • On-site, Remote

$14.75 - $20/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 27 days ago

Afni rating

7.1

Company rating: 7.1 out of 10

Based on 40 frontline employees who took The Breakroom Quiz

18th of 72 rated call and contact centers

Job description

Career paths start between $14.50 and $15/hr plus bonus.
Why start building your career at Afni?
We believe in you and invest in your success! From the very beginning, our coaches and trainers work with you to achieve the goals you set. We've been in business since 1936, so you can be sure the career you start today will still be here tomorrow.
What do we offer?
A training program and leadership team that believes in you. After training, we offer paid personal time off, paid sick time, health/vision/dental benefits, 401k with matching contributions, and a tuition reimbursement program.
What can you expect from your work at Afni?
This position is for wireless customer service, so you will be handling mainly inbound calls from people looking for assistance with their wireless accounts. Also, expect stability, encouragement, a cooperative environment where you can learn, grow, and advance.
What do we expect from you as part of this team?
You will deliver world-class customer service to inbound callers as well as utilize product knowledge to troubleshoot and solve customer concerns with both empathy and efficiency. Those calls will require processing of orders, updating accounts, updating records, effective multitasking, and strong attention to detail.
How can you join the Afnimazing team?
You can apply online here!
Key Qualifications
  • Exceptional communication and active listening skills, with the ability to build rapport and handle difficult situations professionally; navigating multiple systems and maintaining a positive attitude under pressure; quick-thinking problem solver; and self-motivated with a strong work ethic and effective time management in a home office setting.
  • Customer service experience: Minimum 1 year in a customer service or sales role, with a minimum of 6 months in a call center virtual setting.
  • Available for 12 weeks of paid training, with consistent 8-hour shifts scheduled between Sunday and Saturday, 07:00AM - 01:00AM CST.
  • Available to work 8-hour shifts any day of the week, including weekends and holidays, between 07:00AM - 01:00AM CST.
  • Must pass a background screening, be at least 18 years old, have a GED or High School Diploma, and be legally permitted to work in the United States.

Afni is currently hiring in the following states. You must live in one of these states:
  • Alabama
  • Georgia
  • North Carolina
  • South Carolina
  • Texas
  • Wisconsin
  • Iowa

What You Need to Thrive in Our Remote Environment:
  • Cable or Fiber Internet Service only (no dial-up, DSL, satellite or cellular)
  • 25Mbps Download/10Mbps Upload
  • Ping Rate - Less than 100 ms
  • A private workspace with desk/chair where surrounding noise (children, pets, people, electronics, etc.) cannot be heard or present during working hours.
  • Ability to be on webcam during working hours

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