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Remote Prior Authorization Jobs in Miami, FL (NOW HIRING)

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Remote Prior Authorization information

See Miami, FL salary details

$13

$19

$30

How much do remote prior authorization jobs pay per hour?

As of Aug 26, 2026, the average hourly pay for remote prior authorization in Miami, FL is $19.98, according to ZipRecruiter salary data. Most workers in this role earn between $16.54 and $22.07 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 Miami, FL as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $41,566 per year, or $20 per hour.

Prior Authorization Manager

LTC PHARMA HLDG LLC

Fort Lauderdale, FL • On-site, Remote

$62 - $73/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 4 days ago

Job description

WHO WE ARE
At Polaris Pharmacy Services, we're more than a pharmacy - we're a dedicated partner in care, transforming how patients experience long-term, post-acute, correctional, PACE, and specialty pharmacy services. As industry leaders, we're raising the bar for quality and coordination across all sites of care, ensuring every patient receives seamless, compassionate, and expert support.
Founded in 2015, Polaris is proud to be locally and independently owned, with a growing national footprint. Our team thrives in a mission-driven environment where innovation meets purpose, and every role contributes to making a real impact. We offer more than just a job - we provide competitive pay, robust benefits, and genuine opportunities for career advancement.
If you're passionate about shaping the future of pharmacy and making a difference in the lives of those who need it most, we invite you to grow with us.
JOB SUMMARY:
The Manager of Prior Authorization at Polaris Pharmacy Services is responsible for overseeing and managing the prior authorization process to ensure timely and accurate processing of medication requests. This role is crucial in maintaining compliance with healthcare regulations, optimizing workflow efficiency, and enhancing patient satisfaction by ensuring access to necessary medications.
DUTIES/RESPONSIBILITIES:
  • Lead and manage the prior authorization team, providing guidance, support, and training to ensure high performance and adherence to company standards.
  • Develop and implement policies and procedures to streamline the prior authorization process, ensuring compliance with regulatory requirements and industry best practices.
  • Monitor and analyze prior authorization metrics to identify areas for improvement and implement strategies to enhance efficiency and accuracy.
  • Collaborate with healthcare providers, insurance companies, and internal departments to resolve issues and facilitate the approval of medication requests.
  • Maintain up-to-date knowledge of healthcare regulations, insurance policies, and medication formularies to ensure compliance and provide accurate information to stakeholders.
  • Prepare and present reports on prior authorization activities, performance metrics, and improvement initiatives to senior management.
  • Foster a positive and collaborative work environment, promoting teamwork and effective communication within the prior authorization team and across the organization.

QUALIFICATIONS/COMPETENCIES:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
REQUIRED SKILLS/ABILITIES:
  • Strong knowledge of healthcare regulations and compliance related to prior authorizations.
  • Excellent leadership and team management skills with the ability to motivate and develop staff.
  • Proficient in data analysis and reporting to track performance metrics and identify areas for improvement.
  • Exceptional communication and interpersonal skills to effectively collaborate with healthcare providers, insurance companies, and internal teams.\Ability to manage multiple priorities in a fast-paced environment with strong organizational skills.
  • Proficiency in using pharmacy management software and other relevant healthcare information systems.

EDUCATION and/or EXPERIENCE:
  • Bachelor's degree in Healthcare Administration, Pharmacy, Business Administration, or a related field.
  • Minimum of 5 years of experience in a healthcare setting, with at least 3 years in a managerial or supervisory role.
  • Proven experience in prior authorization processes within a pharmacy or healthcare environment.
  • Demonstrated experience in process improvement and efficiency optimization in healthcare operations.

PHYSICAL DEMANDS
The physical demands described here are representative of those that should be met by an employee to successfully perform the essential functions of this job:
  • May sit or stand seven (7) to ten (10) hours per day
  • The employee is occasionally required to sit; climb or balance; and stoop, kneel, bend, walk
  • May be necessary to work extended hours as needed
  • May lift and/or move up to 30 pounds
  • The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this role

HOLIDAY & PTO POLICY
  • Paid holidays are provided annually, with 6 days offered each year, along with 5 sick days.
  • Employees earn up to 10 PTO days each year, with rollover options and milestone bonuses.
  • Employees have the option to cash out up to 10 PTO hours each quarter for added financial flexibility.

Please note, because we are a pharmacy most of our locations are open 24-hours a day, 7 days a week and therefore schedules may change as determined by the needs of the business.
BENEFITS for full time Employees
  • Medical, Dental, and Vision insurance
  • 401 (k) (available for Part Time & Full Time EEs)
  • Company Paid Life insurance
  • Short-term and Long-term disability insurance
  • Tuition reimbursement
  • Personal Time Off (PTO)
  • Competitive pay with annual performance reviews and merit-based raises
  • Career growth potential
  • Annual on-site voluntary Flu Vaccines
  • Employee referral bonus program

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