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Remote Prior Authorization Jobs in Moncks Corner, SC

micro1 AI

Clinical Pharmacy Technicians

Charleston, SC · Remote

$70 - $80/hr

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 ...

micro1 AI

Clinical Pharmacy Technicians

Charleston, SC · Remote

$70 - $80/hr

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 ...

All JobsPrior Authorization JobsRemote Prior Authorization JobsRemote Prior Authorization Jobs in Moncks Corner, SC

Remote Prior Authorization information

See Moncks Corner, SC salary details

$12

$18

$28

How much do remote prior authorization jobs pay per hour?

As of Aug 12, 2026, the average hourly pay for remote prior authorization in Moncks Corner, SC is $18.35, according to ZipRecruiter salary data. Most workers in this role earn between $15.19 and $20.24 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 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 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 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.

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.

More about Remote Prior Authorization jobs
What are popular job titles related to Remote Prior Authorization jobs in Moncks Corner, SC? For Remote Prior Authorization jobs in Moncks Corner, SC, the most frequently searched job titles are:
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What cities near Moncks Corner, SC are hiring for Remote Prior Authorization jobs? Cities near Moncks Corner, SC with the most Remote Prior Authorization job openings:
Remote Prior Authorization jobs near you
Infographic showing various Remote Prior Authorization job openings in Moncks Corner, SC as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 17% Part Time, 1% Temporary, and 3% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $38,160 per year, or $18.3 per hour.

Insurance AR Specialist - Remote

Surgical Information Systems

Charleston, SC • Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 4 days ago

Job description

For 30 years, Surgical Information Systems (SIS) has empowered surgical providers to Operate Smart™ by delivering innovative software and services that drive clinical, financial, and operational success. For ambulatory surgery centers (ASCs), SIS provides comprehensive software and services, including ASC management, electronic health records (EHRs), patient engagement capabilities, compliance technology, and revenue cycle management and transcription services, all built specifically for ASCs. For hospital perioperative teams, SIS offers an easy-to-use anesthesia information management system (AIMS). 

Serving over 2,900 surgical facilities, SIS is committed to delivering solutions that enable surgical providers to focus on what matters most: delivering exceptional patient care and outcomes.

Recognized as the No. 1 ASC EHR vendor by Black Book for 11 consecutive years and honored with the Best in KLAS Award for ASC Solutions in 2026, 2025, 2023, and 2022, SIS remains the trusted choice for surgical providers seeking to enhance their performance.

Discover how SIS can help you Operate Smart™ at sisfirst.com.

THIS IS A REMOTE POSITION

This is an exciting opportunity to join a dynamic and growing Revenue Cycle Services (RCS) team that is actively expanding to support our continued success—all in a fully remote environment. The AR Specialist plays an important role in supporting the financial outcomes of our clients by working insurance accounts receivable for Ambulatory Surgical Centers and Clinics, including followup, denial resolution, and appeal submissions. As we continue to add to our team, this remote position offers the chance to join a collaborative, forwardmoving company where your contributions make a direct impact and your work is truly valued.

ESSENTIAL DUTIES/ RESPONSIBILITIES:

  • Work assigned insurance accounts receivable with accuracy, efficiency, and a strong sense of ownership
  • Proactively follow up on outstanding claims and insurance denials to ensure timely resolution
  • Research, prepare, submit, and track insurance appeals, including ongoing appeal followup
  • Communicate effectively with insurance representatives to resolve claim issues and obtain payment
  • Apply strong organizational and timemanagement skills to prioritize daily workloads and meet deadlines
  • Interpret managed care contracts, including fee schedules and allowable amounts, to support collection efforts
  • Work confidently with nonparticipating providers and payer guidelines
  • Maintain a clear understanding of the insurance collection process and apply best practices consistently
  • Identify issues and resolve problems independently, using sound judgment and attention to detail
  • Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time

EDUCATION DESIRED:

High school graduate or GED certification

SPECIFIC KNOWLEDGE & SKILLS REQUIRED:

  • Solid knowledge of medical billing processes, insurance guidelines, and the insurance appeals lifecycle
  • Prior experience in healthcare insurance collections, preferably in an ambulatory or clinical setting
  • Proficiency with computers and Windowsbased software systems
  • Strong written and verbal communication skills with excellent command of the English language
  • Ability to work cooperatively and professionally with teammates, patients, and external partners
  • Customerfocused mindset with the ability to represent the company positively to patients, insurance carriers, and the general public
  • Must have a minimum of 50Mbps internet download speed to effectively run SIS Systems

    BENEFITS:

    • Benefit package including Medical, Vision, Dental, Short Term Disability, Long Term Disability, and Life Insurance
    • Vacation/Sick time
    • 401(k) retirement plan with company match
    • Paid Holidays
    • SIS Cares Day
    • Hybrid or Remote environment depending on the role

    We believe employees are our greatest asset and we empower them to make a difference in our business. Diversity and inclusion makes us all better. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, age, disability, protected veteran status, and all other protected statuses

    Surgical Information Systems is an Equal Opportunity Employer and complies with applicable employment laws. M/F/D/V/SO are encouraged to apply.

    At this time we are unable to sponsor H1B candidates

    Apply