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Remote Prior Authorization Jobs in Raleigh, NC (NOW HIRING)

HedgeServ supports employees through a variety of offerings, including remote and hybrid working ... authorized person. * Review distribution of Fund Performance in line with client requirements prior ...

Remote- Customer Experience Service

Raleigh, NC · Remote

$15.50 - $21.25/hr

Customer Experience Service (Remote) We are seeking a detail-oriented Customer Experience Service to support clients throughout their journey. In this role, you will assist with coordinating client ...

Senior Analyst Retirement

Cary, NC · Remote

$65K - $104K/yr

... open to remote candidates located in the US (#LI-Remote). Main Accountabilities: * Manage ... Must have prior experience with a Human Resources Information System * Must maintain confidential ...

Local or remote candidates are encouraged to apply * Preferred start date is August 2025 ... At least 5 years of industry experience in oncology R&D * Prior experience building and maintaining ...

This position offers the flexibility of a remote work schedule and can be based from a variety of ... Performs self-check of work prior to submitting to others for review/approval. Qualifications ...

New

This position offers the flexibility of a remote work schedule and can be based from a variety of ... Performs self-check of work prior to submitting to others for review/approval. Qualifications ...

Remote Customer Service Representative

Raleigh, NC · On-site +1

$15.50 - $21.25/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

Remote Customer Service Representative

Raleigh, NC · Remote

$15.50 - $21.25/hr

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 ...

Medical Assistant (on-site)

Raleigh, NC · On-site +1

$15.75 - $20/hr

Please note that this is not a remote position.* Principal Duties and Responsibilities* Technical requirements * Accurately perform basic patient assessment activities (e.g. heights, weights, temps ...

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Remote Prior Authorization information

See Raleigh, NC salary details

$13

$20

$31

How much do remote prior authorization jobs pay per hour?

As of Jun 29, 2026, the average hourly pay for remote prior authorization in Raleigh, NC is $20.31, according to ZipRecruiter salary data. Most workers in this role earn between $16.83 and $22.45 per hour, depending on experience, location, and employer.

What are remote prior authorization jobs?

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 Are Remote Prior Authorization Jobs?

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 most commonly searched types of Prior Authorization jobs in Raleigh, NC? The most popular types of Prior Authorization jobs in Raleigh, NC are:
What job categories do people searching Remote Prior Authorization jobs in Raleigh, NC look for? The top searched job categories for Remote Prior Authorization jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Remote Prior Authorization jobs? Cities near Raleigh, NC with the most Remote Prior Authorization job openings:
Infographic showing various Remote Prior Authorization job openings in Raleigh, NC as of June 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $42,246 per year, or $20.3 per hour.
Health Technician (Hearing Instrument Specialist)

Health Technician (Hearing Instrument Specialist)

Veterans Health Administration

Durham, NC • On-site, Remote

$42K - $61K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 24 days ago


Veterans Health Administration rating

8.1

Company rating: 8.1 out of 10

Based on 976 frontline employees who took The Breakroom Quiz

67th of 877 rated healthcare providers


Job description

Summary
This position is located in the Audiology Service at the Durham VA Medical Center in Durham, NC. The duties and responsibilities are to be carried out in all clinical and other patient care areas involved with the Audiology service. The health technician supports the function of the clinical programs in Audiology.
This is an OPEN CONTINUOUS ANNOUNCEMENT and will remain open until September 30, 2026. Qualified applicants will be considered and referred as vacancies become available.
Learn more about this agency
Duties
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Duties Include but are not limited to:
  • Patient instruction and counseling on hearing loss or hearing aids either on an individual basis or in a group setting.
  • Providing basic hearing aid information for patients and caregivers.
  • Performing listening checks on hearing aids.
  • Programming previously stored settings into hearing aids; Activating remote controls.
  • Pairing hearing aids and accessories via Bluetooth technology.
  • Maintenance of clean, disinfected instrumentation, equipment, and work surfaces in the audiology clinic.
  • Reprocessing reusable medical equipment based on facility policy according to Medical Center infection control procedures and reusable medical equipment policies.
  • Responding to routine inquiries from patients, including determining nature of hearing aid inquiry and responding to administrative questions.
  • Packaging and mailing hearing aids and accessories.
  • Scheduling appointments.
  • Verifying orders upon arrival to ensure components are present and working correctly.

Work Schedule: Monday-Friday, 8:00am-4:30pm
Recruitment Incentive (Sign-on Bonus): Not Authorized
Permanent Change of Station (Relocation Assistance): Not Authorized
Pay: Competitive salary and regular salary increases. When setting pay, a higher step rate of the appropriate grade may be determined after consideration of higher or unique qualifications or special needs of the VA (Above Minimum Rate of the Grade).
Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year)
Selected applicants may qualify for credit toward annual leave accrual, based on prior [work experience] or military service experience.
Parental Leave: After 12 months of employment, up to 12 weeks of paid parental leave in connection with the birth, adoption, or foster care placement of a child.
Child Care Subsidy: After 60 days of employment, full time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66
Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA
Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)
Telework: Not Available
Virtual: This is not a virtual position.
Functional Statement #: 000000
Permanent Change of Station (PCS): Not Authorized
This announcement will remain open, unless a selection is made before the closing date.
Requirements
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Conditions of employment
  • You must be a U.S. Citizen to apply for this job.
  • All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA.
  • Selective Service Registration is required for males born after 12/31/1959.
  • Must be proficient in written and spoken English.
  • Subject to background/security investigation.
  • Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
  • Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
  • Complete all application requirements detailed in the "Required Documents" section of this announcement.

As a condition of employment for accepting this position, you will be required to serve a 1 or 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest. In determining if your employment advances the public interest, we may consider:
  • your performance and conduct;
  • the needs and interests of the agency;
  • whether your continued employment would advance organizational goals of the agency or the Government; and
  • whether your continued employment would advance the efficiency of the Federal service.

Upon completion of your trial period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.
Qualifications
Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met.
Basic Requirements:
  • United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
  • English Language Proficiency. Health Technician (HIS) candidates must be proficient in spoken and written English in accordance with 38 U.S.C. § 7403(f).
  • Experience and Education:
    • Experience. Completion of the Department of Labor Apprenticeship Program for Hearing Aid Specialists; OR,
    • Education. Successful completion of two academic years above high school that includes coursework related to the field: hearing science, human anatomy and physiology, hearing instrument science, gerontology, psychology or other general healthcare areas.
  • Foreign Education. To be creditable, education completed outside the U.S. must be deemed at least equivalent to that gained in a conventional U.S. program by a private organization specializing in the interpretation of foreign educational credentials.

NOTE: There is no combination of education and experience which can be substituted for the basic requirements.
  • Licensure or Registration. Individuals must hold a full, current and unrestricted license or registration to practice as a HIS in a state, territory, commonwealth or the District of Columbia.
  • Board Certification. Individuals must hold active board certification from the National Board for Certification in Hearing Instrument Sciences (NBC-HIS).

May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria).
Grade Determinations: In addition to the basic requirements outlined in paragraph 3, the following criteria must be met when determining the grade of candidates.
Health Technician (HIS), GS-05.
(1) Experience. None beyond the basic requirements.
(2) Knowledge, Skills and Abilities. In addition to the experience above, the candidate must demonstrate the following KSAs:
  • Knowledge of basic anatomy of the head and neck.
  • Knowledge of basic infection control procedures and guidelines.
  • Skill in using basic computer software to complete tasks such as using email, creating spreadsheets and word processing.
  • Ability to communicate orally and in writing.
  • Ability to follow verbal and written instructions.
  • Ability to maintain stock and supply level inventories.

Health Technician (HIS), GS-06:
(1) Experience. One year of experience equivalent to the next lower grade (GS-5). To be creditable, this experience must be equivalent to the next lower grade level, GS-5, and demonstrate the knowledge, skills, and abilities associated with current Health Technician (Hearing Instrument Specialist) responsibilities. Experience at this level includes but is not limited to: performing non-diagnostic otoscopy including proper bracing techniques and making appropriate referrals for abnormalities and cerumen management; rechecking air-conduction pure tone threshold testing to assist the audiologist in modifying the treatment plan during hearing aid repair appointments; providing patient care in hearing aid repair appointments, consistent with the audiologist's treatment plan; completing visual and auditory checks with listening stethoscope of hearing aids prior to and following repair of device (troubleshoots performance); processing incoming devices from patients with concerns related to their hearing aids or hearing assistive technology; preparing and charging (if required) hearing aids and assistive devices for delivery; receiving devices and restoring settings of hearing aid/hearing assistive technology after repair or replacement from manufacturer, such as Denver Logistics Center (DLC); and maintaining proper levels of mailing/shipping supplies.
(2) Knowledge, Skills and Abilities. In addition to the experience above, the candidate must demonstrate the following KSAs:
  • Knowledge of normal and abnormal ear anatomy.
  • Knowledge of hearing aids, hearing assistive technology, hearing aid manufacturers and manufacturer software.
  • Skill in documenting patient procedures and patient devices.
  • Skill in providing patient education for hearing aid use, to include assisting patient with hearing aid insertion, removal and hygiene (cleaning and disinfection).
  • Ability to provide patient education and training regarding hearing loss and communication strategies for various listening situations.
  • Ability to solve problems or make decisions regarding hearing aids, hearing assistive technology and patient care that is consistent with the documented and co-signed plan of care under the supervision of an audiologist.
  • Ability to prepare patient, equipment, and/or environment for audiology procedures.
  • Ability to provide triage of patient telephone calls or audiology requests.

Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.
The full performance level of this vacancy is GS-06. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-05 to GS-06.
Physical Requirements: See VA Directive and Handbook 5019, Employee Occupational Health Service for requirements.
Education
Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.
Additional information
Receiving Service Credit for Earning Annual (Vacation) Leave: Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. Selected applicants may qualify for credit toward annual leave accrual, based on prior work experience or military service experience. This credited service can be used in determining the rate at which they earn annual leave. Such credit must be requested and approved prior to the appointment date and is not guaranteed.
During the application process you may have an option to opt-in to make your resume available to hiring managers in the agency who have similar positions. Opting in does not impact your application for this announcement, nor does it guarantee further consideration for additional positions.
This job opportunity announcement may be used to fill additional vacancies.
This position is in the Excepted Service and does not confer competitive status.
VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority.
If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement.
Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.
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Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.
Benefits
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A career with the U.S. government provides employees with a comprehensive benefits package. As a feder

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About Veterans Health Administration

Sourced by ZipRecruiter

The Veterans Health Administration (VHA) is the largest integrated health care system in the United States, serving millions of Veterans each year. Located in Phoenix, AZ, and many other parts of the US, the VHA operates under the Department of Veteran Affairs, as suggested by their official website va.gov. The VHA is dedicated to providing the highest level of comprehensive care to its veterans. The organization offers a broad spectrum of medical, surgical, and rehabilitative care, including mental health services, research, and pharmacy benefits.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Phoenix, AZ, US