ZipRecruiter

Log In

2

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

HedgeServ

Investor Services Supervisor

Raleigh, NC · On-site +1

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 ...

Nexora Talent

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 ...

Raymond

Building Envelope Consultant - QAO

Raleigh, NC · On-site +1

Raleigh, NC / Remote (Hybrid options available) About Raymond: We are a progressive, forward ... Authorized to work in the United States. * High school diploma or GED required. * RRO (Registered ...

CEDENT

Director of Preclinical Research

Durham, NC · On-site +1

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 ...

HedgeServ

Treasury Manager

Raleigh, NC · On-site +1

HedgeServ supports employees through a variety of offerings, including remote and hybrid working ... Prior experience in a manager/leadership role * Self-motivated professional with strong leadership ...

previous pagenext page

Showing results 21-40

All JobsPrior Authorization JobsRemote Prior Authorization JobsRemote Prior Authorization Jobs in Raleigh, NC

Remote Prior Authorization information

See Raleigh, NC salary details

$13

$20

$31

How much do remote prior authorization jobs pay per hour?

As of Aug 7, 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 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 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 are popular job titles related to Remote Prior Authorization jobs in Raleigh, NC? For Remote Prior Authorization jobs in Raleigh, NC, the most frequently searched job titles 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:
Remote Prior Authorization jobs near you
Infographic showing various Remote Prior Authorization job openings in Raleigh, NC as of August 2026, with employment types broken down into 79% Full Time, and 21% Part Time. Highlights an 100% Remote job distribution, with an average salary of $42,246 per year, or $20.3 per hour.

Customer Service Representative I (Remote Raleigh, NC)

First Citizens Bank

Raleigh, NC • On-site, Remote

$15.50 - $21.25/hr

Full-time

Posted 6 days ago

First Citizens Bank rating

7.4

Company rating: 7.4 out of 10

Based on 106 frontline employees who took The Breakroom Quiz

108th of 170 rated banks

Job description

Overview

This is a remote role that may only be hired in the following locations: NC
We are looking for candidates who live within 50 miles of our location: 100 E. Tryon Road, Raleigh, NC 27603

Are you looking for a fun and exciting career in the Financial Services Industry?
Are you someone who values integrity?
Are you someone who wants to help valuable customers and resolve issues?
Are you looking for stability?
First Citizens Bank is hiring multiple full-time Customer Service Representatives in our inbound Customer Engagement Center for remote positions. Training will be conducted remote and onsite. After training, candidates have the opportunity to work remote but that may be adjusted at any time based on business-related or performance-based reasons. Candidates must be willing to commute to our office on the 1st day, during the training period, and for other business initiatives as needed.
Bilingual skills (Spanish) are a plus.
Based on the nature of our business, the Bank has certain restrictions on hiring people with criminal histories involving financial crimes, certain drug-related offenses, dishonesty, or breach of trust. Accordingly, we conduct fingerprinting and background checks (criminal, education and verification of previous employment), prior to employment. The Bank will consider qualified candidates with criminal histories in a manner consistent with the requirements of applicable local, state and federal law including Section 19 of the Federal Deposit Insurance Act.
Hours of Operation: Monday - Friday 8am - 9pm EST, Saturday & Sunday 8am - 8pm EST, various full-time schedules available


Responsibilities
  • Client Service - Answers inbound client calls and chats spanning multiple banks and states. Addresses needs ranging from routine balance and transaction questions to more complex issues requiring further research. Utilizes available Bank tools and resources to provide timely, accurate resolution for each client. Maintains high client service standards throughout all activities.
  • Business Proficiency - Serves as a resource on operations, policy, and procedure information to both associates and clients. Maintains current knowledge of client calls regarding retail, commercial, bankcard, and online banking. Communicates enterprise-wide changes and impacts to clients as necessary.
  • Crime Mitigation - Serves as initial point of contact for reported fraud and forgery. Documents the reported activity and takes appropriate action. Actions may include opening, closing, or placing holds on accounts as well as refunding feeds, submitting affidavits, and escalating to the appropriate internal parties.
  • Sales Support - Identifies cross-sales opportunities through client profiles and account detail information. Promotes Bank products to clients and makes referrals to sales teams when possible.

Qualifications

High school diploma or GED with 1 year call center or customer service experience

Additional Requirements:
* Strong verbal and written communication skills
* Working knowledge of PC-based software
* Ability to work in multiple software applications at one time
* Strong keyboard skills
* Ability to multi-task in a fast-paced environment
* Ability to display professionalism while interacting with others

Other Preferred Qualifications:
* Call center experience
* Bachelor’s degree
* Financial Services experience
* Bilingual (Spanish)

Benefits are an integral part of total rewards and First Citizens Bank is committed to providing a competitive, thoughtfully designed and quality benefits program to meet the needs of our associates. More information can be found at https://jobs.firstcitizens.com/benefits.

Qualifications:

High school diploma or GED with 1 year call center or customer service experience

Additional Requirements:
* Strong verbal and written communication skills
* Working knowledge of PC-based software
* Ability to work in multiple software applications at one time
* Strong keyboard skills
* Ability to multi-task in a fast-paced environment
* Ability to display professionalism while interacting with others

Other Preferred Qualifications:
* Call center experience
* Bachelor’s degree
* Financial Services experience
* Bilingual (Spanish)

Benefits are an integral part of total rewards and First Citizens Bank is committed to providing a competitive, thoughtfully designed and quality benefits program to meet the needs of our associates. More information can be found at https://jobs.firstcitizens.com/benefits.

Education:UNAVAILABLEEmployment Type: FULL_TIME

What First Citizens Bank employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply