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Remote Prior Authorization Jobs in Renton, WA (NOW HIRING)

H.B Fuller

Sales Professional

Seattle, WA · Remote

The position offers high autonomy, flexibility, and ownership while partnering with a remote ... Work Authorization: Authorization to work in the country of employment Preferred Requirements

DocuSign

Sr. Sales Strategy & Operations Analyst

Seattle, WA · On-site +1

$105.80K - $163.45K/yr

Prior experience in B2B GTM strategy (especially SaaS) * Strong analytical skills * Proven ability ... Applicants must already be authorized to work in the United States on a full-time, permanent basis ...

DocuSign

Market Development Representative

Seattle, WA · On-site +1

$24 - $31.28/hr

Prior experience in the SaaS industry * Driven, enthusiastic and hard-working nature * Ability to ... Applicants must already be authorized to work in the United States on a full-time, permanent basis ...

DocuSign

Sales Development Representative

Seattle, WA · On-site +1

$23.40 - $31.95/hr

Prior experience working in sales * A driven, enthusiastic and hard-working nature * The ability to ... Applicants must already be authorized to work in the United States on a full-time, permanent basis ...

Molina Healthcare

Registered Nurse

Seattle, WA · Remote

$29.05 - $67.97/hr

Job Duties • Facilitates medical review of prospective, retrospective, and concurrent review of appeals for denied prior authorizations. Includes standard and expedited cases, inpatient, outpatient ...

Molina Healthcare

Registered Nurse

Bellevue, WA · Remote

$29.05 - $67.97/hr

Job Duties • Facilitates medical review of prospective, retrospective, and concurrent review of appeals for denied prior authorizations. Includes standard and expedited cases, inpatient, outpatient ...

Molina Healthcare

Registered Nurse

Seattle, WA · Remote

$29.05 - $67.97/hr

Job Duties • Facilitates medical review of prospective, retrospective, and concurrent review of appeals for denied prior authorizations. Includes standard and expedited cases, inpatient, outpatient ...

Molina Healthcare

Registered Nurse

Seattle, WA · Remote

$29.05 - $67.97/hr

Job Duties • Facilitates medical review of prospective, retrospective, and concurrent review of appeals for denied prior authorizations. Includes standard and expedited cases, inpatient, outpatient ...

Molina Healthcare

Registered Nurse

Seattle, WA · Remote

$29.05 - $67.97/hr

Job Duties • Facilitates medical review of prospective, retrospective, and concurrent review of appeals for denied prior authorizations. Includes standard and expedited cases, inpatient, outpatient ...

Molina Healthcare

Registered Nurse

Seattle, WA · Remote

$29.05 - $67.97/hr

Job Duties • Facilitates medical review of prospective, retrospective, and concurrent review of appeals for denied prior authorizations. Includes standard and expedited cases, inpatient, outpatient ...

Molina Healthcare

Registered Nurse

Seattle, WA · Remote

$29.05 - $67.97/hr

Job Duties • Facilitates medical review of prospective, retrospective, and concurrent review of appeals for denied prior authorizations. Includes standard and expedited cases, inpatient, outpatient ...

Molina Healthcare

Registered Nurse

Renton, WA · Remote

$29.05 - $67.97/hr

Job Duties • Facilitates medical review of prospective, retrospective, and concurrent review of appeals for denied prior authorizations. Includes standard and expedited cases, inpatient, outpatient ...

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Remote Prior Authorization information

See Renton, WA salary details

$15

$23

$36

How much do remote prior authorization jobs pay per hour?

As of May 31, 2026, the average hourly pay for remote prior authorization in Renton, WA is $23.50, according to ZipRecruiter salary data. Most workers in this role earn between $19.47 and $25.96 per hour, depending on experience, location, and employer.

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 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.

More about Remote Prior Authorization jobs
What are the most commonly searched types of Prior Authorization jobs in Renton, WA? The most popular types of Prior Authorization jobs in Renton, WA are:
What are popular job titles related to Remote Prior Authorization jobs in Renton, WA? For Remote Prior Authorization jobs in Renton, WA, the most frequently searched job titles are:
What job categories do people searching Remote Prior Authorization jobs in Renton, WA look for? The top searched job categories for Remote Prior Authorization jobs in Renton, WA are:
What cities near Renton, WA are hiring for Remote Prior Authorization jobs? Cities near Renton, WA with the most Remote Prior Authorization job openings:
Remote Prior Authorization jobs near you

Oncology Clinical Pharmacy Specialist

Shields Health Solutions

Seattle, WA • Remote

$61.06 - $71.63/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 22 hours ago

Shields Health Solutions rating

8.3

Company rating: 8.3 out of 10

Based on 38 frontline employees who took The Breakroom Quiz

11th of 98 rated pharmacies

Job description

Clinical Pharmacy Specialist, Oncology

Join our Shields team today! Shields Health Solutions is redefining patient care through health-system integrated specialty pharmacy. We're hiring an Ambulatory Oncology Clinical Pharmacy Specialist who will play a hands-on role in elevating patient care at a nationally recognized Academic Medical Center. In this dynamic, patient‑centered position, you'll build meaningful relationships with patients and providers while delivering high‑quality medication management. You'll work remotely, collaborating directly with care teams and practicing under a Collaborative Practice Agreement (CPA) to conduct virtual patient assessments, order and monitor evidence-based treatment plans, optimize therapy, and resolve medication-related problems.

Location: Remote (Role supports a Providence clinic in Washington State)

  • Potential Locations: Providence Centralia Hospital, Providence Sacred Heart Medical Center, Providence Centralia Hospital

Salary: An employee in this position can expect a salary rate between $127,000 and $149,000 (Hourly Equivalent: Approximately $61.06 - $71.63 per hour, based on a 40-hour workweek.) plus bonus pursuant to the terms of an any bonus plan if applicable. The actual salary will depend on experience, geographic location, and other factors permitted by law.

What You'll Get:

  • $10,000 Sign-on Bonus
  • Salary + Bonus
  • Medical, dental, and vision insurance starting day one
  • 401(k) with match, 4 weeks PTO, 10 paid holidays
  • Paid parental leave, short-term disability, and professional development
  • Access to employee resource groups and wellness programs

What You'll Do:

  • Provide comprehensive medication management, including reconciliation, dose optimization, adherence support, and drug‑level assessments aligned with evidence‑based standards.
  • Partner with physicians, specialists, and interdisciplinary teams to order individualized care plans under a CPA and promote seamless medication coordination.
  • Monitor therapy effectiveness and safety, identify optimization and intervene as appropriate.
  • Support quality‑improvement and REMS initiatives.
  • Provide recommendations to operations by supporting teammates as needed with complex prior authorizations, improving workflows, educating patients, and maintaining ongoing clinical development.

What You Need:

  • Hold a Doctor of Pharmacy (PharmD)
  • Must be licensed pharmacist in Washington
  • Candidate must meet one of the following qualifications:
    • Completion of a PGY2 Oncology Residency
    • Completion of PGY1 Ambulatory Care Residency and at least 3 years of experience as a clinical oncology pharmacist
    • Have at least 3 years of experience as a clinical pharmacist in oncology, including 1 year practicing under a Collaborative Practice Agreement (CPA)
  • Strong communication, organization, and tech skills
  • Empathy, integrity, and a team-first mindset

California residents employed by or applying for work at Shields have certain privacy rights. Please review our: California Workforce Privacy Notice and Privacy Policy.

By providing your mobile number, you agree to receive text messages from Shields Health Solutions related to job opportunities, interview scheduling, and recruiting updates. Message and data rates may apply. You may opt out at any time by replying 'STOP.' Consent is not a condition of employment.

Shields Health Solutions provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

What Shields Health Solutions employees say

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