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Remote Prior Authorization Jobs in Reston, VA (NOW HIRING)

MCKESSON

Field Reimbursement Manager

Arlington, VA · On-site +1

... Prior Authorization, Claims Assistance, and Appeals) and educating the office on Payer landscape and services available through both remote interaction and on-site training. This position is client ...

MCKESSON

Field Reimbursement Manager

Fairfax, VA · On-site +1

... Prior Authorization, Claims Assistance, and Appeals) and educating the office on Payer landscape and services available through both remote interaction and on-site training. This position is client ...

MCKESSON

Field Reimbursement Manager

Woodbridge, VA · On-site +1

... Prior Authorization, Claims Assistance, and Appeals) and educating the office on Payer landscape and services available through both remote interaction and on-site training. This position is client ...

MCKESSON

Field Reimbursement Manager

Alexandria, VA · On-site +1

... Prior Authorization, Claims Assistance, and Appeals) and educating the office on Payer landscape and services available through both remote interaction and on-site training. This position is client ...

US Fertility, LLC

Financial Educator Remote

Annandale, VA · On-site +1

$23 - $27/hr

Opportunity Overview We have an immediate opening for an Financial Educator Remote to join our team ... Perform aspects of benefit verification and prior authorization * Provide ongoing financial ...

US Fertility

Financial Educator Remote

Annandale, VA · On-site +1

$23 - $27/hr

Opportunity Overview We have an immediate opening for an Financial Educator Remote to join our team ... Perform aspects of benefit verification and prior authorization * Provide ongoing financial ...

ICF

Salesforce PSS Developer DHS (Remote)

Reston, VA · Remote

$57.75 - $76.50/hr

Remote work is authorized. Must supportUS Eastern time zoneworking hours. What You Will Do ... Prior experienceperformingDevOpsactivitiesincluding package creation & deployment,code scan ...

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Remote Prior Authorization information

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How much do remote prior authorization jobs pay per hour?

As of Aug 11, 2026, the average hourly pay for remote prior authorization in Reston, VA is $21.74, according to ZipRecruiter salary data. Most workers in this role earn between $18.03 and $23.99 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 Reston, VA? The most popular types of Prior Authorization jobs in Reston, VA are:
What are popular job titles related to Remote Prior Authorization jobs in Reston, VA? For Remote Prior Authorization jobs in Reston, VA, the most frequently searched job titles are:
What job categories do people searching Remote Prior Authorization jobs in Reston, VA look for? The top searched job categories for Remote Prior Authorization jobs in Reston, VA are:
What cities near Reston, VA are hiring for Remote Prior Authorization jobs? Cities near Reston, VA with the most Remote Prior Authorization job openings:
Remote Prior Authorization jobs near you
Infographic showing various Remote Prior Authorization job openings in Reston, VA as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 19% Part Time, 1% Temporary, and 2% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $45,213 per year, or $21.7 per hour.

Authorizations Specialist (Remote)

Autism FIRST

Herndon, VA • Remote

$25 - $27/hr

Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 3 days ago

Job description

Why You’ll Love this ABA Authorizations Specialist Job!Join Autism FIRST and play a critical role in helping children and families access life-changing ABA services - without delays. In this role, you’ll manage insurance authorizations from start to finish, ensuring approvals are secured quickly and accurately so care can begin and continue seamlessly.
If you’re detail-oriented, thrive in a fast-paced environment, and have experience navigating insurance processes and systems like CentralReach, this is a great opportunity to make a meaningful impact behind the scenes.Position Details
  • Position Type: Full-Time
  • Schedule:
    • Monday – Friday
    • 9:00 AM – 5:00 PM
  • Pay: $55,000 – $60,000 per year
Why Autism FIRST?
  • Competitive salary
  • Medical, Dental & Vision Insurance
  • 401(k)
  • Paid Time Off
  • Life Insurance
  • Referral Program
Make a difference that matters. Join Autism FIRST and help ensure families can access the care they need - when they need it! Required Skills
  • 1–3 years of experience in medical authorizations (ABA or behavioral health preferred)
  • Strong knowledge of Medicaid and commercial insurance processes
  • Experience with ABA CPT codes (e.g., 97151, 97153, 97155) preferred
  • Required: Experience with CentralReach - 1 year
  • Required: Experience with insurance portals such as Availity - 1 year
  • Strong attention to detail and organizational skills
  • Excellent communication and follow-up skills
  • Ability to manage multiple priorities in a deadline-driven environment