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Remote Prior Authorization Jobs in Riverside, CA

Inspire Healthcare

Internal Medicine job in Pomona CA

Pomona, CA · Remote

$250K - $350K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

We are seeking a Remote Medical Director for a non-clinical role focused on prior authorization and medical necessity reviews. No direct patient care is required. Candidates must reside in the LAarea ...

Inspire Healthcare

Medical Director job in Pomona CA

Pomona, CA · Remote

$250K - $350K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

We are seeking a Remote Medical Director for a non-clinical role focused on prior authorization and medical necessity reviews. No direct patient care is required. Candidates must reside in the LAarea ...

MCKESSON

Field Reimbursement Manager

Anaheim, CA · 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 ...

LIBERTY DENTAL

Senior Director, Dental (Medicaid)

Tustin, CA · On-site +1

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Oversee dental prior authorization, retrospective review, appeals, and utilization management ... Remote or hybrid work options available for various positions. Compensation In the spirit of pay ...

Jobot

Senior Trust & Estate Litigation Attorney - REMOTE

Irvine, CA · On-site +1

$200K - $350K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Prior experience managing junior attorneys or paralegals is a plus Interested in hearing more? Easy ... Sometimes Jobot is required to perform background checks with your authorization. Jobot will ...

COMPASSUS

Insurance Specialist

Anaheim, CA · Remote

$20 - $35/hr

Compassus This is a remote position for candidates located in the Central Time Zone. Position ... One (1) or more years of insurance authorization experience preferred. * Prior experience in the ...

COMPASSUS

Insurance Specialist

Anaheim, CA · Remote

$20 - $35/hr

Compassus This is a remote position for candidates located in the Pacific Time Zone. Initial ... One (1) or more years of insurance authorization experience preferred. * Prior experience in the ...

COMPASSUS

Insurance Specialist

Mission Viejo, CA · Remote

$20 - $35/hr

Compassus This is a remote position for candidates located in the Central Time Zone. Position ... One (1) or more years of insurance authorization experience preferred. * Prior experience in the ...

COMPASSUS

Insurance Specialist

Mission Viejo, CA · Remote

$20 - $35/hr

Compassus This is a remote position for candidates located in the Central Time Zone. Position ... One (1) or more years of insurance authorization experience preferred. * Prior experience in the ...

Orion Lending

Be Seen First

Mortgage Funder (remote)

Orange, CA · Remote

$31.25/hr

  • Medical

  • Dental

  • Vision

  • Life

... prior to closing · Verify and set up lender wire for closing · Obtain necessary funding documents from settlement agents for review and issue a funding authorization for disbursement · Working ...

GTT, LLC

Customer Service Representative

Irvine, CA · Remote

$22 - $24/hr

  • Medical

  • Dental

  • Vision

  • Retirement

Remote Contract Details * Position Type: Contract * Contract Duration: 3 months * Pay range: $22 ... Work Authorization: Applicants must be authorized to work for ANY employer in the U.S. We are ...

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All JobsPrior Authorization JobsRemote Prior Authorization JobsRemote Prior Authorization Jobs in Riverside, CA

Remote Prior Authorization information

See Riverside, CA salary details

$14

$21

$33

How much do remote prior authorization jobs pay per hour?

As of Aug 15, 2026, the average hourly pay for remote prior authorization in Riverside, CA is $21.80, according to ZipRecruiter salary data. Most workers in this role earn between $18.08 and $24.09 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 Riverside, CA?

The most popular types of Prior Authorization jobs in Riverside, CA are:

What are popular job titles related to Remote Prior Authorization jobs in Riverside, CA?

For Remote Prior Authorization jobs in Riverside, CA, the most frequently searched job titles are:

What job categories do people searching Remote Prior Authorization jobs in Riverside, CA look for?

The top searched job categories for Remote Prior Authorization jobs in Riverside, CA are:

What cities near Riverside, CA are hiring for Remote Prior Authorization jobs?

Cities near Riverside, CA with the most Remote Prior Authorization job openings:

Remote Prior Authorization jobs near you
Infographic showing various Remote Prior Authorization job openings in Riverside, CA as of August 2026, with employment types broken down into 75% Full Time, and 25% Part Time. Highlights an 100% Remote job distribution, with an average salary of $45,340 per year, or $21.8 per hour.

Physician Medical Director - Competitive Salary

Inspire Healthcare

Pomona, CA • Remote

$250K - $350K/yr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 24 days ago

Job description

We are seeking a Remote Medical Director for a non-clinical role focused on prior authorization and medical necessity reviews. No direct patient care is required. Candidates must reside in the LAarea and be available for occasional on-site meetings and trainings.

Responsibilities
  • Review prior authorization requests and determine medical necessity using evidence-based clinical guidelines.
  • Approve, deny, modify, or redirect services as appropriate.
  • Collaborate with nurses, physicians, and care management teams to support high-quality, cost-effective care.
  • Participate in appeals, grievance reviews, retrospective claims reviews, and quality improvement initiatives.
  • Serve as a clinical resource to providers on utilization management and patient care issues.
Qualifications
  • MD or DO degree required.
  • Board Certification in Internal Medicine strongly preferred.
  • Minimum 5 years of clinical experience required.
  • 2+ years of managed care, health plan, or utilization management experience preferred.
  • Strong knowledge of prior authorization processes and medical necessity criteria.
  • Excellent communication, organizational, and decision-making skills.
  • Proficiency with Microsoft Office and remote work technology.
Compensation & Benefits
  • Salary: $250,000"$350,000 annually DOE.
  • Comprehensive benefits package including medical, dental, vision, 401(k), paid time off, life insurance, FSA, tuition reimbursement, CME/license reimbursement, and employee assistance programs.

This is an excellent opportunity to join one of Southern California's fastest-growing physician organizations in a leadership role that supports quality patient care while maintaining work-life balance.

Apply