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Remote Prior Authorization Jobs in Rochester, MI

Integra Partners

Medical Coding Specialist

Troy, MI · On-site +1

$65K - $65K/yr

Prior Authorization Program Support • Develop, validate, and maintain Prior Authorization code ... Career development opportunities Remote Opportunities We are actively seeking new colleagues in:

Integra Partners

Medical Coding Specialist

Troy, MI · Remote

$65K - $65K/yr

Prior Authorization Program Support • Develop, validate, and maintain Prior Authorization code ... Career development opportunities Remote Opportunities We are actively seeking new colleagues in:

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Remote Prior Authorization information

See Rochester, MI salary details

$12

$19

$29

How much do remote prior authorization jobs pay per hour?

As of Jul 27, 2026, the average hourly pay for remote prior authorization in Rochester, MI is $19.23, according to ZipRecruiter salary data. Most workers in this role earn between $15.91 and $21.25 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.

More about Remote Prior Authorization jobs
What job categories do people searching Remote Prior Authorization jobs in Rochester, MI look for? The top searched job categories for Remote Prior Authorization jobs in Rochester, MI are:
What cities near Rochester, MI are hiring for Remote Prior Authorization jobs? Cities near Rochester, MI with the most Remote Prior Authorization job openings:
Remote Prior Authorization jobs near you
Infographic showing various Remote Prior Authorization job openings in Rochester, MI as of July 2026, with employment types broken down into 1% As Needed, 85% Full Time, 11% Part Time, and 3% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution, with an average salary of $40,002 per year, or $19.2 per hour.
Patient Support Supervisor - Certified Pharmacy Technician, Prior Authorizations

Patient Support Supervisor - Certified Pharmacy Technician, Prior Authorizations

Shields Health Solutions

Detroit, MI • Remote

$17.75 - $21.75/hr

Full-time

PTO

This job post has expired today. Applications are no longer accepted.

Shields Health Solutions rating

8.3

Company rating: 8.3 out of 10

Based on 39 frontline employees who took The Breakroom Quiz

11th of 109 rated pharmacies

Job description

🌟 Patient Support Supervisor (Specialty Pharmacy)

📍 Location: Remote – supporting Northeast (EST Zone)

🚀 About the Role

Shields Health Solutions is seeking a Patient Support Supervisor to lead a high-performing team within our Patient Support Center. This is an ideal opportunity for a motivated, service-oriented leader with a background in pharmacy or healthcare operations who thrives in a fast-paced, growth-focused environment.

The ideal candidate is a results-driven self-starter who is passionate about patient care, team development, and operational excellence, with proven experience managing front-line employees and driving performance.

💼 Position Summary

The Patient Support Supervisor is a key leadership role responsible for overseeing daily operations of a Patient Support team and ensuring patients receive medications efficiently, accurately, and on time.

This role partners closely with internal teams and hospital stakeholders to:

  • Meet service level agreements (SLAs)
  • Ensure adoption of best practices
  • Drive team performance, engagement, and development

🔑 Key Responsibilities

👥 Team Leadership & Operations

  • Lead, coach, and manage a team of Patient Support Associates to ensure medication adherence, prior authorization completion, and financial assistance support
  • Provide ongoing performance management, training, and mentorship
  • Manage staffing, scheduling, PTO, and time reporting (ADP)
  • Step in to support workload during peak or short-staffed periods

🏥 Patient & Partner Coordination

  • Ensure patients receive medications on time and without barriers
  • Partner with hospital/clinic stakeholders through regular meetings and collaboration calls
  • Maintain strong working relationships with pharmacy and clinical teams

📊 Workflow & Performance Management

  • Monitor and ensure achievement of service level metrics and quality standards
  • Conduct audits, oversee system workflows, and manage responsiveness to incoming requests
  • Establish and optimize workflows between Patient Support, liaison teams, and clinical integration teams

🔄 Process Improvement & Support

  • Identify and implement operational improvements and best practices
  • Support data, analytics, contracting, and special projects
  • Provide troubleshooting, guidance, and issue resolution for team members and partners

⚙️ Administrative & Coordination

  • Assist with hiring, onboarding, training coordination, and system access setup
  • Maintain confidentiality of sensitive patient and business data

✅ Qualifications

📜 Licensure & Experience

  • Active Pharmacy Technician license/registration (state-specific)
  • National certification (CPhT) required
  • 3+ years pharmacy technician experience (specialty pharmacy preferred)
  • Prior leadership experience (formal or informal) strongly preferred

🎓 Education

  • High School Diploma or GED (required)
  • Bachelor's degree (preferred or in progress)
  • Leadership/management training (preferred)

💡 Skills & Competencies

  • Strong leadership, communication, and team development skills
  • Ability to influence, collaborate, and drive results across teams
  • Solid operational and analytical skills; ability to identify trends and improve performance
  • Proficiency in Microsoft Excel and Word (data analysis, reporting)
  • Experience with pharmacy/EMR systems (Willow, QS1, RX30 preferred)
  • Highly organized, detail-oriented, and patient-focused
  • Ability to manage multiple priorities and maintain confidentiality

🌍 Additional Requirements

  • Ability to lead both remote and on-site teams
  • Willingness to travel up to 20% (if outside core locations)

🎯 Why Join Shields?
  • 🌱 Fast-growing leader in specialty pharmacy
  • ❤️ Mission-driven, patient-first culture
  • 📈 Strong career growth and leadership development opportunities
  • 🤝 Collaborative and supportive environment

🔍 SEO Keywords

Patient Support Supervisor, Pharmacy Supervisor, Specialty Pharmacy, Pharmacy Technician Supervisor, Healthcare Operations, Patient Access, Prior Authorization, Medication Adherence, Care Coordination, Patient Support Center, Pharmacy Team Lead

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.

Solid computer skills are required, including proficiency in Microsoft Office tools (Outlook, Teams, Word, Excel, and PowerPoint) for communication, documentation, and data management, as well as, navigating the internet and web-based platforms. Data entry and computer skills will be evaluated through an assessment as part of the pre-employment process.

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.

Shields Health Solutions is committed to providing an inclusive hiring experience; if you need assistance or accommodation during the application or interview process, please email talentacquisition@shieldsrx.com.

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