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Remote Prior Authorization Jobs in Rochester, MN

Mayo Clinic

Senior Specialist HIMS

Rochester, MN · On-site +1

Prefer that the candidate has prior ROI experience and customer service experience. Supports ... This is a hybrid position that is primarily remote. Candidates must reside within 100 miles of a ...

Mayo Clinic

Specialist-HIMS

Rochester, MN · On-site +1

$16.50 - $21.75/hr

... authorizations, requesting historical medical records, and preparing correspondence in response to ... Prefer that the candidate has prior ROI experience and customer service experience. Analyzes ...

Lennar

Field Customer Care Rep

Rochester, MN · Remote

$32.96 - $37/hr

Use remote assistance tools to patiently guide Homeowners through troubleshooting, investigative ... Prior customer service experience required, preferably with a homebuilder. Must possess good ...

All JobsPrior Authorization JobsRemote Prior Authorization JobsRemote Prior Authorization Jobs in Rochester, MN

Remote Prior Authorization information

See Rochester, MN salary details

$13

$21

$32

How much do remote prior authorization jobs pay per hour?

As of Jul 29, 2026, the average hourly pay for remote prior authorization in Rochester, MN is $21.24, according to ZipRecruiter salary data. Most workers in this role earn between $17.60 and $23.46 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 are popular job titles related to Remote Prior Authorization jobs in Rochester, MN? For Remote Prior Authorization jobs in Rochester, MN, the most frequently searched job titles are:
What job categories do people searching Remote Prior Authorization jobs in Rochester, MN look for? The top searched job categories for Remote Prior Authorization jobs in Rochester, MN are:
What cities near Rochester, MN are hiring for Remote Prior Authorization jobs? Cities near Rochester, MN with the most Remote Prior Authorization job openings:
Remote Prior Authorization jobs near you
Infographic showing various Remote Prior Authorization job openings in Rochester, MN 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 $44,176 per year, or $21.2 per hour.
Member Care Champion / Medical Assistant (Rochester, MN)

Member Care Champion / Medical Assistant (Rochester, MN)

Enara Health

Rochester, MN • On-site, Remote

$19 - $21/hr

Part-time

Posted 27 days ago

Job description

About Enara
Enara is a world renowned obesity and medical weight loss start-up, based in Silicon Valley, pioneering the use of data, digital, and clinical treatments to provide personalized plans with measurable results. Enara was founded by people from Stanford, UCSF, Kaiser, ClassPass & Evernote. Our mission is to develop the first ever platform to scale obesity treatment. Our platform allows for the latest breakthroughs in nutrition, exercise, and obesity science to be optimized and delivered in a series of personalized and programmable experiences. Our solutions are disseminated through unified products and services we deploy for the healthcare ecosystem; with a current focus on small to medium sized medical groups and clinics. Our platform has served over 14,000 members and delivers world leading 16%+ weight loss sustained over 3 years. We deliver life changing care to members and we are redesigning the clinic-patient relationship. We are backed by Offline.VC, Charge.VC, VSC, Continuum Ventures, as well as many prominent angels in Silicon Valley.
 
Role
The Member Care Champion is an essential member of the clinical operations team at Enara Health. The ideal candidate will be responsible for overseeing several components of our member journey delivering quality patient care in every step of the way. You will work closely with the clinical and acquisition team performing various tasks that will ensure smooth member flow and efficient operation while streamlining the communication in between departments. We are looking for a warm, passionate team player to join this team to support our physicians, clinical staff and most importantly our members. The MCC will be responsible for adhering to all procedures and practice guidelines promoting communication with all team members, maintaining complete, timely and accurate clinical documentation on site but also online.
Key Responsibilities
  • Check-in Process: Be the friendly face that greets our members, manage the check-in process efficiently, measure and record vital signs accurately, and communicate effectively with our providers.
  • Perform Diagnostic Procedures: Conduct non-invasive diagnostic procedures like body measurements, body composition testing, metabolic testing, and EKGs, all while ensuring accuracy and compliance.
  • Schedule Follow-Up Appointments: Coordinate follow-up appointments, reach out to members who missed their appointments, and assist with rescheduling to keep everything on track.
  • New Member Enrollments: Assist with the onboarding process, including verifying member eligibility, confirming necessary information, and scheduling initial appointments.
  • Provide remote support to our Member Care & Growth Managers (Acquisitions team) by performing lead outreach and following up with missed initials to reschedule them.
  • Manage Inbound/Outbound Communications: Handle phone calls, voicemails, emails, and member app messages with patience and a smile, providing timely and accurate responses.
  • Cross-Department Coordination: Collaborate with other departments to address member concerns and ensure comprehensive and effective solutions.
  • Billing Coordination: Work closely with our billing partners to ensure prior authorization tasks are created and not missed, facilitating smooth processing of member enrollments and services.
  • Lead Outreach: Provide remote support to our acquisitions team by performing lead outreach and follow-up with missed initial appointments, ensuring a seamless enrollment process.
Skills and Attributes
  • Empathy and Professionalism: Understand members' needs and respond with empathy and professionalism.
  • Communication: Showcase excellent written and verbal communication skills for clear and effective interactions.
  • Adaptability: Be flexible and open to change in the fast-paced healthcare environment.
  • Problem-Solving: Think quickly to provide solutions to member issues, ensuring a seamless experience.
  • Team Collaboration: Work harmoniously with other departments to offer comprehensive support and care.
  • Promote Enara's Values: Model a compassionate, honest, positive, and open attitude. Use your communication skills to motivate, empower, and inspire others, contributing to our vibrant Enara culture.
Minimum Requirements
  • Minimum of 1 year related work experience in healthcare.
  • Proficiency in Google Suite (Documents, Sheets, Forms).
  • Proficiency with medical technology, including EMR and mobile apps.
  • Must live within commuting distance to Rochester, MN
Impress Us Even More
  • Passionate about Obesity Medicine, nutrition, fitness, behavioral health
$19 - $21 an hour
Job Type: Part-time, hybrid (approx 15-20 hours a week)
 
Job Location: Rochester, MN
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
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