ZipRecruiter

Log In

2

Remote Prior Authorization Jobs in Rochester, NY

Mindex

Data Architect - Remote

Rochester, NY · Remote

$120K - $173K/yr

Prior experience leading or mentoring a team of data engineers or similar technical contributors ... Professional Development Opportunities Additional Information Applicants must be authorized to work ...

Valera Health

Mental Health Therapist

Rochester, NY · On-site +1

... prior authorizations. This means you can practice at the top of your license alongside ... Telehealth or remote experience * Self-motivated with strong independent work skills and ...

Sutherland

AVP - CDE - Insurance

Pittsford, NY · On-site +1

Our offerings deliver on this whether they are Sutherland Anywhere, enabling a secure remote work environment or Sutherland Connect, delivering data- rich, omni-channel services. Our deep product and ...

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

Remote Prior Authorization information

See Rochester, NY salary details

$13

$20

$31

How much do remote prior authorization jobs pay per hour?

As of Aug 5, 2026, the average hourly pay for remote prior authorization in Rochester, NY is $20.62, according to ZipRecruiter salary data. Most workers in this role earn between $17.07 and $22.79 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 Rochester, NY? The most popular types of Prior Authorization jobs in Rochester, NY are:
What are popular job titles related to Remote Prior Authorization jobs in Rochester, NY? For Remote Prior Authorization jobs in Rochester, NY, the most frequently searched job titles are:
What job categories do people searching Remote Prior Authorization jobs in Rochester, NY look for? The top searched job categories for Remote Prior Authorization jobs in Rochester, NY are:
What cities near Rochester, NY are hiring for Remote Prior Authorization jobs? Cities near Rochester, NY with the most Remote Prior Authorization job openings:
Remote Prior Authorization jobs near you
Infographic showing various Remote Prior Authorization job openings in Rochester, NY as of July 2026, with employment types broken down into 89% Full Time, and 11% Part Time. Highlights an 100% Remote job distribution, with an average salary of $42,880 per year, or $20.6 per hour.

Licensed Clinical Psychologist

Optimum Care Counseling & Wellness

Rochester, NY • Remote

Full-time, Part-time

Retirement

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

Job description

Benefits:

401(k) matching

Bonus based on performance

Competitive salary

Flexible schedule

Come join Optimum Care Counseling and Wellness Solutions

We are seeking licensed Psychologists (PhD or PsyD) residing in the United States who are passionate about providing high-quality, evidence-based care to diverse populations across the United States.

At Optimum Care Counseling and Wellness Solutions, our mission is to empower clients to use their individual strengths to gain insight into their challenges and feel more in control of their lives. As part of our growing team, you will provide psychological services while collaborating with an interdisciplinary team of psychiatrists, nurse practitioners, and therapists.

This is a fully remote position, offering telehealth opportunities based on client and program needs.

We offer flexible scheduling:

Monday–Friday: 7:00 AM – 9:00 PM

Saturday: 7:00 AM – 4:00 PM

We are seeking psychologists available for Part-Time.

Psychologists will provide diagnostic evaluations, psychological testing, and individual therapy to children, adolescents, adults, and older adults. Our practice utilizes a robust Electronic Health Records (EHR) system with an integrated telehealth platform to ensure efficient and secure service delivery.

Practice Support & Resources

New patient scheduling

Credentialing support

Advertising and marketing

Copay collection

Prior authorizations

Patient relations support

Established referral base

In-house prescribers for medication management

Electronic EHR system

Secure phone system (to maintain professional boundaries)

Online fax system

Paid training

Collaborative, team-based work environment

Responsibilities

Conduct comprehensive psychological evaluations and diagnostic assessments

Administer and interpret psychological and cognitive testing

Provide evidence-based therapeutic interventions

Develop and implement individualized treatment plans

Collaborate with psychiatrists, nurse practitioners, and other treatment providers

Maintain accurate and timely documentation

Complete required EHR training modules

Qualifications

Doctoral degree (PhD or PsyD) in Clinical Psychology or related field

Active Psychologist license required in Maryland

Experience in psychological assessment and testing preferred

Strong written and verbal communication skills

Ability to build rapport with clients across the lifespan

Strong organizational and clinical leadership skills

This is a remote position.

Apply