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Remote Prior Authorization Jobs in Spring Hill, FL

IQVIA

Bilingual Care Manager

Tampa, FL · Remote

$16 - $20.75/hr

This is a remote position. Job Responsibilities: * Perform outbound calls to obtainappropriate ... Provide prior authorizations and appeals support. * Assistpatients with the enrollment process for ...

C4 Technical Services

Be Seen First

Entry Level Pharmacy Techs (Remote)

Tampa, FL · Remote

$18/hr

... prior authorization requests. This is a fully remote position that requires strong computer proficiency, attention to detail, and the ability to work in a structured, professional environment. Work ...

LIBERTY DENTAL

Senior Staff Dentist

Tampa, FL · On-site +1

$175K - $185K/yr

Perform clinical reviews of dental claims, prior authorizations, and referrals to ensure timely ... Remote role with collaboration across national teams * High-impact role shaping clinical standards ...

Liberty Dental Plan Careers

Senior Staff Dentist

Tampa, FL · Remote

$175K - $185K/yr

Perform clinical reviews of dental claims, prior authorizations, and referrals to ensure timely ... Remote role with collaboration across national teams * High-impact role shaping clinical standards ...

ClearlyAgile

Product Owner

Tampa, FL · On-site +1

Prior experience working as a business analyst preferred * Bachelor's degree preferred LOCATION AND ... remote but an occasional visit to the office may be required * Candidates must be authorized to ...

Rückbauanlage Gundremmingen

Sr. Project Manager

Tampa, FL · On-site +1

$138K - $180K/yr

Prior HVAC, Electrical or EMCS design experience is a plus * Expertise in codes, permitting, and ... If you currently have a remote exception or are not located in one of these markets, please confirm ...

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Remote Prior Authorization information

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$11

$17

$27

How much do remote prior authorization jobs pay per hour?

As of Jul 26, 2026, the average hourly pay for remote prior authorization in Spring Hill, FL is $17.73, according to ZipRecruiter salary data. Most workers in this role earn between $14.66 and $19.57 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 Spring Hill, FL? For Remote Prior Authorization jobs in Spring Hill, FL, the most frequently searched job titles are:
What job categories do people searching Remote Prior Authorization jobs in Spring Hill, FL look for? The top searched job categories for Remote Prior Authorization jobs in Spring Hill, FL are:
What cities near Spring Hill, FL are hiring for Remote Prior Authorization jobs? Cities near Spring Hill, FL with the most Remote Prior Authorization job openings:
Remote Prior Authorization jobs near you
Infographic showing various Remote Prior Authorization job openings in Spring Hill, FL as of July 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $36,871 per year, or $17.7 per hour.
Bilingual Care Manager - Patient Support Call Center -Remote

Bilingual Care Manager - Patient Support Call Center -Remote

IQVIA, Inc.

Tampa, FL • On-site, Remote

Full-time

Posted 11 days ago

IQVIA rating

8.1

Company rating: 8.1 out of 10

Based on 53 frontline employees who took The Breakroom Quiz

60th of 230 rated it services

Job description

**This is posted in anticipation of a future role**
Position Summary:
Care Managers are responsible for contacting insurance companies to obtain correct eligibility information, perform benefit investigations, copay assistance and check prior authorization and/ or appeal status.
The information contained herein is intended to be an accurate reflection of the duties and responsibilities of the individuals assigned to this position. They are not intended to be an exhaustive list of the skills and abilities required to do the job. IQVIA reserves the right to revise the job or to require that other or different tasks be performed as assigned.
Care Manager
As the only global provider of commercial solutions, IQVIA understands what it takes to deliver nationally and internationally. Our teams help biopharma get their medicines to the people who need them. We help customers gain insight and access to their markets and ultimately demonstrate their product's value to payers, physicians and patients. A significant part of our business is acting as the biopharma's sales force to physicians or providing nurses to educate patients or prescribers. With the right experience, you can help deliver medical breakthroughs in the real world.
Position Summary:
Responsibilities will vary by program and its lifecycle. Care Manager's may be responsible for contacting insurance companies to obtain correct eligibility information, perform benefit investigations, copay assistance and check prior authorization and/or appeal status. Care Managers may also be responsible for directly contacting patients and/or providers to evaluate eligibility for assistance programs and/or varied adherence support. This is a remote position.
Job Responsibilities:
  • Perform outbound calls to obtain appropriate information and document accurately.

  • Responsible for answering in-bound calls and assisting customers with pharmacy related services.

  • Maintain strict professionalism in all communication methods while providing efficient, courteous, and friendly service.

  • Contact insurance companies for benefit investigation and coverage eligibility.

  • Provide prior authorizations and appeals support.

  • Assist patients with the enrollment process for manufacturer and non-profit organization copay assistance programs.

  • Update job knowledge by participating in educational opportunities and training activities. Work efficiently both individually and within a team to accomplish required tasks.

  • Maintain and improve quality results by adhering to standards and guidelines by meeting quality standards set forth by program KPI's.

  • Report ADE's according to program policy and guidelines Adhere to all HIPAA guidelines May assist with onboarding new employees.

Schedule:
  • Must be available for an 8 hour shift between 8am-8pm EST

Required Qualifications:
  • High School Diploma or equivalent

  • Minimum one year experience in medical billing, reimbursement, insurance verification, or similar related medical office experience.
  • Bilingual (English & Spanish)

  • Previous data entry experience (minimum three months) and ability to type 30wpm+.

  • Able to demonstrate high attention to detail in work.

  • Must be computer savvy, to include navigating multiple computer tabs, monitors, and applications.

  • Advanced ability/knowledge of all Microsoft Suite programs (Teams, Word, Excel, Outlook, etc.) and soft phone systems (WebEx, Mitel, Shoretel, etc.).

  • Exceptional communication skills, both written and verbal.

  • Able to work in a virtual team environment by being available and responsive during working hours.

  • Excellent follow through This is a remote position.

  • Employees must have a private workspace free of distraction to adhere to HIPAA compliance/guidelines.

  • Workspace must include internet plug-in accessibility. Wi-fi connectivity is not permitted.

  • Must reside in country where the job is posted.

Preferred Qualifications:
  • Some College.

  • Previous experience in Patient Support Services (Hub).

  • Previous Customer Service experience in the healthcare field.

#LI-CES
#LI-DNP
IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We create intelligent connections to accelerate the development and commercialization of innovative medical treatments to help improve patient outcomes and population health worldwide. Learn more at https://jobs.iqvia.com
IQVIA is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by applicable law. https://jobs.iqvia.com/eoe
IQVIA is committed to integrity in our hiring process and maintains a zero tolerance policy for candidate fraud. All information and credentials submitted in your application must be truthful and complete. Any false statements, misrepresentations, or material omissions during the recruitment process will result in immediate disqualification of your application, or termination of employment if discovered later, in accordance with applicable law. We appreciate your honesty and professionalism.
The potential base pay range for this role is $23.00 - $24.00 per hour. The actual base pay offered may vary based on a number of factors including job-related qualifications such as knowledge, skills, education, and experience; location; and/or schedule (full or part-time). Dependent on the position offered, incentive plans, bonuses, and/or other forms of compensation may be offered, in addition to a range of health and welfare and/or other benefits.

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About IQVIA

Sourced by ZipRecruiter

At IQVIA, we are passionate about helping customers and partners improve results and patient outcomes. Everything we do contributes to this vision for creating a healthier world. In today’s healthcare environment, it’s not only about how much data, information, and technology you have at your fingertips – it’s what you do with it. IQVIA is focused on making intelligent connections for customers across the entire healthcare ecosystem to help you drive healthcare forward. Whether that means partnering with novel technology companies to boost patient engagement, leveraging AI & machine learning to accelerate results, or using decentralized trials to reach the right patients wherever they are – we are always looking for smarter ways to move you forward.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Durham, NC, US

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