ZipRecruiter

Log In

2

Remote Prior Authorization Jobs in Springfield, MO

All JobsPrior Authorization JobsRemote Prior Authorization JobsRemote Prior Authorization Jobs in Springfield, MO

Remote Prior Authorization information

See Springfield, MO salary details

$12

$19

$29

How much do remote prior authorization jobs pay per hour?

As of Jul 26, 2026, the average hourly pay for remote prior authorization in Springfield, MO is $19.01, according to ZipRecruiter salary data. Most workers in this role earn between $15.72 and $21.01 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 Springfield, MO? For Remote Prior Authorization jobs in Springfield, MO, the most frequently searched job titles are:
What job categories do people searching Remote Prior Authorization jobs in Springfield, MO look for? The top searched job categories for Remote Prior Authorization jobs in Springfield, MO are:
What cities near Springfield, MO are hiring for Remote Prior Authorization jobs? Cities near Springfield, MO with the most Remote Prior Authorization job openings:
Remote Prior Authorization jobs near you
Infographic showing various Remote Prior Authorization job openings in Springfield, MO as of July 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 $39,532 per year, or $19 per hour.
Nuvolo Solution Implementation Specialist

Nuvolo Solution Implementation Specialist

Capital I, LLC

Springfield, MO • Remote

$85K - $158K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 21 days ago

Job description

Job Title

Nuvolo Solution Implementation Specialist

Location

Remote

Description

Please note: This position is part of a proposal effort and will be filled only upon contract award.

The Nuvolo Solution Implementation Specialist leads and executes the successful delivery of Nuvolo’s Enterprise Asset Management (EAM) and Integrated Workplace Management System (IWMS) solutions. This role will work closely with client stakeholders, internal teams, and third-party vendors to ensure Nuvolo implementations are configured, tested, and deployed according to business requirements.

Essential Duties and Responsibilities

· Lead and manage end-to-end Nuvolo implementations, including planning, configuration, testing, training, and deployment

· Conduct discovery sessions to gather business, functional, and technical requirements

· Customize Nuvolo applications using workflows, forms, UI policies, and business rules within the ServiceNow platform

· Provide subject matter expertise in Nuvolo modules such as Facilities, Clinical Engineering, Space Management, and Maintenance

· Collaborate with ServiceNow developers and other system integrators for seamless integration with existing ITSM/CMMS/ERP systems

· Provide user training and ongoing support during post-go-live stabilization

· Create system documentation, configuration guides, and training materials

· Ensure data quality and assist with data migration and cleansing processes

· Monitor system performance and provide optimization recommendations

Travel

  • Up to 10%

Work Schedule

  • To be discussed

Qualifications

  • 5+ years of experience implementing CMMS/Facilities/Asset management systems (minimum 2 full-lifecycle implementations). Nuvolo implementation experience preferred.

· Deep understanding of CMMS/IWMS concepts and best practices

· Strong experience with ServiceNow platform architecture and scripting

· Experience with asset management, maintenance planning, and space tracking

· Proven ability to work directly with customers and translate business needs into technical solutions

· Excellent problem-solving, communication, and stakeholder management skills

· Nuvolo Platform Certification, preferred

· ServiceNow Certified System Administrator (CSA), preferred

· Experience with healthcare technology management (HTM), Clinical Engineering or facilities management, preferred

· Familiarity with ITIL and Agile methodologies, preferred

Compensation

  • $85,000-$158,000 annual. Salary is dependent upon experience level and qualifications/certifications

Benefits

  • 401K Employer Matching
  • Paid Time Off (PTO)
  • Holidays
  • Health Insurance
  • Dental Insurance
  • Vision Insurance
  • Employer-paid Life Insurance
  • Employer-paid AD&D Insurance
  • Employee-paid voluntary benefits
  • Employee development resources

Equal Opportunity Employer
Capital i is an equal opportunity employer. We prohibit discrimination and harassment of any kind based on any protected characteristic as outlined by federal, state, or local laws. This policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, recall, leave of absence, compensation, benefits, training, and apprenticeship. Capital i makes hiring decisions based solely on qualifications, merit, and business needs at the time.

Capital i is committed to providing reasonable accommodations for qualified individuals with disabilities and disabled veterans in our job application process. If you need assistance or an accommodation due to a disability, you may contact us at recruiting@capitali.us.

Federal Government Contractor
As a federal government contractor, Capital i is committed to taking affirmative action to employ and advance protected veterans and individuals with disabilities.

Work Authorization

Capital i considers applicants who are U.S. lawful permanent residents, eligible employment-based green card portability candidates (with a Form I-485 filed at least 180 days prior for a same or similar role), and individuals with valid F-1 or J-1 employment authorization for temporary positions only. Capital i does not provide immigration sponsorship.

Please note: Certain roles may support federal contracts and therefore require U.S. citizenship, specific residency history, or eligibility for a security clearance. Candidates not meeting applicable federal contract requirements will not be eligible for those roles.

Capital i logo

About Capital i

Sourced by ZipRecruiter

Industry

Health care and social assistance

Company size

51 - 200 Employees

Headquarters location

Springfield, MO, US

Year founded

2018

View All Capital i Jobs