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$13

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How much do remote prior authorization jobs pay per hour?

As of May 28, 2026, the average hourly pay for remote prior authorization in Utica, NY is $21.35, according to ZipRecruiter salary data. Most workers in this role earn between $17.69 and $23.56 per hour, depending on experience, location, and employer.

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.

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 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 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.

More about Remote Prior Authorization jobs
What are popular job titles related to Remote Prior Authorization jobs in Utica, NY? For Remote Prior Authorization jobs in Utica, NY, the most frequently searched job titles are:
What job categories do people searching Remote Prior Authorization jobs in Utica, NY look for? The top searched job categories for Remote Prior Authorization jobs in Utica, NY are:
What cities near Utica, NY are hiring for Remote Prior Authorization jobs? Cities near Utica, NY with the most Remote Prior Authorization job openings:
Remote Prior Authorization jobs near you
Remote Customer Service Representative - Must Reside in NY (Starting 6/15/2026)

Remote Customer Service Representative - Must Reside in NY (Starting 6/15/2026)

Transworld Systems Inc.

Utica, NY • Remote

$16.50/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

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

Transworld Systems Inc. rating

5.3

Company rating: 5.3 out of 10

Based on 20 frontline employees who took The Breakroom Quiz

49th of 71 rated call and contact centers

Job description

Overview

After the submission of your application, you will receive an email with instructions to complete a series of assessments through our online platform, Harver. Completing this AI-powered assessment is required for prompt consideration of your application, as it serves as the initial screening in our employment process.   

Work Location: This is a remote/work from home position.  Must reside in New York state.

Compensation: $16.50/hour

Paid Training Start Date: Monday, June 15, 2026

Training Hours: Monday through Friday:  8am - 4:30pm EST

Hours of Operation (following training): Monday through Friday:  10am - 9pm EST; Saturday: 7am - 5pm EST

*Please note: During Training, you will be assigned a set work schedule within the indicated hours of operation listed above.

Build Your Future! Come join our thriving team as a Remote Customer Service Representative! We are seeking ambitious, self-motivated and driven people just like you for a rewarding career in the customer service arena.

Why should you consider TSI-CXBPO (part of TSI family of companies)?

  • Work from home
  • Paid training
  • Team-oriented work environment
  • Growth opportunity
  • Comprehensive benefits package available: including medical, dental and vision, 401k retirement plan with employer matching, paid time off and paid holidays!

Responsibilities

In This Role, You Will:

  • Assist customers with billing inquiries/concerns
  • Ensure all account information is accurately documented and inputted into client system
  • Provide detailed explanations of account status and inquiries to customers
  • Adhering to State and Federal regulations pertaining to your job duties
  • Assist customers with delinquent accounts according to various state guidelines
  • Utilize exceptional communication skills to fulfill both client and customer goals

Key Results Areas:

  • Maintain an average Inbound Handle Time
  • Achieve Quality Assurance goals
  • Adhere to Production measures (time spent on calls, schedule adherence, etc)

Qualifications

Ideal Candidate Qualifications:

The ideal candidate has to be detail oriented and have the ability to organize and prioritize work and meet strict deadlines as well as the ability to effectively communicate with outside parties. Effective call handling skills and high levels of professionalism are required. A strong focus on exemplary shift attendance is required. The candidate has to be proficient with Microsoft applications, and have the ability to learn software applications. A High School graduate/ equivalent is required.

For Remote Positions: The minimum internet speed requirements for remote work are as follows:

  • Broadband internet connection (No DSL, or Dial Up)
  • Hard wired connection required (no Wi-Fi, Wi-Fi hotspots)
  • Speed Test Results: 40 mbps download, 20 mbps upload

Note:

*Camera requirements – Cameras are required to be on during training from start to end of each shift (not including breaks and lunches)

This job description is not an exclusive or exhaustive list of all job functions that a team member in this position may be asked to perform. Duties and responsibilities can be changed, expanded, reduced, or delegated by management to meet the business needs of the company.

We provide Equal Employment Opportunity for all individuals regardless of race, color, religion, gender, age, national origin, marital status, sexual orientation, status as a protected veteran, genetic information, status as a qualified individual with a disability and any other basis protected by federal, state or local laws.

TSISP

Qualifications:

Ideal Candidate Qualifications:

The ideal candidate has to be detail oriented and have the ability to organize and prioritize work and meet strict deadlines as well as the ability to effectively communicate with outside parties. Effective call handling skills and high levels of professionalism are required. A strong focus on exemplary shift attendance is required. The candidate has to be proficient with Microsoft applications, and have the ability to learn software applications. A High School graduate/ equivalent is required.

For Remote Positions: The minimum internet speed requirements for remote work are as follows:

  • Broadband internet connection (No DSL, or Dial Up)
  • Hard wired connection required (no Wi-Fi, Wi-Fi hotspots)
  • Speed Test Results: 40 mbps download, 20 mbps upload

Note:

*Camera requirements – Cameras are required to be on during training from start to end of each shift (not including breaks and lunches)

This job description is not an exclusive or exhaustive list of all job functions that a team member in this position may be asked to perform. Duties and responsibilities can be changed, expanded, reduced, or delegated by management to meet the business needs of the company.

We provide Equal Employment Opportunity for all individuals regardless of race, color, religion, gender, age, national origin, marital status, sexual orientation, status as a protected veteran, genetic information, status as a qualified individual with a disability and any other basis protected by federal, state or local laws.

TSISP

Education:UNAVAILABLEEmployment Type: FULL_TIME

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