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Remote Prior Authorization Jobs in Waterville, ME

WSP

Intermediate Substation Designer

Hallowell, ME · On-site +1

Remote option may be available for candidates residing in the northeast region. Be involved in ... Must be legally authorized to work in the United States at the time of hire without current or ...

All JobsPrior Authorization JobsRemote Prior Authorization JobsRemote Prior Authorization Jobs in Waterville, ME

Remote Prior Authorization information

See Waterville, ME salary details

$13

$20

$32

How much do remote prior authorization jobs pay per hour?

As of Aug 1, 2026, the average hourly pay for remote prior authorization in Waterville, ME is $20.85, according to ZipRecruiter salary data. Most workers in this role earn between $17.26 and $23.03 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 job categories do people searching Remote Prior Authorization jobs in Waterville, ME look for? The top searched job categories for Remote Prior Authorization jobs in Waterville, ME are:
What cities near Waterville, ME are hiring for Remote Prior Authorization jobs? Cities near Waterville, ME with the most Remote Prior Authorization job openings:
Remote Prior Authorization jobs near you
Infographic showing various Remote Prior Authorization job openings in Waterville, ME as of July 2026, with employment types broken down into 1% As Needed, 85% Full Time, 12% Part Time, and 2% Contract. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $43,378 per year, or $20.9 per hour.

Medical Assistant II - Remote Patient Monitoring (On-Site)

MaineGeneral Health

Augusta, ME • Remote

$22.35 - $39.12/hr

Full-time

Medical, Dental, Vision, Retirement

Re-posted 22 days ago

Job description

Job Summary:Under the supervision of medical staff, supports patient care through remote monitoring services, equipment management, and administrative support.Job Description:

Position: Medical Assistant II - Remote Patient Monitoring (On-Site)
Location: Ballard Center, Augusta, ME
Schedule: 40 hours | Full-time
Shift: Days

What You'll Do:

Clinical Responsibilities

  • Gather and document patient data received through remote patient monitoring programs.
  • Monitor incoming patient information and ensure accurate and timely documentation in the medical record.
  • Assist patients with remote monitoring equipment setup and usage.
  • Troubleshoot remote patient monitoring devices and resolve basic technical issues.
  • Communicate patient concerns or abnormal findings to the appropriate clinical team members.

Administrative & Support Duties

  • Maintain remote patient monitoring equipment and medical supplies, including stocking, cleaning, troubleshooting, and reordering as needed.
  • Perform a variety of administrative and clerical duties, including scheduling, patient registration, reception, filing, data entry, and prior authorization support.
  • Ensure accurate documentation and completion of required records and reports.
  • Support departmental workflows to promote efficient patient care and operations.
  • Operate a motor vehicle to conduct MaineGeneral Health business when required.
What We're Looking For
  • Graduate of an accredited Medical Assistant program or equivalent combination of education and experience.
  • Current Medical Assistant certification preferred, or ability to obtain within an established timeframe.
  • Strong organizational, communication, and customer service skills.
  • Comfortable working with technology and troubleshooting patient monitoring equipment.
  • Ability to manage multiple priorities while maintaining attention to detail.
  • Proficiency with electronic medical records and standard office software.
  • Valid driver's license and acceptable driving record, if required for job duties.
Why This Role Stands Out
  • Be part of an innovative care model that helps patients stay connected to their healthcare team from the comfort of their own home.
  • Combine direct patient support, technology, and administrative coordination in a dynamic role.
  • Make a meaningful impact on patient outcomes by supporting proactive monitoring and intervention.
  • Join a collaborative team dedicated to improving access, convenience, and quality of care.
Why MaineGeneral?

At MaineGeneral Health, we're committed to enhancing the health of our communities while supporting the growth and well-being of our team members.

Compensation Information:$22.35 - $39.12

The hourly pay range shown represents the base pay range for this position. Individual pay is determined based on factors such as experience, qualifications, skills, and market considerations. In addition to base pay, eligible team members may earn additional compensation through shift, weekend, holiday, on-call, and other applicable differentials. We are proud to offer a competitive total rewards package designed to recognize our caregivers and support them in delivering exceptional care to the communities we serve.


Scheduled Weekly Hours:40Job Exempt: NoBenefits:

Supporting all aspects of our employees' wellness - physical, emotional and financial - is a critical component of being a great place to work. With the wide range of benefits and programs available, employees have the resources they need to be well at every stage of life and plan for the future.

Physical Wellness:

  • We offer quality health, dental, and vision benefits and wellness programs and resources to provide employees access to resources for a healthy lifestyle and help manage health care costs.

  • Employees have access to industry-leading leave for new parents.

  • A generous earned time plan is offered to all employees - We believe employees need and deserve time away from work to observe holidays, be with family, go on vacation, or simply take care of themselves.

Emotional Wellness:

When life gets challenging, employees have access to our Employee Assistance Program for employees and anyone in their household.

Financial Wellness:

  • Access the wages you've already earned before payday with Payactiv, giving you greater flexibility over your finances.

  • Tuition Reimbursement is available to all employees to further develop skills and career.

  • We offer eligible employees up to 2% of eligible pay in 403(b) company-matching contributions plus another 2% in the 401(a) retirement income plan.

  • Three insurance plans are available to protect your family from the sudden loss of income in the event of your death, terminal illness or serious injury from accident.

  • We offer both short-term and long-term disability insurance to replace a portion of your income if you become disabled and cannot work for a period of time.

Career Mobility:

Helping our employees develop their skills and grow their careers is critical to how we retain our talent and sustain our business. We do this by offering our teammates a variety of leadership-supported programs and learning and development resources for every stage of their professional development. We know that our employees are our most valuable resource - they're how we grow our business and care for our community.

Equal Opportunity Employer M/F/Vet/Disability Assistive technologies are available. Application assistance for those requesting reasonable accommodation to the career site is available by contacting HR at (207) 861-3440 .

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About MaineGeneral Health

Sourced by ZipRecruiter

MaineGeneral Health is a comprehensive non-profit system with the mission of enhancing, every day, the health of our patients, our families and our communities.

Industry

Hospitals

Company size

1,001 - 5,000 Employees

Headquarters location

Augusta, ME, US

Year founded

1998

Social media

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