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Remote Prior Authorization Jobs in West Springfield, MA

micro1 AI

Clinical Pharmacy Technicians

Springfield, MA · Remote

$70 - $80/hr

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... No prior experience in AI is required -- your domain knowledge is what matters. This opportunity is ...

micro1 AI

Clinical Pharmacy Technicians

Hartford, CT · Remote

$70 - $80/hr

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... No prior experience in AI is required -- your domain knowledge is what matters. This opportunity is ...

Crum & Forster

Customer Service Representative

Glastonbury, CT · On-site +1

$16 - $21.75/hr

We are pleased to offer 100% remote working schedules within the US. The Customer Service department is open from 7:45AM - 7:15PM EST. Shift times include 7:45am -4:15pm, 9:00am-5:30pm, and 10:45am-7 ...

Crum & Forster

Customer Service Representative

Glastonbury, CT · Remote

$16 - $21.75/hr

We are pleased to offer 100% remote working schedules within the US. The Customer Service department is open from 7:45AM - 7:15PM EST. Shift times include 7:45am -4:15pm, 9:00am-5:30pm, and 10:45am-7 ...

Crum & Forster

Customer Service Representative

Glastonbury, CT · Remote

$16 - $21.75/hr

We are pleased to offer 100% remote working schedules within the US. The Customer Service department is open from 7:45AM - 7:15PM EST. Shift times include 7:45am -4:15pm, 9:00am-5:30pm, and 10:45am-7 ...

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All JobsPrior Authorization JobsRemote Prior Authorization JobsRemote Prior Authorization Jobs in West Springfield, MA

Remote Prior Authorization information

See West Springfield, MA salary details

$13

$20

$32

How much do remote prior authorization jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for remote prior authorization in West Springfield, MA is $20.82, according to ZipRecruiter salary data. Most workers in this role earn between $17.26 and $22.98 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 popular job titles related to Remote Prior Authorization jobs in West Springfield, MA? For Remote Prior Authorization jobs in West Springfield, MA, the most frequently searched job titles are:
What job categories do people searching Remote Prior Authorization jobs in West Springfield, MA look for? The top searched job categories for Remote Prior Authorization jobs in West Springfield, MA are:
What cities near West Springfield, MA are hiring for Remote Prior Authorization jobs? Cities near West Springfield, MA with the most Remote Prior Authorization job openings:
Remote Prior Authorization jobs near you
Infographic showing various Remote Prior Authorization job openings in West Springfield, MA as of August 2026, with employment types broken down into 78% Full Time, and 22% Part Time. Highlights an 100% Remote job distribution, with an average salary of $43,306 per year, or $20.8 per hour.

Remote Customer Service Representative (Connecticut Residents Only)

Expivia Interaction Marketing Group Inc.

Hartford, CT • Remote

Full-time

Medical

Posted 23 days ago

Job description

Salary: $18 - $19.50

Remote Customer Service Representative

Remote | Connecticut Residents Only

Pay: $18.00$19.50 per hour
Schedule: Full-Time | Monday Friday | 8:30 AM 5:00 PM

No Cold Calling No Sales Paid Training

100% Remote

Connecticut Residents Only


Work From Home. Help Others. Grow With Expivia.

At Expivia Interaction Marketing Group, our people are the heart of our success. We're committed to providing the training, support, and opportunities our employees need to grow while delivering exceptional customer experiences every day.


We're looking for customer-focused professionals who reside in Connecticut to join our growing remote team. If you enjoy helping others, solving problems, and making a difference every day, we'd love to hear from you.


Why You'll Love Working at Expivia

100% Remote Position
Competitive Pay: $18.00$19.50 per hour
Paid Training from Day One
Health Insurance Available
Paid Holidays
Supportive Leadership & Team Environment
Ongoing Coaching & Development
Career Growth Opportunities


What You'll Do

As a Customer Service Representative, you'll be the first point of contact for individuals seeking information and assistance. Every interaction is an opportunity to provide exceptional service while helping people connect with important community resources.


Your responsibilities will include:

  • Professionally answer inbound customer inquiries.
  • Listen carefully to understand each customer's needs.
  • Provide accurate information and connect customers with available community resources.
  • Research programs and services to best assist callers.
  • Accurately document customer interactions.
  • Maintain confidentiality while following company procedures.
  • Deliver an outstanding customer experience on every interaction.


What We're Looking For

We're looking for people who are:

  • Passionate about helping others.
  • Excellent communicators and active listeners.
  • Patient, empathetic, and solution-oriented.
  • Comfortable using multiple computer applications.
  • Dependable, organized, and detail-oriented.
  • Self-motivated and successful working remotely.


Minimum Qualifications

  • High School Diploma or GED required.
  • Must currently reside in the state of Connecticut.
  • Previous customer service, call center, healthcare, human services, social services, or related experience preferred.
  • Strong computer and data entry skills.
  • Excellent verbal and written communication skills.
  • Reliable high-speed internet and a dedicated, distraction-free home workspace.


Ready to Join Expivia?

If you're looking for more than just a jobif you're looking for an opportunity to make a difference while building a career with a company that values its employeeswe'd love to meet you.


Apply today and start your next chapter with Expivia Interaction Marketing Group.