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Remote Prior Authorization Jobs (NOW HIRING)

Central Oregon Pediatric Associates

$19 - $24.75/hr

As the Prior Authorization & Referrals Coordinator, you'll play a vital role in connecting children ... remote role. A minimum internet speed of 100 Mbps download and 10 Mbps upload is required to ...

Moda Health

RX Prior Authorization Coord I

Portland, OR · Remote

$21.30 - $23.96/hr

Position Summary Utilizes the electronic prior authorization (PA) platform to process pharmacy PAs ... A reliable, high-speed, hard-wired internet connection required to support remote or hybrid work.

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How much do remote prior authorization jobs pay per hour?

As of Jul 20, 2026, the average hourly pay for remote prior authorization in the United States is $20.89, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $23.08 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 cities are hiring for Remote Prior Authorization jobs? Cities with the most Remote Prior Authorization job openings:
What are the most commonly searched types of Prior Authorization jobs? The most popular types of Prior Authorization jobs are:
What states have the most Remote Prior Authorization jobs? States with the most job openings for Remote Prior Authorization jobs include:
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Remote Prior Authorization jobs near you
Infographic showing various Remote Prior Authorization job openings in the United States as of July 2026, with employment types broken down into 59% Full Time, 33% Part Time, and 8% Contract. Highlights an 100% Remote job distribution, with an average salary of $43,459 per year, or $20.9 per hour.
Scheduling and Prior Authorization Representative- Remote

Scheduling and Prior Authorization Representative- Remote

McKenzie Health

Watford City, ND • On-site, Remote

Full-time

Medical, Retirement

Posted 18 days ago

Job description

POSITION: Scheduling and Prior Authorization Representative- Remote
CLASSIFICTION: Full Time
BENEFITS AND PERKS:
  • Competitive Compensation Package
  • Comprehensive Benefit Package
  • 100% Retirement Match up to 6% (403b)
  • Flexible Spending with Employer Deposit
  • Service Awards and Recognition Programs
  • Employer Provided Training Programs
  • Community Orientation: Paid by McKenzie Health
  • Continuing education paid or reimbursed
  • Certain Branded clothing provided
  • EAP available for all employees
  • McKenzie Health Supports Work-Life Balance

Scheduling and Prior Authorization Representative
POSITION DESCRIPTION:
The Scheduling and Prior Authorization Representative supports the integrated scheduling department by scheduling surgeries, procedures, exams, infusions, therapies and evaluations for inpatient, outpatient, and clinic departments, modalities and facilities. Performs pre-registration, registration, and insurance verification functions and obtains prior treatment authorizations as needed. Provides excellent patient focused customer service. Communicates effectively to service delivery areas to maximize patient flow and customer service. Communicates insurance updates and billing information as identified to department leadership. Maintains quality assurance standards and seeks education opportunities to support role.
Supervisory Responsibilities:
  • None

Duties/Responsibilities:
  • Scheduling
  • Pre-registration
  • Registration
  • Insurance verification
  • Pre-encounter collections
  • Prior authorization
  • Serves as central point of communication for community referring physicians and offices, system patient services, and caregivers to secure resources necessary for patient care.
  • Interfaces and/or works directly with nursing units, technologists, physicians, community offices and other medical facilities to coordinate cases and appointments.
  • Receives incoming phone calls related to all aspects of scheduling and coordination of patients and resources.
  • Assures all changes to schedules are in accordance with policies and alerts appropriate leadership when out of compliance. Promotes adherence to scheduling practices.
  • Collects and evaluates patient demographic, insurance, clinical and non-clinical information.
  • Identifies inaccuracies and missing data that would affect departments' financial results; monitors cancellation and rescheduling of cases and appointments to manage schedules; identifies potential resource conflicts and works with leadership to resolve.
  • Ensures cases and appointments have prior authorization; may coordinate with Financial Counseling to inform patient of financial responsibility.
  • As a condition of employment, completes all assigned training and skills competency.
  • Other duties as assigned.

Nothing in this job description restricts MH ability to assign, reassign or eliminate duties and responsibilities of this job at any time. MH does not restrict the tasks that may be assigned. Critical features of this job have been described; those features may be changed at any time due to reasonable accommodation or other reasons deemed appropriate by MH.
Physical Requirements:
  • Physically demanding, high-stress environment
  • Sitting for extensive periods of time
  • Ability to lift, move, push or pull a minimum of 15 pounds.

Required Skills/Abilities:
  • Knowledge of hospital and physician access management processes.
  • Clear, effective communication skills
  • Must be a supportive team member, contribute to and be an example of teamwork.
  • Ability to deal tactfully with providers, personnel, residents, family members, visitors, government agencies and the public.
  • Excellent customer service skills.
  • Able to communicate effectively in English, both verbally and in writing.
  • Basic computer skills, including ability to navigate electronic medical record systems.
  • Knowledge of medical terminology
  • Detail oriented
  • May work beyond normal working hours and on weekends holidays when necessary.
  • Must be able to pass a background check and drug screening.

Education/Experience:
  • High school diploma or equivalent required.
  • College degree preferred.
  • One to three (1-3) years' experience in healthcare scheduling, authorization, customer service or financial counseling.
  • Knowledge of medical terminology
  • Basic computer knowledge, data entry and/or word processing.

Licenses/Certifications:
  • None

NON-DESCRIMINATION STATEMENT
It is the policy of McKenzie Health not to discriminate against any applicant for employment, or any employee because of age, color, sex, disability, national origin, race, religion, or veteran status.

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