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Cvs Prior Authorization Remote Jobs Near Me

Lead Reimbursement Analyst

Columbus, OH · On-site

$31.47 - $39.34/hr

... prior authorizations, appeals, and patient assistance programs; manage and resolve escalated cases ... Remote; desk-based role with frequent phone and computer use and minimal physical requirements

New

Lead Reimbursement Analyst

Columbus, OH · Remote

$31.47 - $39.34/hr

... prior authorizations, appeals, and patient assistance programs; manage and resolve escalated cases ... Remote; desk-based role with frequent phone and computer use and minimal physical requirements

New

... remote interaction and on-site training. This position is client-facing and customer-facing and ... Educate on Benefit Investigation, Prior Authorization Process, Support Center Services, Medicare ...

... remote interaction and on-site training. This position is client-facing and customer-facing and ... Educate on Benefit Investigation, Prior Authorization Process, Support Center Services, Medicare ...

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... prior authorizations. * Ensures clinical communications are managed, tasks are completed and ...

At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... prior authorizations. * Ensures clinical communications are managed, tasks are completed and ...

Medical Scribe

Columbus, OH · On-site

$15.25 - $20.50/hr

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Prior clinical experience, including shadowing and/or volunteering [strongly preferred] * Prior ...

Medical Scribe

Columbus, OH · On-site

$17 - $28.46/hr

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Prior clinical experience, including shadowing and/or volunteering [strongly preferred] * Prior ...

At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... prior authorizations. * Ensures clinical communications are managed, tasks are completed and ...

At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... prior authorizations. * Ensures clinical communications are managed, tasks are completed and ...

At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... prior authorizations. * Ensures clinical communications are managed, tasks are completed and ...

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How much do cvs prior authorization remote jobs pay per hour?

As of Aug 13, 2026, the average hourly pay for cvs prior authorization remote 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.

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What are the most commonly searched types of Cvs Prior Authorization jobs?

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A map of the United States highlighting the number of Cvs Prior Authorization Remote job openings by state according to ZipRecruiter. The image is accompanied by a detailed chart listing the number of Cvs Prior Authorization Remote job openings in each state, with California having the most at 2 and Alaska the least at 0.

BH Insurance/Precert Specialist

Nationwide Children's Hospital

Columbus, OH • On-site

Full-time

Re-posted 13 days ago


Nationwide Children's Hospital rating

6.9

Company rating: 6.9 out of 10

Based on 131 frontline employees who took The Breakroom Quiz

554th of 1,059 rated hospitals


Job description

Overview:
Schedule: M-F (Day Shift)
On-site during probation period until cleared to work remote.
Job Description Summary:
Verifies and documents benefit information. Requests initial authorization and meets provider's referral requirements to ensure that optimum payment is made to the hospital and providers.
Job Description:
Essential Functions:
  • Contacts insurance companies to obtain and verify benefit information, documents all benefit information, and meets payer's referral requirements to ensure that optimum payment to the hospital and providers will be satisfied.
  • Obtains insurance prior authorization as needed and documents the verification of benefits and prior authorizations in Epic. Maintains record of pending prior authorizations and documents timely follow-up.
  • Assists with the retrospective review of records for patients who have insurance changes that impact the authorization.
  • Communicates authorization denials and appeal options to referral sources/Providers. Assists with coverage resources as appropriate.
  • Contacts schedulers if insurance cannot be verified and refers self-pay patients to financial assistance resources.
  • Participates in department and interdepartmental meetings to promote knowledge, troubleshoot, and resolve issues related to benefits or authorizations.
  • Maintains knowledge of The Joint Commission, Medicaid, Medicare, and other third-party payer standards and requirements.

Education Requirement:
High school graduate, required.
Associate's Degree, preferred.
Licensure Requirement:
(not specified)
Certifications:
CPR certification (based on position and as determined by manager).
Skills:
Strong computer skills required with the ability to navigate most current technology systems.
Excellent written, communication, and organizational skills required.
Experience:
One year previous health care or insurance experience preferred.
Physical Requirements:
OCCASIONALLY: Bend/twist, Biohazard waste, Blood and/or Bodily Fluids, Chemicals/Medications, Communicable Diseases and/or Pathogens, Driving motor vehicles (work required) *additional testing may be required, Lifting / Carrying: 0-10 lbs, Lifting / Carrying: 11-20 lbs, Loud Noises, Patient Equipment, Pushing / Pulling: 0-25 lbs, Reaching above shoulder, Squat/kneel, Standing, Walking
FREQUENTLY: Flexing/extending of neck, Hand use: grasping, gripping, turning
CONTINUOUSLY: Audible speech, Color vision, Computer skills, Decision Making, Depth perception, Hearing acuity, Interpreting Data, Peripheral vision, Problem solving, Repetitive hand/arm use, Seeing - Far/near, Sitting
Additional Physical Requirements performed but not listed above:
Able to multi-task within in a stressful environment.
"The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individuals so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under their supervision. EOE M/F/Disability/Vet"

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About Nationwide Children's Hospital

Sourced by ZipRecruiter

Nationwide Children's Hospital, established in 1894, is a leading pediatric healthcare system based in Columbus, Ohio, United States. They serve as a primary pediatric network, providing wellness, preventive, diagnostic, treatment, and rehabilitative care for infants, children, adolescents, and adults with congenital disease. Being the third-largest pediatric hospital in the nation, Nationwide Children's Hospital prides itself on its relentless commitment to children and their families, driven by their core values of respect, integrity, determination, empathy, and solidarity. The institution's comprehensive mission is to enhance the health of children by providing high-quality, family-centered care, conducting groundbreaking research, advocating for pediatric health, and training top healthcare professionals.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Columbus, OH, US

Year founded

1892