Prior Authorization Specialist – Inbound Remote

September 26, 2026

Prior Authorization Specialist – Inbound Remote

Pay: $18.00/hour
Location: Remote
Schedule: Monday–Friday | 10:30 AM–7:00 PM CST
Training: 7 weeks | Monday–Friday | 8:00 AM–5:30 PM CST | Virtual & On-Camera
Work Setup: Remote/WFH | All equipment provided | Must be hardwired to your router
Screening: Background check and drug screen required

Hiring States

AL, AR, AZ, IA, KS, LA, MN, MO, MS, NM, NV, OK, TN, TX, WI

Role Overview

We are looking for an experienced Prior Authorization Specialist to join a high-volume inbound healthcare team.

This role is more than simply reviewing or processing existing authorizations. You will handle inbound calls from providers and customers while initiating authorization requests from start to finish.

You will need to gather and evaluate information, ask probing questions, identify missing or conflicting details, recognize potential issues, and use good judgment to ensure authorization requests are complete and accurate.

Key Responsibilities

Handle high-volume inbound calls related to new and existing authorizations
Initiate authorization requests from start to finish
Gather and evaluate information needed to support authorization requests
Ask probing questions to identify missing or unclear information
Identify potential issues, inconsistencies, or missing documentation
Provide accurate information regarding authorizations, eligibility, and provider status
Review and process authorization documentation, faxes, and case status updates
Navigate multiple systems and computer screens while maintaining accuracy
Document all interactions and authorization activity accurately
Communicate with providers and customers regarding authorization requirements, appeals, denials, and complex inquiries
Work toward first-call resolution whenever possible
Protect confidential member and provider information
Adapt to changing processes, duties, and performance expectations

What We're Looking For

Previous healthcare authorization experience
Experience initiating prior authorizations, not just reviewing or verifying them
Experience with authorizations for services, imaging, prescriptions, or other healthcare services
Strong listening, probing, and critical-thinking skills
Ability to identify missing or conflicting information and determine what is needed to move a request forward
Strong multitasking and organizational skills
Excellent verbal and written communication
Comfortable working in a high-volume inbound call environment
Ability to remain calm, professional, and solution-focused during complex interactions
Comfortable navigating multiple systems and platforms

Remote Requirements

Reliable, quiet workspace
Must be hardwired to your router
Must meet required internet speeds
Must be comfortable working on camera during virtual training
Must pass a background check and drug screen

Apply Now!

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