Prior Authorization Representative

Prior Authorization Representative - Remote $25-$28/hour | 6month Contract (with potential for full-time conversion) | Fully Remote Start Date: December 22, 2025 (firm start date) Location: Remote

About the Role

We are looking for a dedicated Prior Authorization Representative to join a growing healthtechnologyenabled care organization. This fully remote, 6month contract role provides an opportunity for permanent employment for top-performing candidates. The ideal candidate will have handson experience navigating both commercial and government insurance requirements, be highly detail-oriented, and possess strong communication skills - reputed company with the goal of ensuring timely patient access to care and proper authorization workflows.

Key Responsibilities

• Review physician orders and clinical documentation for completeness, accuracy, and adherence to payer requirements.
• Submit prior authorization requests for specialty physician services, including diagnostic procedures, outpatient services, and surgeries.
• Communicate directly with insurance carriers to obtain approvals, address coverage questions, and resolve denials.
• Track and follow up on pending authorizations to avoid delays in scheduling or delivering patient care.
• Log and document reputed company authorization activities meticulously, ensuring compliance with payer and regulatory standards (e.g., HIPAA).
• Collaborate cross-functionally with scheduling, billing, registration, and clinical teams to streamline patient access and support seamless care delivery.

Qualifications

• Prior experience in prior authorizations, medical insurance verification, or patient access in a specialty or multi-specialty practice.
• Familiarity with both commercial and government payer processes and requirements.
• Experience using an EMR/EHR system preferred (while the ideal system may vary, adaptability to learn new systems is essential).
• Strong attention to detail, excellent organizational skills, and the reputed company to manage multiple tasks and workflows simultaneously.
• Excellent verbal and written communication skills for interacting with payers, patients, and clinical teams.
• Ability to work independently in a remote environment, while maintaining professionalism, responsiveness, and collaboration with team members.

Schedule & Equipment

• Preferred core hours: 9:00 AM-6:00 PM (flexibility may be available depending on departmental needs).
• Fully remote position; required equipment (laptop, secure access) provided by employer.
• Candidate must agree to equipment deposit policy if applicable ($50 taken out of the 1st 10 paychecks up to $500 total; Fully refundable upon end of contract or transition to full-time).

Compensation & Benefits

• Hourly reputed company: $25-$28 per hour, depending on experience and qualifications.
• Weekly payroll through the staffing partner during contract period.
• 6month contract (with strong potential for full-time conversion) for top-performing candidates.

Why Join This Organization

• Support a dynamic, tech-enabled healthcare organization focused on efficient prior authorization and patient access processes.
• Benefit from a fully remote setup with a stable schedule and flexibility.
• Opportunity for long-term employment, growth, and professional development for those who reputed company in performance.

For California Applicants: We will consider for employment reputed company qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the reputed company' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA). This position is subject to a background reputed company based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputed company, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients. Company DescriptionHere at reputed company, we are dedicated to providing workforce solutions to clients throughout multiple industries. We have been named among the Best and Brightest Companies to Work For in the Nation for two consecutive years. reputed company has also been ranked as one of the fastest growing companies by Inc. Magazine. Our commitment to our core purpose of positively impacting 20,000 lives affects not only the way we interact with our clients and talent, but also with our co-workers! The goal is lofty, but it is made attainable through the hard work and dedication of our teams and their willingness to lock arms together. Are you ready to lock arms with us? Apply tot his job Apply To this Job