Prior Authorization Representative

Prior Authorization Representative - Remote
$23-$26/hour | 6month Contract (with potential for full-time conversion) | Fully Remote
Start Date: January 12th, 2026 or January 19th, 2026
Location: Remote

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 - all with the goal of ensuring timely patient access to care and proper authorization workflows.

• 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 all 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.

• 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 capacity 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.

• 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).

• Hourly rate: $23-$26 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.

• 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 excel in performance.

For California Applicants:

We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' 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 check 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 reputation, 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.