Remote Prior Authorization Specialist

Naukri Mitra; United States; Remote; USD 50,000 - 61,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

Paid time off

Remote work stipend

Certification support

Wellness programs

Job summary

Naukri Mitra is seeking a Remote Health Insurance Authorization Specialist to manage the prior authorization process from start to finish. You will secure approvals for procedures, services, and medications by working with payers and providers.

The role emphasizes accuracy, speed, and effective communication in a fully remote setting. The position offers a $55,459 annual salary with benefits including health, dental, and vision insurance, PTO, a remote work stipend, and support for CMRS/CPB

Qualifications

• Attention to detail and accuracy in clinical documentation
• Strong written and verbal communication, especially for explaining denials to providers
• Ability to read and interpret clinical documentation accurately
• Proven track record handling high-volume prior authorizations
• Experience with EHRs, payer portals, and authorization workflows

Responsibilities

• Submit and track prior authorization requests for procedures, services, and medications
• Review clinical documentation to ensure payer medical necessity
• Follow up on pending requests and resolve delays
• Assist providers to appeal or resolve denials
• Maintain accurate authorization records in internal systems
• Coordinate with billing and case management on shared cases

Skills

Attention to detail

Verbal communication

Written communication

Reading clinical documentation

High-volume workload management

Education

Associate degree

Tools

EHR systems

Authorization software

Payer portals

Job description

Naukri Mitra is seeking a Remote Health Insurance Authorization Specialist to manage the prior authorization process from start to finish. You will secure approvals for procedures, services, and medications by working with payers and providers.

The role emphasizes accuracy, speed, and effective communication in a fully remote setting. The position offers a $55,459 annual salary with benefits including health, dental, and vision insurance, PTO, a remote work stipend, and support for CMRS/CPB