Remote Health Insurance Authorization Specialist

Shape the Future of Patient Advocacy—From Anywhere

Are you passionate about making healthcare more accessible and efficient for everyone? Do you thrive in a dynamic, people-centered environment where your organizational expertise and decision-making skills directly impact lives? This is your opportunity to join a forward-thinking team dedicated to empowering patients, streamlining healthcare services, and championing coverage equity across diverse communities—all from the comfort of your remote workspace.

As a Remote Health Insurance Authorization Specialist, you’ll be an essential link between patients, providers, and insurance companies, facilitating timely medical treatment approvals. This role invites experienced, detail-oriented professionals to step into a pivotal position that balances responsibility with autonomy, structure with innovation, and procedure with compassion.

What You'll Do: Key Responsibilities

As a valued member of our remote healthcare operations team, you will:

• Coordinate and Process Authorizations: Secure prior authorizations for medical procedures, services, and medications by liaising with insurance providers and healthcare professionals.
• Evaluate Medical Necessity: Review and interpret clinical documentation to ensure alignment with payer guidelines and coverage policies.
• Follow Up and Track Requests: Monitor authorization statuses, resolve delays, and proactively communicate updates to providers and patients.
• Advocate for Patient Access: Work closely with medical offices and support staff to overcome insurance denials or pre-certification obstacles.
• Maintain Accurate Documentation: Enter and update all authorization-related information in internal systems to ensure accuracy, compliance, and confidentiality.
• Collaborate Cross-Functionally: Support team members and collaborate with departments like case management and billing to promote seamless care coordination.

This role places you at the intersection of administration and patient advocacy. Your contribution accelerates access to vital medical care and supports the financial integrity of healthcare delivery.

Who You Are: Candidate Profile

You are a focused, tech-savvy professional who thrives in remote work environments and is passionate about healthcare equity. Your communication is clear, your follow-through is consistent, and your ability to navigate complex payer systems is second nature.

Essential Qualifications:

• Proven experience (2+ years) in medical insurance authorization, medical billing, or healthcare claims processing.
• In-depth knowledge of prior authorization protocols, payer-specific policies, and insurance terminology.
• Strong ability to read and interpret medical records and clinical documentation.
• Comfortable managing high volumes of authorization requests while maintaining exceptional attention to detail.
• Familiarity with electronic health record (EHR) systems, authorization software, and payer portals.
• Exceptional collaboration and verbal skills paired with dedication to clarity, empathy, and professionalism.
• Self-starter mindset with strong organizational, multitasking, and time-management abilities.

Tools and Technology

We embrace modern digital workflows to ensure operational efficiency and outstanding patient service. In this role, you will use:

• Leading EHR platforms such as Epic, Cerner, or Athenahealth
• Insurance verification and eligibility tools
• Cloud-based communication tools like Microsoft Teams or Slack
• Task management systems to streamline authorization workflows
• HIPAA-compliant data management applications

Your ability to navigate these platforms with agility will empower you to work independently, solve problems proactively, and deliver consistently high-quality outcomes.

Our Remote Work Culture: Where Flexibility Meets Accountability

We understand that remote professionals are most productive when supported by a culture of trust, transparency, and collaboration. As a fully remote employee, you'll enjoy:

• A structured, flexible schedule that allows you to balance work and personal commitments
• A collaborative work culture that values continuous learning, shared expertise, and continuous improvement
• A results-driven performance model based on outcomes, not hours
• Regular virtual check-ins, training sessions, and professional development workshops

We invest in people, not just processes, because empowering individuals strengthens teams and elevates outcomes.

Growth Opportunities and Career Impact

This role is more than a job—it’s a launchpad for career development within the healthcare administration ecosystem. By joining our remote team, you will:

• Deepen your expertise in health plan operations and clinical documentation review
• Gain exposure to healthcare compliance, medical coding, and payer contract management
• Cultivate leadership potential through mentorship opportunities and cross-functional projects
• Be encouraged to pursue certifications such as Certified Medical Reimbursement Specialist (CMRS) or Certified Professional Biller (CPB)

Our commitment to your professional growth is embedded in our culture. We believe in investing in the future of every team member, and it begins with trust, opportunity, and the tools to thrive.

Why Your Work Matters

In this role, your day-to-day responsibilities directly affect patients' ability to receive timely, life-changing medical care. You help minimize delays, reduce out-of-pocket expenses, and clarify a complex and often overwhelming system. Every call you make, form you complete, and case you follow up on drives our collective mission forward: to create a healthcare system that works better for everyone, regardless of circumstance.

Compensation and Benefits

• Annual Salary: $43,459
• Benefits Package Includes:
  • Competitive health, dental, and vision insurance
  • Paid time off and company holidays
  • Remote work stipend for home office setup
  • Access to professional development resources and certification support
  • Employee wellness initiatives and mental health support programs

We recognize that compensation is more than just a paycheck—it’s peace of mind, access to opportunity, and a foundation for personal success.

Ready to Empower Healthcare From Home?

We want to hear from you if you're an experienced healthcare administration professional ready to contribute your talents to a mission-driven remote team. Join us in building a more thoughtful, innovative, and empathetic healthcare future—one authorization at a time.

Apply now to become a trusted advocate for patients navigating today’s complex insurance landscape. Your next career step starts here.