Role:- Account Executive -- Healthcare AI / RCM Location:- Edison NJ/Remote Job Summary: About the ... prior authorization, claims submission, payment posting, denial management, appeals, and AR ...
Role:- Account Executive -- Healthcare AI / RCM Location:- Edison NJ/Remote Job Summary: About the ... prior authorization, claims submission, payment posting, denial management, appeals, and AR ...
Call Center Representative
Carteret, NJ · Remote
$19/hr
Key Responsibilities - Answer inbound calls from consumers, prospective enrollees, and authorized ... Remote, but MUST live in New Jersey Equal Opportunity Employer / Disabled / Protected Veterans The ...
New
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Call Center Representative
Carteret, NJ · Remote
$19/hr
Key Responsibilities - Answer inbound calls from consumers, prospective enrollees, and authorized ... Remote, but MUST live in New Jersey Equal Opportunity Employer / Disabled / Protected Veterans The ...
New
Must be authorized to work in US for ANY EMPLOYER. No H1 Visa support for this position. Fully ... service representatives. · Deliver after-hours phone support to assist customers, service ...
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Must be authorized to work in US for ANY EMPLOYER. No H1 Visa support for this position. Fully ... service representatives. · Deliver after-hours phone support to assist customers, service ...
Telemedicine Physician Medical Weight Management
Hoboken, NJ · Remote
$195K - $225K/yr
Location: Remote (United States) Type: Full-Time, Part-Time, or 1099 Compensation: $195,000-$255 ... Document thoroughly to support prior authorization and continuity of care What We Offer * Multi ...
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Telemedicine Physician Medical Weight Management
Hoboken, NJ · Remote
$195K - $225K/yr
Location: Remote (United States) Type: Full-Time, Part-Time, or 1099 Compensation: $195,000-$255 ... Document thoroughly to support prior authorization and continuity of care What We Offer * Multi ...
Telemedicine Physician Medical Weight Management
Newark, NJ · Remote
$195K - $225K/yr
Location: Remote (United States) Type: Full-Time, Part-Time, or 1099 Compensation: $195,000-$255 ... Document thoroughly to support prior authorization and continuity of care What We Offer * Multi ...
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Telemedicine Physician Medical Weight Management
Newark, NJ · Remote
$195K - $225K/yr
Location: Remote (United States) Type: Full-Time, Part-Time, or 1099 Compensation: $195,000-$255 ... Document thoroughly to support prior authorization and continuity of care What We Offer * Multi ...
Telemedicine Physician Medical Weight Management
Somerville, NJ · Remote
$195K - $225K/yr
Location: Remote (United States) Type: Full-Time, Part-Time, or 1099 Compensation: $195,000-$255 ... Document thoroughly to support prior authorization and continuity of care What We Offer * Multi ...
Quick apply
Telemedicine Physician Medical Weight Management
Somerville, NJ · Remote
$195K - $225K/yr
Location: Remote (United States) Type: Full-Time, Part-Time, or 1099 Compensation: $195,000-$255 ... Document thoroughly to support prior authorization and continuity of care What We Offer * Multi ...
We're looking for driven individuals to join our team as Sales Representatives in a fully remote ... No prior experience needed; we offer full training. * Self-Motivated : Must be highly driven and ...
We're looking for driven individuals to join our team as Sales Representatives in a fully remote ... No prior experience needed; we offer full training. * Self-Motivated : Must be highly driven and ...
We're looking for driven individuals to join our team as Sales Representatives in a fully remote ... No prior experience needed; we offer full training. * Self-Motivated : Must be highly driven and ...
We're looking for driven individuals to join our team as Sales Representatives in a fully remote ... No prior experience needed; we offer full training. * Self-Motivated : Must be highly driven and ...
We're looking for driven individuals to join our team as Sales Representatives in a fully remote ... No prior experience needed; we offer full training. * Self-Motivated : Must be highly driven and ...
We're looking for driven individuals to join our team as Sales Representatives in a fully remote ... No prior experience needed; we offer full training. * Self-Motivated : Must be highly driven and ...
We're looking for driven individuals to join our team as Sales Representatives in a fully remote ... No prior experience needed; we offer full training. * Self-Motivated : Must be highly driven and ...
We're looking for driven individuals to join our team as Sales Representatives in a fully remote ... No prior experience needed; we offer full training. * Self-Motivated : Must be highly driven and ...
We're looking for driven individuals to join our team as Sales Representatives in a fully remote ... No prior experience needed; we offer full training. * Self-Motivated : Must be highly driven and ...
We're looking for driven individuals to join our team as Sales Representatives in a fully remote ... No prior experience needed; we offer full training. * Self-Motivated : Must be highly driven and ...
We're looking for driven individuals to join our team as Sales Representatives in a fully remote ... No prior experience needed; we offer full training. * Self-Motivated : Must be highly driven and ...
We're looking for driven individuals to join our team as Sales Representatives in a fully remote ... No prior experience needed; we offer full training. * Self-Motivated : Must be highly driven and ...
We're looking for driven individuals to join our team as Sales Representatives in a fully remote ... No prior experience needed; we offer full training. * Self-Motivated : Must be highly driven and ...
We're looking for driven individuals to join our team as Sales Representatives in a fully remote ... No prior experience needed; we offer full training. * Self-Motivated : Must be highly driven and ...
We're looking for driven individuals to join our team as Sales Representatives in a fully remote ... No prior experience needed; we offer full training. * Self-Motivated : Must be highly driven and ...
We're looking for driven individuals to join our team as Sales Representatives in a fully remote ... No prior experience needed; we offer full training. * Self-Motivated : Must be highly driven and ...
We're looking for driven individuals to join our team as Sales Representatives in a fully remote ... No prior experience needed; we offer full training. * Self-Motivated : Must be highly driven and ...
We're looking for driven individuals to join our team as Sales Representatives in a fully remote ... No prior experience needed; we offer full training. * Self-Motivated : Must be highly driven and ...
We're looking for driven individuals to join our team as Sales Representatives in a fully remote ... No prior experience needed; we offer full training. * Self-Motivated : Must be highly driven and ...
We're looking for driven individuals to join our team as Sales Representatives in a fully remote ... No prior experience needed; we offer full training. * Self-Motivated : Must be highly driven and ...
We're looking for driven individuals to join our team as Sales Representatives in a fully remote ... No prior experience needed; we offer full training. * Self-Motivated : Must be highly driven and ...
We're looking for driven individuals to join our team as Sales Representatives in a fully remote ... No prior experience needed; we offer full training. * Self-Motivated : Must be highly driven and ...
We're looking for driven individuals to join our team as Sales Representatives in a fully remote ... No prior experience needed; we offer full training. * Self-Motivated : Must be highly driven and ...
We're looking for driven individuals to join our team as Sales Representatives in a fully remote ... No prior experience needed; we offer full training. * Self-Motivated : Must be highly driven and ...
We're looking for driven individuals to join our team as Sales Representatives in a fully remote ... No prior experience needed; we offer full training. * Self-Motivated : Must be highly driven and ...
We're looking for driven individuals to join our team as Sales Representatives in a fully remote ... No prior experience needed; we offer full training. * Self-Motivated : Must be highly driven and ...
We're looking for driven individuals to join our team as Sales Representatives in a fully remote ... No prior experience needed; we offer full training. * Self-Motivated : Must be highly driven and ...
We're looking for driven individuals to join our team as Sales Representatives in a fully remote ... No prior experience needed; we offer full training. * Self-Motivated : Must be highly driven and ...
Remote Prior Authorization Representative Express Scripts information
What is the difference between Remote Prior Authorization Representative Express Scripts vs Remote Claims Processor?
| Aspect | Remote Prior Authorization Representative Express Scripts | Remote Claims Processor |
|---|---|---|
| Credentials | High school diploma, healthcare certifications often preferred | High school diploma, healthcare or insurance certifications |
| Work Environment | Remote, healthcare insurance setting | Remote, insurance claims processing environment |
| Employer & Industry | Express Scripts, healthcare/pharmacy industry | Various insurance companies, healthcare industry |
| Primary Responsibilities | Review and approve prior authorization requests | Review and process insurance claims |
The Remote Prior Authorization Representative at Express Scripts focuses on evaluating and approving prior authorization requests for medications, ensuring timely patient access. In contrast, a Remote Claims Processor handles the review and processing of insurance claims after services are rendered. While both roles require healthcare knowledge and remote work skills, their core functions differ in the stages of the insurance process they manage.
What are popular job titles related to Remote Prior Authorization Representative Express Scripts jobs in New Jersey?
For Remote Prior Authorization Representative Express Scripts jobs in New Jersey, the most frequently searched job titles are:
What job categories do people searching Remote Prior Authorization Representative Express Scripts jobs in New Jersey look for?
The top searched job categories for Remote Prior Authorization Representative Express Scripts jobs in New Jersey are:
- Referral Authorization Coordinator
- Medical Prior Authorization Specialist
- Remote Epic Patient Scheduling Representative
- Remote Aetna Prior Authorization
- Associate Cvs Health Prior Authorization
- Top Prior Authorization Companies
- Radiation Oncology Prior Authorization
- Tri State Hospital
- Insurance Verification And Authorization Specialist
- Remote Prior Authorization
What cities in New Jersey are hiring for Remote Prior Authorization Representative Express Scripts jobs?
Cities in New Jersey with the most Remote Prior Authorization Representative Express Scripts job openings:

Full-time
Re-posted 12 days ago
Job description
- Own the full sales cycle from prospecting to close across provider groups, specialty practices, and billing companies
- Navigate multi-stakeholder deals involving revenue cycle directors, CFOs, and practice administrators
- Educate prospects on AI-driven RCM automation and articulate ROI in terms they care about ; denial rate reduction, days in AR, clean claim rate, and cost per claim
- Build relationships with EHR partners and channel partners (ModMed, Nextech, eCW, Athena) to drive referral pipeline
- Collaborate closely with product and implementation teams to ensure smooth handoffs and customer success
- Represent the company at healthcare conferences (HIMSS, MGMA, HFMA)
- 4–7 years of SaaS sales experience in healthcare IT ; RCM, practice management, document management, or health AI
- Proven track record selling to provider-side buyers across medical groups, health systems, and billing companies
- Deep familiarity with end-to-end RCM workflows including eligibility verification, benefits determination, prior authorization, claims submission, payment posting, denial management, appeals, and AR follow-up
- Understanding of payer connectivity, clearinghouse ecosystems (Change Healthcare, Availity, Waystar), and EDI transaction sets (837, 835, 270/271)
- Comfortable discussing AI, voice agents, payer portal automation, and EHR integrations without needing engineering support on every call
- Familiarity with healthcare document management ; clinical documentation, payer correspondence, remittance processing, and appeal packet generation
- Experience with consultative, value-based selling ; you lead with workflow pain and measurable outcomes, not features
- Existing relationships at specialty EHRs, billing companies, or health systems is a strong plus
- Experience selling into or alongside Epic, Athena, ModMed, eClinicalWorks, or Cerner ecosystems
- Background at companies like Waystar, R1, Omega Healthcare, nThrive, Greenway, or similar RCM-adjacent SaaS product companies
- Exposure to AI-native healthcare products and an understanding of how LLMs, voice AI, and agentic workflows are reshaping healthcare administration