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Remote Prior Authorization Representative Express Scripts Jobs in New Jersey

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 ...

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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 ...

Showing results 21-40

Remote Prior Authorization Representative Express Scripts information

What is the difference between Remote Prior Authorization Representative Express Scripts vs Remote Claims Processor?

AspectRemote Prior Authorization Representative Express ScriptsRemote Claims Processor
CredentialsHigh school diploma, healthcare certifications often preferredHigh school diploma, healthcare or insurance certifications
Work EnvironmentRemote, healthcare insurance settingRemote, insurance claims processing environment
Employer & IndustryExpress Scripts, healthcare/pharmacy industryVarious insurance companies, healthcare industry
Primary ResponsibilitiesReview and approve prior authorization requestsReview 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.

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For Remote Prior Authorization Representative Express Scripts jobs in New Jersey, the most frequently searched job titles are:

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Cities in New Jersey with the most Remote Prior Authorization Representative Express Scripts job openings:

Infographic showing various Remote Prior Authorization Representative Express Scripts job openings in New Jersey as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 16% Part Time, 2% Temporary, and 3% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution.

Account Executive -- Healthcare AI / RCM

OpenBots Inc.

Edison, NJ • Remote

Full-time

Re-posted 12 days ago


Job description

Role:- Account Executive — Healthcare AI / RCM
Location:- Edison NJ/Remote
Job Summary:
About the Role
CoOrdio is a AI-powered Revenue Cycle Management platform that automates and streamlines the full revenue cycle for healthcare providers. We're looking for a hunter-minded Account Executive who knows healthcare from the inside and can sell complex AI SaaS to operational and financial buyers across provider organizations.
What You'll Do
  1. Own the full sales cycle from prospecting to close across provider groups, specialty practices, and billing companies
  2. Navigate multi-stakeholder deals involving revenue cycle directors, CFOs, and practice administrators
  3. 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
  4. Build relationships with EHR partners and channel partners (ModMed, Nextech, eCW, Athena) to drive referral pipeline
  5. Collaborate closely with product and implementation teams to ensure smooth handoffs and customer success
  6. Represent the company at healthcare conferences (HIMSS, MGMA, HFMA)
What You Bring
  1. 4–7 years of SaaS sales experience in healthcare IT ; RCM, practice management, document management, or health AI
  2. Proven track record selling to provider-side buyers across medical groups, health systems, and billing companies
  3. 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
  4. Understanding of payer connectivity, clearinghouse ecosystems (Change Healthcare, Availity, Waystar), and EDI transaction sets (837, 835, 270/271)
  5. Comfortable discussing AI, voice agents, payer portal automation, and EHR integrations without needing engineering support on every call
  6. Familiarity with healthcare document management ; clinical documentation, payer correspondence, remittance processing, and appeal packet generation
  7. Experience with consultative, value-based selling ; you lead with workflow pain and measurable outcomes, not features
  8. Existing relationships at specialty EHRs, billing companies, or health systems is a strong plus
Nice to Have
  1. Experience selling into or alongside Epic, Athena, ModMed, eClinicalWorks, or Cerner ecosystems
  2. Background at companies like Waystar, R1, Omega Healthcare, nThrive, Greenway, or similar RCM-adjacent SaaS product companies
  3. Exposure to AI-native healthcare products and an understanding of how LLMs, voice AI, and agentic workflows are reshaping healthcare administration