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Remote Prior Authorization Representative Express Scripts Jobs in New York

Astera

Patient Access Coordinator

East Brunswick, NJ · On-site +1

$22/hr

  • Medical

Knowledge of healthcare insurance processes, prior authorizations, and medication access workflows. Work Environment: The work environment characteristics described here are representative of those ...

MCKESSON

Field Reimbursement Manager

Newark, NJ · On-site +1

... remote interaction and on-site training. This position is client-facing and customer-facing and ... Educate on Benefit Investigation, Prior Authorization Process, Support Center Services, Medicare ...

CoverMyMeds

Field Reimbursement Manager

New York, NY · On-site +1

... remote interaction and on-site training. This position is client-facing and customer-facing and ... Educate on Benefit Investigation, Prior Authorization Process, Support Center Services, Medicare ...

MCKESSON

Field Reimbursement Manager

Clifton, NJ · On-site +1

... remote interaction and on-site training. This position is client-facing and customer-facing and ... Educate on Benefit Investigation, Prior Authorization Process, Support Center Services, Medicare ...

McKesson

Field Reimbursement Manager

New York, NY · On-site +1

... remote interaction and on-site training. This position is client-facing and customer-facing and ... Educate on Benefit Investigation, Prior Authorization Process, Support Center Services, Medicare ...

McKesson

Field Reimbursement Manager

New York, NY · On-site +1

... remote interaction and on-site training. This position is client-facing and customer-facing and ... Educate on Benefit Investigation, Prior Authorization Process, Support Center Services, Medicare ...

ConnectMed360

Patient Support Case Manager

New Hyde Park, NY · On-site +1

$60K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Comprehensively understand the benefits investigation process, plan design, prior authorization ... scripts, guides and other communications for patients and HCPs. • Communicate with specialty ...

ACC Premiere

Remote Conversational Designer

North Bergen, NJ · On-site +1

$40K - $50K/yr

Key responsibilities include mapping conversation flows, writing dialogue scripts, and testing user ... Must be authorized to work in the US - No sponsorship available at this time. EEO Statement: ACC ...

AppleOne

Remote CSR- NJ Residents Only

Edison, NJ · Remote

$19/hr

  • Medical

  • Dental

  • Vision

  • Retirement

Job Summary Remote Customer Service Representatives are needed for a full-time temporary ... procedures, scripts, and compliance guidelines. - Escalate complex questions or issues when ...

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Showing results 21-40

All JobsPrior Authorization Representative Express Scripts JobsRemote Prior Authorization Representative Express Scripts JobsRemote Prior Authorization Representative Express Scripts Jobs in New York

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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Remote Prior Authorization Representative Express Scripts jobs near you

Medical Office Manager - Fully Remote | Upto $50/hr

Mercor

New York, NY • On-site, Remote

$50/hr

Full-time

Posted 8 days ago

Job description

About the job

Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey.

Position: Healthcare Administrative Specialist
Type: Contract
Compensation: $40–$50/hour
Location: Remote

Role Responsibilities

  • Evaluate and improve administrative workflows in healthcare settings, focusing on patient access and front-end operations.
  • Design efficient processes for prior authorizations and utilization support using real-world tools.
  • Review and manage claims and revenue cycle activities, ensuring timely submission and resolution.
  • Develop strategies for remittance and payment posting to align with clinical charges.
  • Collaborate with provider and payer operations to enhance credentialing and enrollment processes.
  • Work independently and asynchronously to optimize health information management and practice administration.

Qualifications

Must-Have

  • 3+ years of daily, hands-on experience in a healthcare administrative/back-office role.
  • Direct experience with payer portals (Availity, Optum/Change Healthcare, Waystar, Office Ally, or individual payer hubs like UHC Link, BCBS, Aetna).
  • Experience with EHR/practice-management platforms and/or clearinghouses.
  • Currently working in a healthcare administrative role.
  • Based in the United States.

Preferred

  • Background as a Practice Administrator, Medical Office Manager, or Revenue Cycle Specialist.
  • Experience as a Medical Billing Coordinator, Full-Cycle Biller, or Patient Access Lead.
  • Skills as a Prior Authorization Specialist or Denials/Claims Resolution Specialist.
  • Expertise in Credentialing, Provider Enrollment, or Health Plan/Payer Operations.
  • Knowledge in Health Information Management or Medical Records administration.

Application Process (Takes 20–30 mins to complete)

  • Upload resume
  • AI interview based on your resume
  • Submit form

Resources & Support

  • For details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome
  • For any help or support, reach out to: support@mercor.com

PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.