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Remote Prior Authorization Representative Express Scripts Jobs in Princeton, NJ

Thesis

Clinical Expert, Care Team Operations

New York, NY · On-site +1

$100 - $150K/hr

Review prior authorizations, appeals, and other clinical-administrative tasks that require human ... Build the clinical protocols, scripts, and decision-support content that power Thesis AI agents ...

Astera

Patient Access Coordinator

East Brunswick, NJ · On-site +1

$22/hr

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

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

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

Trenton, 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 ...

Mercor

Healthcare Admin Specialist - Operations

New York, NY · On-site +1

$40 - $50/hr

Remote Role Responsibilities * Evaluate and improve administrative workflows in healthcare settings ... Design efficient processes for prior authorizations and utilization support using real-world tools.

New

AppleOne

Remote CSR- NJ Residents Only

Edison, NJ · Remote

$19/hr

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

Mercor

Pharmacy Access Specialist - Expert

New York, NY · Remote

$75/hr

Pharmacy Prior Authorization & Specialty-Medication Access Specialist Type: Contract Compensation: $75/hour Location: Remote Role Responsibilities * Process and manage prior authorisation requests ...

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All JobsPrior Authorization Representative Express Scripts JobsRemote Prior Authorization Representative Express Scripts JobsRemote Prior Authorization Representative Express Scripts Jobs in Princeton, NJ

Remote Prior Authorization Representative Express Scripts information

See Princeton, NJ salary details

$27.3K

$50.7K

$76.5K

How much do remote prior authorization representative express scripts jobs pay per year?

As of Aug 12, 2026, the average yearly pay for remote prior authorization representative express scripts in Princeton, NJ is $50,746.00, according to ZipRecruiter salary data. Most workers in this role earn between $41,900.00 and $57,700.00 per year, depending on experience, location, and employer.

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.

What are popular job titles related to Remote Prior Authorization Representative Express Scripts jobs in Princeton, NJ? For Remote Prior Authorization Representative Express Scripts jobs in Princeton, NJ, the most frequently searched job titles are:
What job categories do people searching Remote Prior Authorization Representative Express Scripts jobs in Princeton, NJ look for? The top searched job categories for Remote Prior Authorization Representative Express Scripts jobs in Princeton, NJ are:
Remote Prior Authorization Representative Express Scripts jobs near you
Infographic showing various Remote Prior Authorization Representative Express Scripts job openings in Princeton, NJ as of August 2026, with employment types broken down into 76% Full Time, 10% Part Time, and 14% Contract. Highlights an 100% Remote job distribution, with an average salary of $50,746 per year, or $24.4 per hour.

Precertification Specialist - Surgery

Princeton Brain Spine and Orthopedics

Newtown, PA • Remote

Full-time

Re-posted 21 days ago

Job description

Surgical Precertification Specialist
Full-Time - Remote

MUST LIVE IN NJ, PA OR FL

Position Summary
This role handles the end-to-end authorization process for commercial insurance carriers to make sure surgical cases get approved correctly, cleanly, and on time. The specialist works closely with surgeons, schedulers, patients, and insurance reps to keep cases moving and prevent last-minute surprises.

Key Responsibilities
Review surgery requests for accuracy, completeness, and medical necessity documentation
Submit prior authorization requests to payers; track and follow up until determination
Communicate case status to surgeons, schedulers, clinical staff, and patients
Verify benefits insurance is active to obtain authorization
Request and collect clinical records, imaging reports, and supporting documentation
Handle peer-to-peer requests, denials, and appeals coordination
Maintain organized case logs and meet turnaround time expectations
Identify payer quirks, trends, and requirements to prevent delays

  • Maintain flexibility within the role to deliver the best possible patient care
    Work collaboratively with the rest of the precertification team to keep workflows tight and predictable
    Provide excellent customer service

Qualifications
MUST live in NJ, PA or FL

  • MUST HAVE Experience with precertification or prior authorization for surgical services
    Neuro/Spine/Ortho/Pain Management surgery experience preferred but not required
    Strong understanding of medical terminology, CPT/ICD-10 codes, and clinical documentation
    Comfort working with EMRs, payer portals, Microsoft and Adobe
    Solid communication skills - clear, direct, and calm
    Ability to juggle multiple cases without losing track
    Detail-oriented with good judgement on what needs escalation and what just needs another phone call
    High level of reliability and follow-through

Apply