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Remote Prior Authorization Rn Jobs in Burlington, NJ

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Shift Position is remote. No time zone preference but shift times offered will be in EST time so ... Reporting directly to the Supervisor, Prior Authorization Technicians, the Prior Authorization ...

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Shift Position is remote. No time zone preference but shift times offered will be in EST time so ... Reporting directly to the Supervisor, Prior Authorization Technicians, the Prior Authorization ...

In this role, the nurse manages a complex caseload of members and provides both remote support and ... The RN provides education to members and families on treatment plans, medications, preventive care ...

New

In this role, the nurse manages a complex caseload of members and provides both remote support and ... The RN provides education to members and families on treatment plans, medications, preventive care ...

New

In this role, the nurse manages a complex caseload of members and provides both remote support and ... The RN provides education to members and families on treatment plans, medications, preventive care ...

New

Preferred RN compact License Required Location: We are only hiring from the following states ... Prior experience with telehealth platforms * Comfort operating in an entrepreneurial or start-up ...

... Prior Authorization, Claims Assistance, and Appeals) and educating the office on Payer landscape and services available through both remote interaction and on-site training. This position is client ...

... Prior Authorization, Claims Assistance, and Appeals) and educating the office on Payer landscape and services available through both remote interaction and on-site training. This position is client ...

... Prior Authorization, Claims Assistance, and Appeals) and educating the office on Payer landscape and services available through both remote interaction and on-site training. This position is client ...

Identify field-reported access barriers (e.g., prior authorization criteria shifts, denial ... Primarily remote role with periodic travel (approximately 10-30%) for Field Reimbursement regional ...

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Remote Prior Authorization Rn information

See Burlington, NJ salary details

$7

$41

$70

How much do remote prior authorization rn jobs pay per hour?

As of Aug 18, 2026, the average hourly pay for remote prior authorization rn in Burlington, NJ is $41.31, according to ZipRecruiter salary data. Most workers in this role earn between $30.77 and $48.89 per hour, depending on experience, location, and employer.

What is the difference between Remote Prior Authorization Rn vs Remote Medical Coder?

AspectRemote Prior Authorization RnRemote Medical Coder
CredentialsRN license, certification in case management or utilization reviewCertification in coding (CPC, CCS), high school diploma or equivalent
Work EnvironmentHealthcare facilities, insurance companies, telehealthMedical offices, insurance companies, remote coding platforms
Industry UsageUtilization review, patient authorization, insurance approvalMedical record review, billing, coding for insurance claims

Remote Prior Authorization Rns focus on reviewing patient information to approve treatments, while Remote Medical Coders translate medical records into codes for billing. Both roles require healthcare knowledge but serve different functions within the healthcare industry.

What are popular job titles related to Remote Prior Authorization Rn jobs in Burlington, NJ?

For Remote Prior Authorization Rn jobs in Burlington, NJ, the most frequently searched job titles are:

What job categories do people searching Remote Prior Authorization Rn jobs in Burlington, NJ look for?

The top searched job categories for Remote Prior Authorization Rn jobs in Burlington, NJ are:

What cities near Burlington, NJ are hiring for Remote Prior Authorization Rn jobs?

Cities near Burlington, NJ with the most Remote Prior Authorization Rn job openings:

Infographic showing various Remote Prior Authorization Rn job openings in Burlington, NJ as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 19% Part Time, 1% Temporary, 2% Contract, and 1% Nights. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution, with an average salary of $85,923 per year, or $41.3 per hour.

Prior Authorization Technician - Remote

Ohm Systems, Inc

Philadelphia, PA • Remote

$26.50 - $28.50/hr

Contractor

This job post has expired today. Applications are no longer accepted.


Job description

Shift
Position is remote. No time zone preference but shift times offered will be in EST time so candidates will need to adjust accordingly if in a different time zone.Shift Schedule: 8:30am-5:00pm EST, 9:00am-5:30pm EST, or 9:30am-6:00pm EST

Duties 

  • Reporting directly to the Supervisor, Prior Authorization Technicians, the Prior Authorization Technician I processes prior authorization requests received from providers, members, and pharmacies, including requests for high cost and specialty medications.

Essential Functions

  • Interprets and applies clinical criteria during the prior authorization review process and approves requests if applicable
  • Utilizes member claims history during the prior authorization review process
  • Makes outbound calls to obtain additional information needed to process prior authorization requests
  • Submits authorizations to pharmacy and medical claims processors
  • Forwards prior authorization requests to a pharmacist when necessary
  • Makes appropriate referrals to other clinical programs
  • Assists in directing appropriate requests to in network providers
  • Receives inbound calls from the customer care center with prior authorization related inquiries
  • Assist with Appeals processing as assigned
  • Ability to multitask between various tasks and systems while maintaining required productivity and quality levels
  • Ability to make changes in a fast-paced environment
  • Strong knowledge of specialty and non-specialty pharmaceuticals
  • Performs other job-related duties and projects as assigned 
  • Attends required training on an annual basis.
  • Adheres to corporate and departmental policies and procedures.
  • Available to work weekends and holidays

Skills

  • 1 to 3 Years required.
  • Previous PBM, managed care, hospital pharmacy, LTC pharmacy, Home Infusion pharmacy, retail pharmacy experience preferred.
  • Minimum 35 words per minute typing speed.
  • PRIOR AUTHORIZATION PROCESSING
  • CLINICAL CRITERIA INTERPRETATION
  • MEMBER CLAIMS HISTORY UTILIZATION
  • OUTBOUND CALLING
  • AUTHORIZATION SUBMISSION
  • Additional
  • REFERRAL MANAGEMENT
  • APPEALS PROCESSING
  • MULTITASKING
  • ADAPTABILITY
  • SPECIALTY PHARMACEUTICALS KNOWLEDGE
  • NON-SPECIALTY PHARMACEUTICALS KNOWLEDGE
  • PBM EXPERIENCE
  • MANAGED CARE EXPERIENCE
  • HOSPITAL PHARMACY EXPERIENCE
  • LTC PHARMACY EXPERIENCE
  • HOME INFUSION PHARMACY EXPERIENCE
  • RETAIL PHARMACY EXPERIENCE

Education

  • High School/GED Required
  • Certified Pharmacy Technician (PTCB or NHA). May be required to be licensed or certified in a specific state based upon contractual requirements and business need.
  • Requires working shift schedule outside standard business hours
  • Must remain in stationary position for long periods of time at desk or computer
  • Requires moving around office and non-office locations
  • Requires frequently moving about inside the office to access printer, files, and other materials/equipment
  • Operates a computer and other office equipment
  • Requires ability to Lift/Carry/Push/Pull - Typically less than 10 pounds

Company Description

Ohm Systems, Inc. specializes in IT and Healthcare staffing services, dedicated to linking highly skilled professionals with our public and private clients across the United States. Our track record showcases our commitment to delivering outstanding staffing and consultancy solutions to our clients. We prioritize diversity and inclusivity and take pride in being an employer that promotes equal opportunities and affirmative action. Our goal is to foster an inclusive work environment that embraces individuals from all backgrounds, irrespective of their gender, race, or orientation.