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Remote Prior Authorization Rn Jobs in Paramus, NJ

IQVIA

Flex Nurse Educator

New York, NY · Remote

Active RN license in good standing (compact multi-state preferred); may be required to obtain ... authorization to work in the US without the need for sponsorship. #LI-CES #LI-REMOTE IQVIA is a ...

IQVIA

Flex Nurse Educator

New York, NY · Remote

Active RN license in good standing (compact multi-state preferred); may be required to obtain ... authorization to work in the US without the need for sponsorship. #LI-CES #LI-REMOTE IQVIA is a ...

IQVIA

Flex Nurse Educator - New York, NY

New York, NY · Remote

Active RN license in good standing (compact multi-state preferred); may be required to obtain ... authorization to work in the US without the need for sponsorship. #LI-CES #LI-REMOTE IQVIA is a ...

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Showing results 21-40

All JobsPrior Authorization Rn JobsRemote Prior Authorization Rn JobsRemote Prior Authorization Rn Jobs in Paramus, NJ

Remote Prior Authorization Rn information

See Paramus, NJ salary details

$7

$42

$72

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

As of Sep 11, 2026, the average hourly pay for remote prior authorization rn in Paramus, NJ is $42.75, according to ZipRecruiter salary data. Most workers in this role earn between $31.88 and $50.58 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 Paramus, NJ?

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

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

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

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

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

Remote Prior Authorization Rn jobs near you
Infographic showing various Remote Prior Authorization Rn job openings in Paramus, NJ as of September 2026, with employment types broken down into 1% As Needed, 75% Full Time, 21% Part Time, 1% Temporary, and 2% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $88,915 per year, or $42.7 per hour.

Precertification Specialist

Teaneck, NJ • Remote

The US Oncology Network
Health Care and Social Assistance • 10K+ employees
Learn more about The US Oncology Networkexternal

$18.99 - $29.22/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 9 days ago

US Oncology rating

7.1

Company rating: 7.1 out of 10

Based on 110 frontline employees who took The Breakroom Quiz

Job description

Overview
Join RCCA and make a meaningful impact on the patient journey. As a fully remote Precertification Specialist, you will be responsible for obtaining and managing prior authorizations to ensure patients receive timely access to the care and treatment they need. This role requires strong attention to detail, problem-solving skills, and a commitment to delivering exceptional service while navigating complex insurance requirements.
 

Employment Type: Full Time

Location: Teaneck, NJ (Remote)

Compensation: $18.99 - $29.22 hour

Compensation packages based on your unique skills, experience, and qualifications

As of the date of this posting, RCCA offers a comprehensive benefits package for this position, subject to eligibility requirements. In addition to the salary, we provide: Health, dental, and vision plans, Wellness program, Health savings account - Flexible spending accounts, 401(k) retirement plan, Life insurance, Short-term disability insurance, Long-term disability insurance, Employee Assistance Program (EAP), Paid Time Off (PTO) and holiday pay, Tuition discounts with numerous universities.

We believe these benefits underscore our commitment to the well-being and professional growth of our employees.


Responsibilities
  • Under general supervision, the Precertification Specialist is responsible for ensuring that prior authorizations are obtained in a timely manner and remain current, facilitating uninterrupted patient care.
  • Reviews and confirms patient insurance eligibility, benefits, and coverage for specific services, ensuring alignment with payer requirements
  • Follows standard operating procedures and established guidelines to complete tasks related to prior authorization, ensuring that all insurance requirements are met in a compliant and accurate manner
  • Proactively follows up with insurance carriers on pending or denied authorizations, submitting appeals when necessary
  • Resolves any issues or discrepancies related to prior authorization requests
  • Supports and adheres to the US Oncology Compliance Program, including the Code of Ethics and Business Standards and US Oncology's Shared Values.
  • Monitors assigned worklists and emails to provide front-end review for authorization and to answer any questions related to authorizations.
  • Contacts patients to discuss OOP cost,offer assistance options (if available), and coordinate outreach for patient plan initiation (if applicable). 
  • Reviews weekly denialreport and resolves issues, including submitting retro authorization requests or front-end appeals. 
  • Adheres to workflow and, if issues arise, escalates to Supervisor promptly.
  • Adheres to confidentiality and all state, federal, and HIPAA laws and guidelinesregarding patient records. 
  • Performs other duties as requested or assigned.

Qualifications
  • High School diploma or equivalent required
  • Minimum two (2) years of experience in a patient access or financial clearance role. Oncology preferred.
  • Demonstrate advanced knowledge of medical terminology
  • Ability to navigate different systems seamlessly and able to multitask efficiently.
  • Must successfully complete required e-learning courses within 90 days of occupying position

COMPETENCIES

Technical and Functional Expertise

  • Maintains current knowledge of healthcare reimbursement, insurance authorization requirements, industry standards, and applicable regulations.
  • Applies technical knowledge and established processes to ensure accurate and timely completion of prior authorization activities.
  • Effectively utilizes available tools, systems, and resources to support operational goals and patient needs.

Adaptability and Resilience

  • Demonstrates flexibility and adaptability in a fast-paced healthcare environment.
  • Effectively manages multiple priorities while maintaining accuracy and attention to detail.
  • Responds positively to changing business needs, shifting priorities, ambiguity, and organizational change.
  • Maintains composure and productivity when faced with challenges, setbacks, or competing demands.

Customer Service Excellence

  • Builds and maintains positive working relationships with patients, physicians, coworkers, supervisors, insurance carriers, and other external partners.
  • Communicates professionally, respectfully, and effectively to support positive patient experiences and successful team collaboration.
  • Demonstrates a service-oriented approach that promotes patient satisfaction and operational excellence.

Judgment and Decision-Making

  • Exercises sound judgment when evaluating information, resolving issues, and determining appropriate courses of action.
  • Makes timely, accurate, and cost-effective decisions while ensuring compliance with organizational policies and payer requirements.
  • Demonstrates the ability to make informed decisions in situations involving uncertainty or limited information.

Accountability and Work Commitment

  • Takes ownership of responsibilities and follows through on commitments.
  • Establishes and maintains high standards of performance and professionalism.
  • Demonstrates initiative and a strong commitment to achieving individual and departmental goals.
  • Works efficiently and effectively to meet productivity, quality, and service expectations.

Quality and Continuous Improvement

  • Consistently delivers high-quality work and services with a focus on accuracy and compliance.
  • Supports and promotes quality standards across all aspects of job performance.
  • Identifies opportunities to improve workflows, enhance operational effectiveness, and increase efficiencies.
  • Contributes to continuous improvement efforts that support exceptional patient care and organizational success.


PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations will be offered to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit and use hands to manipulate a computer keyboard and mouse. The employee is occasionally required to stand, walk, and reach with hands and arms. The employee must occasionally lift and/or move up to 30 pounds. Requires vision and hearing corrected to normal ranges.
WORK ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations will be offered to enable individuals with disabilities to perform the essential functions. Work is performed in an office environment. Involves frequent contact with staff. While performing the duties of this job, the employee is regularly exposed to direct contact with patients with potential for exposure to blood, toxic substances, ionizing radiation and other conditions common to a clinic environment.

Qualifications:
  • High School diploma or equivalent required
  • Minimum two (2) years of experience in a patient access or financial clearance role. Oncology preferred.
  • Demonstrate advanced knowledge of medical terminology
  • Ability to navigate different systems seamlessly and able to multitask efficiently.
  • Must successfully complete required e-learning courses within 90 days of occupying position

COMPETENCIES

Technical and Functional Expertise

  • Maintains current knowledge of healthcare reimbursement, insurance authorization requirements, industry standards, and applicable regulations.
  • Applies technical knowledge and established processes to ensure accurate and timely completion of prior authorization activities.
  • Effectively utilizes available tools, systems, and resources to support operational goals and patient needs.

Adaptability and Resilience

  • Demonstrates flexibility and adaptability in a fast-paced healthcare environment.
  • Effectively manages multiple priorities while maintaining accuracy and attention to detail.
  • Responds positively to changing business needs, shifting priorities, ambiguity, and organizational change.
  • Maintains composure and productivity when faced with challenges, setbacks, or competing demands.

Customer Service Excellence

  • Builds and maintains positive working relationships with patients, physicians, coworkers, supervisors, insurance carriers, and other external partners.
  • Communicates professionally, respectfully, and effectively to support positive patient experiences and successful team collaboration.
  • Demonstrates a service-oriented approach that promotes patient satisfaction and operational excellence.

Judgment and Decision-Making

  • Exercises sound judgment when evaluating information, resolving issues, and determining appropriate courses of action.
  • Makes timely, accurate, and cost-effective decisions while ensuring compliance with organizational policies and payer requirements.
  • Demonstrates the ability to make informed decisions in situations involving uncertainty or limited information.

Accountability and Work Commitment

  • Takes ownership of responsibilities and follows through on commitments.
  • Establishes and maintains high standards of performance and professionalism.
  • Demonstrates initiative and a strong commitment to achieving individual and departmental goals.
  • Works efficiently and effectively to meet productivity, quality, and service expectations.

Quality and Continuous Improvement

  • Consistently delivers high-quality work and services with a focus on accuracy and compliance.
  • Supports and promotes quality standards across all aspects of job performance.
  • Identifies opportunities to improve workflows, enhance operational effectiveness, and increase efficiencies.
  • Contributes to continuous improvement efforts that support exceptional patient care and organizational success.


PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations will be offered to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit and use hands to manipulate a computer keyboard and mouse. The employee is occasionally required to stand, walk, and reach with hands and arms. The employee must occasionally lift and/or move up to 30 pounds. Requires vision and hearing corrected to normal ranges.
WORK ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations will be offered to enable individuals with disabilities to perform the essential functions. Work is performed in an office environment. Involves frequent contact with staff. While performing the duties of this job, the employee is regularly exposed to direct contact with patients with potential for exposure to blood, toxic substances, ionizing radiation and other conditions common to a clinic environment.

Education:UNAVAILABLEEmployment Type: FULL_TIME

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