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Remote Prior Authorization Jobs in Rutherford, NJ

Financial Educator Remote

Manhattan, NY · On-site +1

$23 - $28/hr

Opportunity Overview We have an immediate opening for an Financial Educator Remote to join our team ... Perform aspects of benefit verification and prior authorization * Provide ongoing financial ...

Registered Nurse

New York, NY · Remote

$48 - $55/hr

Support utilization review, prior authorization reviews, appeals, and clinical documentation ... Fully Remote * Company-issued laptop provided * Indefinite contract opportunity Equipment Policy ...

Be Seen First

Prior experience with JIRA, Intercom, and CloudTalk is a plus. * Operational Independence : Strong ... This is a remote position, but the contractor must reside in New York and be legally authorized to ...

... remote arrangement. As we continue to grow, we are bringing our revenue cycle operations in-house ... Prior authorizations * Claims submission * Payment posting * Accounts receivable * Denial ...

Showing results 21-40

Remote Prior Authorization information

See Rutherford, NJ salary details

$13

$21

$32

How much do remote prior authorization jobs pay per hour?

As of Aug 12, 2026, the average hourly pay for remote prior authorization in Rutherford, NJ is $21.30, according to ZipRecruiter salary data. Most workers in this role earn between $17.64 and $23.51 per hour, depending on experience, location, and employer.

What is a remote prior authorization job?

Remote prior authorization jobs involve reviewing and processing requests from healthcare providers to determine if specific medical treatments, medications, or procedures are covered by a patient's insurance plan. Employees in these roles work from home, utilizing online systems to evaluate clinical information, communicate with providers, and ensure compliance with insurance policies. This position requires a strong understanding of medical terminology, insurance guidelines, and attention to detail to facilitate timely and accurate approvals or denials. Remote prior authorization specialists help streamline patient care by acting as a liaison between healthcare providers and insurance companies.

What are some common challenges faced by remote prior authorization specialists, and how can they be addressed?

Remote Prior Authorization specialists often encounter challenges such as navigating complex insurance requirements, managing high volumes of requests, and maintaining clear communication with healthcare providers and payers. Staying organized and up-to-date on payer policies is crucial, as requirements can vary widely between insurers. Utilizing workflow management tools and fostering strong collaboration with clinical and administrative teams can help streamline processes and reduce delays, ultimately ensuring patients receive timely care.

What are the key skills and qualifications needed to thrive as a remote prior authorization specialist, and why are they important?

To thrive as a Remote Prior Authorization Specialist, you need a solid understanding of medical terminology, insurance processes, and healthcare regulations, often supported by experience in medical billing or coding. Familiarity with electronic health record (EHR) systems, insurance portals, and prior authorization software is typically required. Attention to detail, strong organizational skills, and effective communication are crucial soft skills in this role. These skills ensure timely and accurate processing of authorizations, reducing claim denials and supporting efficient patient care.

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

AspectRemote Prior AuthorizationRemote Medical Coder
Required CredentialsMedical credentials, insurance knowledgeMedical coding certification (CPC, CCS)
Work EnvironmentHealthcare offices, insurance companies, remoteHealthcare facilities, remote coding jobs
Industry UsageInsurance, healthcare providersHospitals, clinics, billing companies
Job FocusReviewing and approving insurance requestsTranslating medical records into codes

Remote Prior Authorization and Remote Medical Coder roles both operate within the healthcare industry but focus on different tasks. Remote Prior Authorization involves reviewing insurance requests for coverage approval, requiring insurance and medical knowledge. Remote Medical Coders translate medical records into standardized codes, primarily focusing on billing and documentation. Both roles can be performed remotely and require healthcare-related credentials, but their daily responsibilities and skill sets differ significantly.

What is a remote prior authorization job?

Remote prior authorization jobs focus on working with insurance companies to coordinate benefit coverage and get approval to provide care for a patient. In this pre-authorization role, you may collect documentation and proof of insurance, perform data entry, help evaluate the need for a particular process, and otherwise work from home to help manage the prior authorization process. Remote prior authorization personnel often answer telephone calls to provide consultations, perform initial benefit verification, document case status, actions, and outcomes in a database, and use customer service skills to help expedite cases as needed. Since this is a remote call center-style job, you may be asked to arrange for a quiet office in your house that is free of distractions.

What are popular job titles related to Remote Prior Authorization jobs in Rutherford, NJ? For Remote Prior Authorization jobs in Rutherford, NJ, the most frequently searched job titles are:
What job categories do people searching Remote Prior Authorization jobs in Rutherford, NJ look for? The top searched job categories for Remote Prior Authorization jobs in Rutherford, NJ are:
What cities near Rutherford, NJ are hiring for Remote Prior Authorization jobs? Cities near Rutherford, NJ with the most Remote Prior Authorization job openings:

Financial Educator Remote

US Fertility

Manhattan, NY • On-site, Remote

$23 - $28/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted yesterday


Job description

Build What Matters Most-Families, Futures, and Your Career
Enjoy meaningful work while contributing to an organization that changes lives every day. US Fertility, the nation's leading partnership of physician-led fertility practices, is redefining what it means to build a career in reproductive medicine.
Our team members choose to build their career home at US Fertility because of the hope we inspire in our patients, the lives we help bring into the world, and the culture of excellence we foster across our organization. We share a deep commitment to continuously improving the patient experience and advancing research and development in one of the most dynamic and impactful fields of medicine.
Through our national network of premier fertility centers-including Reproductive Medicine Associates of New York -we combine clinical expertise, scientific innovation, and compassionate care. The work we do building families offers purpose, challenge, and personal reward-and we're just getting started.
Opportunity Overview
We have an immediate opening for an Financial Educator Remote to join our team at Reproductive Medicine Associates of New Yorkin Eastside, New York.
  • Schedule: Monday through Friday, from 8:00 AM to 4:30 PM Eastern Time; with rotating weekends and holidays
  • Compensation: $23 to $28 per hour (commensurate with experience)

This role provides the opportunity to grow within a nationally respected organization while remaining closely connected to the patients and teams you support every day.
How You'll Contribute
At US Fertility, collaboration is fundamental to how we work. There is undeniable strength in numbers-and support is always within reach. Whether collaborating with more than 200 highly respected physicians nationwide or partnering with colleagues who are passionate about solving meaningful problems, you'll be surrounded by a team committed to shared success.
In this role, the Financial Educator will:
  • Consult with patients regarding their benefits, coverage and financial options
  • Perform aspects of benefit verification and prior authorization
  • Provide ongoing financial education and assistance to our patients throughout the continuum of their care, as an educator, advocate, and liaison
  • Maintain patient accounts by obtaining, recording, and updating personal financial and insurance information

What You'll Bring
We're looking for professionals who bring both technical skill and a deep sense of responsibility to the care experience-individuals who thrive in environments where excellence, empathy, and accountability matter.
Qualifications and Skills Include:
  • Minimum 2 to 4 years of medical business office experience, with working knowledge of healthcare billing and collections, insurance/benefits, and patient interaction
  • Must have experience reading and understanding payer remittance advice. Includes the ability to differentiate between allowed charges, contractual adjustments, line item denials/reasons, patient responsibility (co-pay, co-insurance, and deductibles), etc.
  • Bachelor's Degree preferred
  • Experience working in an OB/GYN office is a plus
  • Excellent interpersonal skills required to communicate with departments, employees, physicians, managers, patients, and insurance companies
  • Strong oral and written communication skills, independent worker, detailed-oriented, computer savvy
  • Proficient with Microsoft programs, specifically Outlook, Microsoft Word and Excel
  • High level of customer service essential

More important than any single credential, however, is the right person. Team members who are most successful at US Fertility embrace our mission, live our values, and remain committed to continuous improvement-for themselves, their colleagues, and the patients we serve.
What We OfferUS Fertility is proud to provide a competitive, comprehensive benefits package designed to support our team members-professionally and personally-across all employment types.
Full-Time Employees (30+ hours/week)
  • Medical, dental, and vision insurance
  • 401(k) with company match
  • Tuition assistance and professional development support
  • Performance-based bonus opportunities
  • Generous paid time off, paid holidays, and paid parental leave
  • Life and disability benefits
  • Fertility Discount Program
  • Employee wellness and recognition programs

Part-Time Employees
  • 401(k) with company match
  • Performance-based bonus opportunities
  • Employee wellness and recognition programs

Per Diem Employees
  • 401(k) with company match
  • Employee wellness and recognition programs

Our Commitment to Inclusion and Opportunity
US Fertility and its network partners believe that a diverse workforce is essential to fulfilling our mission of expanding patient access to the highest standards of fertility care. We are committed to equitable and inclusive hiring practices that ensure our clinical and operational teams reflect and support the diverse communities and patients we serve.
Across our national footprint, US Fertility is a leader in offering clinical, administrative, and operational career opportunities at locations throughout the United States. We are equally committed to developing individual strengths, promoting from within, and supporting long-term career growth.
This is a moment of growth, innovation, and impact. Take the next step in your career with US Fertility-and help shape the future of fertility care.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.