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Director Prior Authorization Representative Express Scripts Jobs

Cigna

$15.50 - $21/hr

The Call Center Customer Service Representative represents the company, and our people make all the ... prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas ...

Equitas Health

Prior Authorization Specialist

Columbus, OH · On-site

$18.13 - $21.78/hr

... representatives. * Ensure proper documentation is maintained in the EHR. * Work with clinical ... Other duties as assigned by the Prior Authorization Supervisor, Director of Nursing, and Leadership.

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How much do director prior authorization representative express scripts jobs pay per hour?

As of Jul 21, 2026, the average hourly pay for director prior authorization representative express scripts in the United States is $21.21, according to ZipRecruiter salary data. Most workers in this role earn between $16.35 and $23.08 per hour, depending on experience, location, and employer.
What cities are hiring for Director Prior Authorization Representative Express Scripts jobs? Cities with the most Director Prior Authorization Representative Express Scripts job openings:
What are the most commonly searched types of Prior Authorization Representative Express Scripts jobs? The most popular types of Prior Authorization Representative Express Scripts jobs are:
What states have the most Director Prior Authorization Representative Express Scripts jobs? States with the most job openings for Director Prior Authorization Representative Express Scripts jobs include:
Director Prior Authorization Representative Express Scripts jobs near you
Infographic showing various Director Prior Authorization Representative Express Scripts job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 87% Full Time, 10% Part Time, and 2% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution, with an average salary of $44,113 per year, or $21.2 per hour.
Prior Authorization

Prior Authorization

Urology Centers of Alabama

Birmingham, AL

$16.75 - $22.50/hr

Other

Re-posted 4 days ago

Job description

General Summary

The Prior Authorization Specialist coordinates and secures insurance authorization for medications, in-office injections, and imaging when needed to support timely patient care. This role involves reviewing payer requirements, gathering appropriate clinical documentation, and communicating with insurance companies, pharmacies, and internal staff to facilitate authorization approvals. The ideal candidate demonstrates strong time management, attention to detail, integrity, and the ability to manage multiple requests while maintaining organization and professionalism in a high-volume environment. 

Key Responsibilities 

  • Complete authorization submissions through electronic platforms, payer portals, and telephone communications with insurance representatives when required. 

  • Review patient charts to obtain relevant clinical documentation needed to support authorization requests 

  • Communicate professionally with insurance companies, pharmacies, patients, and internal staff regarding authorization requirements and status updates. 

  • Track and update prior authorization requests and outcomes using internal tracking tools and insurance portals to ensure timely processing and follow-up. 

  • Demonstrate accountability for assigned authorization requests by monitoring status and following up with payers when necessary.  

  • Actively monitor PA Pool and EHR inbox communications to ensure timely response to authorization requests and related inquiries. 

  • Ensure all prior authorization submissions and supporting documentation accurately reflect the patient’s medical record and comply with payer requirements. 

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 may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; stoop, kneel, crouch, or crawl; and talk or hear.  The employee must occasionally lift and/or move more than 45 pounds.

  • Familiarity with medical terminology and working knowledge of medical coding systems (CPT, ICD-10) relevant to prior authorization requests. 

  • Strong organizational and time management skills, with the ability to prioritize urgent requests and meet deadlines in a high-volume environment. 

  • Excellent written and verbal communication skills when interacting with patients, insurance representatives, pharmacies, and internal clinical staff. 

  • Ability to work both independently and collaboratively within a team while managing multiple tasks simultaneously. 

  • Demonstrates integrity, professionalism, and ethical decision-making when handling patient information and submitting prior authorization requests. 

  • HS Diploma or GED  required. 

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