ZipRecruiter

Log In

1

Director Prior Authorization Representative Express Scripts Jobs

BJC

Prior Authorization Rep Role

Saint Louis, MO · On-site

$38K - $53K/yr

Prior Authorization Representative BJC is looking to hire a Prior Authorization Rep for their Sunset Hills Infusion Location located off Geyer RD. The role involves verifying insurance, obtaining ...

BJC

Prior Authorization Rep - Part Time

Belleville, IL

$38K - $53K/yr

Part Time Prior Auth Rep Memorial Hospital is looking for a Part Time Prior Auth Rep for their ... Job duties include patient registration, handling surgery prior authorizations, scheduling ...

BJC HealthCare

Prior Authorization Rep Role

Saint Louis, MO · On-site

$17.75 - $25.56/hr

Additional Information About the Role BJC is looking to hire a Prior Authorization Rep for their Sunset Hills Infusion Location located of off Geyer RD. Additional Preferred Requirements * Sunset ...

next page

Showing results 1-20

All JobsDirector Prior Authorization Representative Express Scripts Jobs

Director Prior Authorization Representative Express Scripts information

See salary details

$11

$21

$34

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

As of Jun 5, 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 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:
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 May 2026, with employment types broken down into 43% Full Time, 29% Part Time, 21% Contract, and 7% Nights. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $44,113 per year, or $21.2 per hour.
Prior Authorization Rep II

Prior Authorization Rep II

University of Utah

Salt Lake City, UT • On-site

$16.50 - $21/hr

Full-time

Posted 28 days ago

University Of Utah rating

7.2

Company rating: 7.2 out of 10

Based on 157 frontline employees who took The Breakroom Quiz

332nd of 532 rated colleges and universities

Job description

Overview Top candidates will have direct experience with submitting pre-authorizations. As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, integrity, quality and trust that are integral to our mission. EO/AA This position is responsible to secure outpatient accounts by performing insurance verification, obtaining benefit information, calculating patient estimates and obtaining prior authorization before services are rendered. This position works with physicians, nurses, clinic managers, and financial advocates to resolve issues that arise during the prior authorizations process. This position is not responsible for providing care to patients. Corporate Overview: The University of Utah is a Level 1 Trauma Center and is nationally ranked and recognized for our academic research, quality standards and overall patient experience. Our five hospitals and eleven clinics provide excellence in our comprehensive services, medical advancement, and overall patient outcomes. Responsibilities Essential Functions
  • Verifies insurance eligibility, benefits, network status to create pre-service price estimates for insured patients.
  • Ensures accurate ICD, CPT codes and related medical records are submitted in the authorization request. Requires critical thinking to determine what each individual payer requires to authorize the visit.
  • Secures prior authorization for high dollar services such as scheduled day surgeries, planned inpatient admissions, urgent admissions, and air transport. Responsible to financially secure over $2 billion in patient revenue annually.
  • Acts as a liaison between the payer, medical support staff, and providers in the event that additional medical records are required to authorize.
  • Follows up on delayed or denied authorization requests and escalates for resolution. Facilitates provider and insurance medical directors reviews for medical determination if the visit should be authorized.
  • Creates and maintains detailed documentation of the authorization/notification trail.
  • Drives critical dependent workflows such as for case managers/utilization review to ensure length of stay authorization is secured.
  • Ability to work on other tasks while on long hold times with payer for authorization for another patient.
Knowledge / Skills / Abilities
  • Demonstrated ability to provide clear and professional written/verbal communication skills.
  • Ability to meet deadlines for projects, tasks, and goals as assigned.
  • Ability to organize and prioritize work to meet productivity expectations.
  • Ability to provide professional and courteous service in all interactions with internal and external customers.
  • Demonstrated ability to complete work with a high level of detail and accuracy.
  • Demonstrated accountability for work taking ownership for quality and timeliness of work.
  • Ability to work independently within a team setting.
  • Consistently demonstrates positive attitude when interacting with team members.
  • Ability to resolve difficult or complicated challenges in a logical manner and provide recommendations for resolution.
  • Ability to prioritize and multitask.
Qualifications Required
  • Three years of experience in a health care financial setting, or the equivalency.
  • Six months of experience as a Prior Authorization Rep I or equivalent prior-authorization experience.
Qualifications (Preferred) Preferred
  • Previous experience with insurance and prior authorizations.
  • ICD/CPT Coding Certification.
  • Inpatient and day surgery prior authorizations experience.
Working Conditions and Physical Demands Employee must be able to meet the following requirements with or without an accommodation.
  • This is a sedentary position that may exert up to 10 pounds and may lift, carry, push, pull, or otherwise move objects. This position involves sitting most of the time and is not exposed to adverse environmental conditions.
Physical Requirements Listening, Sitting, Speaking

What University Of Utah employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

University of Utah logo

About University of Utah

Sourced by ZipRecruiter

The University of Utah is the state’s flagship institution of higher education, with 18 schools and colleges, more than 100 undergraduate majors and graduate programs, and an enrollment of more than 38,000 students. It is a member of the Association of American Universities—an invitation-only, prestigious group of 71 leading research institutions. The U is advancing a new national model for higher education that delivers societal impact through education, research, health care, and community service, while making social, economic, and cultural contributions that improve lives across Utah and around the world.

Industry

Colleges, universities, and professional schools

Company size

10,000+ Employees

Headquarters location

Salt Lake City, UT, US

Year founded

1850

View All University of Utah Jobs

Apply