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Entry Level Prior Authorization Representative Express Scripts Jobs in Buffalo, NY

Support the facilitation of prior authorization and appeal processes by gathering necessary ... Demonstrate an understanding of business rules, work instructions, and program-approved scripts ...

Support the facilitation of prior authorization and appeal processes by gathering necessary ... Demonstrate an understanding of business rules, work instructions, and program-approved scripts ...

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Direct Mentorship: Daily coaching from experienced field trainers--no prior sales experience ... Authorized to work in the U.S. and able to pass a standard background check. * Ability to work ...

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Direct Mentorship: Daily coaching from experienced field trainers--no prior sales experience ... Authorized to work in the U.S. and able to pass a standard background check. * Ability to work ...

Be Seen First

Direct Mentorship: Daily coaching from experienced field trainers--no prior sales experience ... Authorized to work in the U.S. and able to pass a standard background check. * Ability to work ...

Be Seen First

Direct Mentorship: Daily coaching from experienced field trainers--no prior sales experience ... Authorized to work in the U.S. and able to pass a standard background check. * Ability to work ...

The Lead CSR works specifically on Held Sales report, Rx Expiration reports, Prior Authorization Expiration reports, Turning 65 reports, and Customer Billing Survey report to decrease held sales in ...

Comprehensively understand the benefits investigation process, plan design, prior authorization ... scripts, guides and other communications for patients and HCPs. • Communicate with specialty ...

Comprehensively understand the benefits investigation process, plan design, prior authorization ... scripts, guides and other communications for patients and HCPs. • Communicate with specialty ...

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Entry Level Prior Authorization Representative Express Scripts information

See Buffalo, NY salary details

$25.2K

$46.9K

$70.7K

How much do entry level prior authorization representative express scripts jobs pay per year?

As of Sep 2, 2026, the average yearly pay for entry level prior authorization representative express scripts in Buffalo, NY is $46,892.00, according to ZipRecruiter salary data. Most workers in this role earn between $38,700.00 and $53,300.00 per year, depending on experience, location, and employer.

What is the difference between Entry Level Prior Authorization Representative Express Scripts vs Customer Service Representative Express Scripts?

AspectEntry Level Prior Authorization Representative Express ScriptsCustomer Service Representative Express Scripts
Primary RoleReview and approve prior authorization requests for medicationsAssist customers with inquiries, billing, and general support
Required CredentialsHigh school diploma; healthcare knowledge preferredHigh school diploma; customer service experience preferred
Work EnvironmentOffice-based, healthcare insurance settingOffice-based, healthcare insurance setting
Common TasksEvaluate medical documentation, communicate with providersRespond to customer questions, resolve issues

While both roles are within Express Scripts and share a healthcare insurance environment, the Entry Level Prior Authorization Representative focuses on medical review and approval processes, whereas the Customer Service Representative handles customer inquiries and support. Understanding these differences helps job seekers identify the right position based on their skills and career goals.

Infographic showing various Entry Level Prior Authorization Representative Express Scripts job openings in Buffalo, NY as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 18% Part Time, 1% Temporary, and 2% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $46,892 per year, or $22.5 per hour.

Prior Authorization Coordinator

UBMD Internal Medicine

Amherst, NY • On-site

$20 - $22/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 24 days ago


Job description

Company Description

UBMD Internal Medicine (UBMDIM) is the academic medical practice affiliated with the Jacobs School of Medicine and Biomedical Sciences at the University at Buffalo. With 135 Primary and Specialty Care physicians supported by 187 staff members, UBMDIM operates across 16 hospital and outpatient clinic locations in the Buffalo-Niagara Falls area. As the largest practice plan in the UBMD Physicians' Group, UBMDIM integrates patient care, medical education, and research, playing a pivotal role in advancing healthcare in the region. The organization is dedicated to treating patients, teaching future healthcare professionals, and discovering innovative treatments for various diseases.

Role Description

This is a full-time on-site role based in the Williamsville for a Prior Authorization Coordinator. The role involves managing prior authorization requests for medical services, interacting with healthcare providers and insurance companies, and ensuring compliance with payer guidelines. The Coordinator will review patient files, submit prior authorization requests, track approvals or denials, and provide regular updates to clinical staff. Additional responsibilities include maintaining accurate documentation, addressing payment discrepancies, and serving as a liaison to streamline communication between patients, providers, and insurance organizations.

Qualifications

Experience with prior authorization processes, healthcare insurance requirements, and payer guidelines.

Strong organizational, time management, and problem-solving skills.

Proficiency with medical terminology and clinical documentation.

Effective written and verbal communication skills for interacting with patients, physicians, and insurance representatives.

Familiarity with electronic health records (EHR) systems and basic computer skills.

Attention to detail and the ability to handle sensitive patient information with confidentiality.

Previous experience in a medical office, billing, or pre-certification role is an advantage.

High school diploma or equivalent required; post-secondary education in a related field is preferred.

Benefits:

401(k)

401(k) matching

Dental insurance

Employee assistance program

Health insurance

Life insurance

Paid time off

Vision insurance
  • Please note that any offer of employment is contingent upon successful background check and drug screen.