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Entry Level Prior Authorization Representative Express Scripts Jobs

Addison Group

$20 - $22/hr

We are seeking experienced Prior Authorization Representatives who thrive in a fast-paced healthcare environment. In this role, you will manage insurance authorization requests, work within payer ...

Harmony Home Health

Authorization Representative

Murray, UT · On-site

$37K - $51K/yr

Authorization Representative We have an exciting opportunity for an Authorization Representative at ... Obtain prior authorization for services from clients' medical insurance carriers. Review client ...

1840 & Company

$16.75 - $22.25/hr

Prior Authorization Specialist We are seeking a detail-oriented and experienced Prior Authorization ... Fluency in English is required to effectively communicate with insurance representatives and team ...

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Entry Level Prior Authorization Representative Express Scripts information

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$26K

$48.4K

$73K

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

As of Sep 1, 2026, the average yearly pay for entry level prior authorization representative express scripts in the United States is $48,409.00, according to ZipRecruiter salary data. Most workers in this role earn between $40,000.00 and $55,000.00 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.

What cities are hiring for Entry Level Prior Authorization Representative Express Scripts jobs?

Cities with the most Entry Level 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:

Entry Level Prior Authorization Representative Express Scripts jobs near you
Infographic showing various Entry Level Prior Authorization Representative Express Scripts job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 16% Part Time, 1% Temporary, and 2% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $48,409 per year, or $23.3 per hour.

Prior Authorization

Urology Centers of Alabama, P.C.

Birmingham, AL • On-site

$16.75 - $22.50/hr

Other

This job post has expired today. Applications are no longer accepted.

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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