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Express Scripts Prior Authorization Jobs in Florida

Sage Infusion

Intake Coordinator

Brandon, FL · On-site

... for prior authorizations and clinical guidelines. * Contacts patients to advise them we received ... Demonstrates ability to communicate effectively and express ideas clearly in a warm and helpful ...

Express

Associate Manager

Miami, FL

About Express Express is a multichannel apparel brand dedicated to a design philosophy rooted in ... Applicants must be currently authorized to work full-time in the United States. PHOENIX does not ...

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

As of Jun 10, 2026, the average hourly pay for express scripts prior authorization in Florida is $32.77, according to ZipRecruiter salary data. Most workers in this role earn between $30.19 and $38.61 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in the Express Scripts Prior Authorization position, and why are they important?

To thrive as an Express Scripts Prior Authorization specialist, you typically need a background in pharmacy or healthcare, knowledge of prescription drug protocols, and experience with insurance processes. Familiarity with pharmacy benefit management (PBM) software, electronic health records (EHRs), and prior authorization platforms is important, as are any relevant pharmacy technician certifications. Strong attention to detail, excellent customer service abilities, and effective communication set top performers apart in this position. These skills ensure accurate and timely authorization processing, minimize errors, and support both patient care and pharmacy operations.

What are the main responsibilities of an Express Scripts Prior Authorization specialist on a daily basis?

An Express Scripts Prior Authorization specialist is responsible for reviewing prescription requests, evaluating clinical information, and coordinating with prescribers, patients, and insurance providers to determine coverage eligibility. This role involves managing a high volume of cases, using proprietary systems to document and process authorizations, and frequently communicating via phone and electronic correspondence. Specialists must balance accuracy and efficiency while navigating complex healthcare regulations and helping resolve any issues that arise for patients facing prescription coverage barriers. The position often requires collaboration with pharmacists, physicians, and customer service teams to ensure seamless patient care.

What is an Express Scripts Prior Authorization job?

An Express Scripts Prior Authorization job involves reviewing medication requests to ensure they meet insurance plan requirements before approval. Employees in this role assess prescriptions, follow clinical guidelines, and collaborate with healthcare providers to determine coverage eligibility. The job requires attention to detail, knowledge of pharmacy benefits, and strong communication skills. It helps ensure patients receive the most appropriate and cost-effective medications.

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

Prior Authorization Specialist

Nova Medical Services

Miami, FL • On-site

$19 - $20/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 5 days ago

Job description

Position Summary

We are seeking a highly organized, detail-oriented, and proactive Prior Authorization Specialist to join our growing healthcare team. The Prior Authorization Specialist plays a critical role in ensuring patients receive timely access to medical services by obtaining and managing insurance authorizations for procedures, treatments, and services. This position requires strong knowledge of insurance verification, medical terminology, coding practices, and excellent communication skills.

Key Responsibilities
  • Review, prepare, and submit prior authorization requests for medical procedures, treatments, and services.
  • Verify patient insurance eligibility, benefits, and authorization requirements.
  • Communicate effectively with healthcare providers, patients, and insurance representatives to obtain necessary documentation and information.
  • Utilize ICD-10 and CPT coding knowledge to support authorization submissions accurately.
  • Monitor and track authorization requests to ensure timely approvals and minimize delays in patient care.
  • Maintain accurate and detailed records of authorization requests, approvals, denials, and follow-up activities.
  • Follow up on pending authorizations and proactively resolve issues that may impact patient services.
  • Assist with denied authorizations by gathering supporting documentation and preparing appeals as needed.
  • Collaborate with medical and dental offices to streamline authorization workflows and improve operational efficiency.
  • Ensure compliance with HIPAA regulations and company policies when handling confidential patient information.
Qualifications
  • High school diploma or equivalent required; additional healthcare-related education preferred.
  • Previous experience in prior authorizations, medical insurance verification, medical billing, or a healthcare office setting preferred.
  • Strong understanding of medical terminology, insurance processes, and healthcare documentation.
  • Excellent organizational skills with the ability to manage multiple tasks and deadlines.
  • Strong problem-solving, analytical, and critical-thinking abilities.
  • Exceptional written and verbal communication skills.
  • Proficiency with electronic health records (EHR) systems and Microsoft Office applications.
Benefits
  • Health Insurance
  • Dental Insurance
  • Vision Insurance
  • Flexible Spending Account (FSA)
  • Life Insurance
  • Paid Time Off (PTO)
  • 401(k) Retirement Plan
  • Aflac Supplemental Benefits
Schedule
  • Full-Time
Work Location
  • In-Person


This description indicates, in general terms, the type and level of work performed and responsibilities held by the team member(s).  Duties described are not to be interpreted as being all-inclusive or specific to any individual team member.  

No Third Party Agencies or Submissions Will Be Accepted.  

Our company is committed to creating a diverse environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. DFWP  

Opportunities posted here do not create any implied or express employment contract between you and our company / our clients and can be changed at our discretion and / or the discretion of our clients. Any and all information may change without notice. We reserve the right to solely determine applicant suitability. By your submission you agree to all terms herein.

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