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Express Scripts Prior Authorization Jobs in Florida

Gastromed, LLC

Care Coordinator - Check Out

Miami, FL · On-site

$16 - $18/hr

Internet, document with Electronic Health Records and/or authorization system with minimal typing ... prior to the visit. * Answering incoming calls using the assigned telephone script in a ...

RAM Partners, LLC

Property Manager

Lakewood Ranch, FL · On-site

$90K/yr

Compensation : $90,000 annually + bonus Overview We are looking for a Property Manager with prior ... Promote resident satisfaction by serving as a resource for residents to express their concerns and ...

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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

Care Coordinator - Check Out

Gastromed, LLC

Miami Lakes, FL • On-site

$16 - $18/hr

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 29 days ago

Job description

JOB TITLE: Care Coordinator -Check Out

REPORTS TO: Practice Manager

FLSA STATUS: Non-Exempt

JOB SUMMARY:

The Care Coordinator is responsible for greeting patients as they check out and offering them friendly and prompt assistance while coordinating the patient’s care.


QUALIFICATIONS/EDUCATION:


  • High School Diploma or equivalent required.
  • Bi-lingual English/Spanish preferred; must be able to read, write and speak English.
  • 2-3 years of related experience in a medical setting preferred.
  • Strong people skills.
  • Data entry skills.
  • Attention to detail.
  • Strong organizational skills and ability to multi-task effectively.
  • Demonstrates skill in the use of personal computers, various programs, and applications required to competently execute job duties. Internet, document with Electronic Health Records and/or authorization system with minimal typing/spelling errors, send e-faxes and email.


CERTIFICATIONS/LICENSES:

  • N/A

ABILITIES/SKILLS:

  • Basic computer skills to be able to recognize and understand our EMR System.
  • Excellent communication, Customer Service, and telephone skills.
  • Strong organizational skills and ability to multi-task effectively.
  • Must be able to work independently with minimal supervision in a fast-paced environment.
  • Able to respect and maintain patient confidentiality at all times and comply with HIPAA Regulations.
  • Must be dependable and conduct him/herself in a professional manner.
  • Demonstrates skill in the use of personal computers, various programs, and applications required to competently execute job duties.
  • Must be able to follow policies and procedures.


SUPERVISORY RESPONSIBILITIES:

N/A

ESSENTIAL DUTIES/ RESPONSIBILITIES:

  • Assist patients upon check out by reviewing the physician’s orders.
  • Provides patients with orders and instructions as needed.
  • Schedule patients for procedures such as endoscopy, colonoscopy, ancillary, etc.
  • Inform patients if a clearance is required for their procedure.
  • Assist patients with inquiries or concerns and ensure patients’ expectations are met.
  • Coordinates any diagnostic test order by the physician.
  • Scan superbills or any patient documents to the patient’s chart.
  • Responsible that all patients have been checked out at the end of the day or marked as a no-show.
  • Ensure that the daily close-out report matches the entries in ECW and forward the report to the billing department.
  • Responsible for scheduling patient appointments in our system and informing patients if referrals or authorization are required for the following visit or procedure.
  • Confirms patient’s appointments and sends text messages days prior to the visit.
  • Answering incoming calls using the assigned telephone script in a professional, courteous and timely manner.
  • Conducts all activities in a professional, polite, and courteous manner and abides by company policies and procedures.
  • Perform any other duties as assigned.

We offer a competitive salary, Employee Health Insurance is covered at 100%. We also offer Dental, Vision, Life, and 401k Benefits.