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Express Scripts Prior Authorization Jobs in Indiana

Franciscan Alliance

Medical Assistant

Crawfordsville, IN

$17.25 - $22.25/hr

This is a blended site with Express Care, Working Well and HEA. We see acute injuries and illness ... Initiate and follow through on prior authorizations, referrals, and process samplemedications ...

Brasserie 23

BOH Employee

Granger, IN · On-site

$14 - $17.75/hr

D, Prior restaurant BOH food preparation experience, Ability to multi-task in a fast-paced ... Proven ability to articulate thoughts and express ideas effectively using oral, written, visual and ...

Brasserie 23

BOH Employee

Granger, IN · On-site

$14 - $17.75/hr

E.D, • Prior restaurant BOH food preparation experience, • Ability to multi-task in a fast ... Proven ability to articulate thoughts and express ideas effectively using oral, written, visual 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 Indiana is $41.73, according to ZipRecruiter salary data. Most workers in this role earn between $38.41 and $49.18 per hour, depending on experience, location, and employer.

Can you make 6 figures as a pharmacy technician?

Typically, pharmacy technicians earn salaries below six figures, with most earning between $30,000 and $50,000 annually. Advanced roles, certifications, or working in specialized settings may increase earning potential, but reaching a six-figure salary is uncommon for pharmacy technicians alone.

What are prior authorization jobs?

Prior authorization jobs involve reviewing and processing requests for approval of specific medical treatments, medications, or procedures before they are provided to patients. These roles typically require knowledge of insurance policies, medical guidelines, and strong attention to detail, often utilizing healthcare management software. Employees in these positions ensure that treatments meet coverage criteria and comply with regulations.

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 the lawsuit against Express Scripts?

There have been lawsuits filed against Express Scripts related to allegations of antitrust violations and unfair business practices. These legal actions typically involve claims from competitors or healthcare providers and are handled through the judicial system. Job seekers should stay informed about ongoing legal issues that could impact company operations or reputation.

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 the typical Express Scripts salaries?

Salaries for positions at Express Scripts vary depending on the role, experience, and location. Entry-level roles such as pharmacy technicians typically earn around $15 to $20 per hour, while more experienced roles like pharmacy managers or data analysts can earn between $60,000 and $100,000 annually. Benefits often include health insurance, retirement plans, and opportunities for professional development.
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What cities in Indiana are hiring for Express Scripts Prior Authorization jobs? Cities in Indiana with the most Express Scripts Prior Authorization job openings:
Express Scripts Prior Authorization jobs near you
ADMITTING COORDINATOR CWS I

ADMITTING COORDINATOR CWS I

Methodist Hospitals

Gary, IN

Full-time

Posted 28 days ago

Job description

The Central Scheduler accepts and processes requests to schedule outpatient tests/procedures using EPIC Cadence Scheduling system. Strives to obtain patient pre-registration data during scheduling process and performs patient pre-registration in the Hospital Information System (EPIC). In addition to facilitating a coordinated patient and service department schedule, the scheduler answers patient questions regarding their test(s) and/or procedure(s). Works extended hours as required to complete job functions within established standards.


PRINCIPAL DUTIES AND RESPONSIBILITIES (*Essential Functions)

  1. Scheduling patients via telephone or faxed scripts and patient registrations.
  2. Obtains authorizations and referrals.
  3. Verifying insurance and demographic information.
  4. Confirms patient appointments and prep instructions.
  5. Assures pre-certifications, authorizations and/or referrals are obtained prior to service.

JOB SPECIFICATIONS (Minimum Requirements)

    KNOWLEDGE, SKILLS, AND ABILITIES
  • Schedules patients according to departmental guidelines Adheres to Red Flag Rule when registering patients.

  • Assures pre-certifications, authorizations and/or referrals are obtained prior to service.

  • Asks & updates MSPQ every patient visit, without relying on prior visit information.

  • Maintains productivity by processing Methcare labs, pre-registering patients or working workques when not scheduling or registering patients.

  • Scans in all necessary documentation (scripts) Accurately selects medical record (all patients) and hospital account (correct recurring account).

  • Medical terminology knowledge preferred.

  • Ability to prioritize job functions, work independently and exercise good judgment.

  • Must possess good written and verbal communication skills.

  • Must possess good organizational/analytical skills and mathematical aptitude.

  • Proficient use of calculator and minimum typing (45 wpm).

  • Basic personal computer skills.


EDUCATION

  • A high school diploma/GED Equivalent is required.

  • Associates in Business Management Preferred

  • One (1) year of responsible work experience in a hospital registration position, medical business office or a closely related field is required. Post high school education may be substituted on a year for year basis to meet the work experience requirement.


STANDARDS OF BEHAVIOR
Meets the Standards of Behavior as outlined in Personnel Policy and Procedure #1, Employee Relations Code.
CONFIDENTIALITY/HIPAA/CORPORATE COMPLIANCE
Demonstrates knowledge of procedures for protecting and maintaining security, confidentiality and integrity of employee, patient, family, organizational and other medical information. Understands and supports the commitment of Methodist Hospitals in adhering to federal, state and local laws, rules and regulations governing ethical business practices for healthcare providers.
DISCLAIMER - The above statements are intended to describe the general nature and level of work being performed by people assigned to this job. The statements are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required.
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About Methodist Hospitals

Sourced by ZipRecruiter

Methodist Hospitals is a reputable institution in the healthcare and medical industry with its base in Gary, Indiana, United States. A trusted name in comprehensive medical services, the organization is primarily known for its robust offering in the fields of emergency and acute medical care, tracking back its foundational roots to the year 1923. Catholic nun Sister Gesuina set up the hospital with the sole mission of providing affordable healthcare services to the residents of Gary. Today, their mission stays true to promoting health, healing, and well-being in the communities they serve, encompassing a diverse representation of races, ethnicities, genders, ages, religions, abilities, and sexual orientations.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

Gary, IN, US

Year founded

1923

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