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Express Scripts Prior Authorization Jobs in Arlington, TX

U9657

Specialty Pharmacy Technician

Dallas, TX · On-site

$17.25 - $21/hr

... prior-authorization process by completing Cover My Meds. * Places outbound calls to patients or physicians' offices to obtain additional information needed to process the script or to notify of delay ...

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Express Scripts Prior Authorization information

See Arlington, TX salary details

$10

$39

$48

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

As of Sep 2, 2026, the average hourly pay for express scripts prior authorization in Arlington, TX is $39.46, according to ZipRecruiter salary data. Most workers in this role earn between $36.35 and $46.49 per hour, depending on experience, location, and employer.

What is an Express Scripts Prior Authorization?

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 does an Express Scripts Prior Authorization specialist do?

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 are the key skills and qualifications needed for an Express Scripts Prior Authorization specialist?

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.

Does Express Scripts Prior Authorization do prior authorization?

Express Scripts Prior Authorization is a process used by healthcare providers and insurance plans to obtain approval for certain medications before they are dispensed. The role of a prior authorization specialist or pharmacist involves reviewing and processing these requests to ensure coverage and compliance with plan policies.

Is express scripts prior authorization a stressful job?

Express Scripts Prior Authorization roles involve reviewing and processing medication requests, which can be demanding due to strict deadlines and the need for accuracy. The job may be stressful during high-volume periods or when handling complex cases, but it also offers a structured environment with clear procedures and the use of specialized software.

What are popular job titles related to Express Scripts Prior Authorization jobs in Arlington, TX?

For Express Scripts Prior Authorization jobs in Arlington, TX, the most frequently searched job titles are:

What job categories do people searching Express Scripts Prior Authorization jobs in Arlington, TX look for?

The top searched job categories for Express Scripts Prior Authorization jobs in Arlington, TX are:

What cities near Arlington, TX are hiring for Express Scripts Prior Authorization jobs?

Cities near Arlington, TX with the most Express Scripts Prior Authorization job openings:

Express Scripts Prior Authorization jobs near you
Infographic showing various Express Scripts Prior Authorization job openings in Arlington, TX as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 17% Part Time, 1% Temporary, and 2% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $82,082 per year, or $39.5 per hour.

Insurance Verification Specialist-Remote

Soleo Health Inc

Frisco, TX • Remote

$23 - $27/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 2 days ago

Job description

Description:

Soleo Health is seeking a Clearance Specialist to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care!


Acute home infusion experience required, and must be able to work 8:30a-5p Mountain Time. Experience running test claims and calculating HCPC codes required. 


Soleo Health Perks:

  • Competitive Wages
  • 401(k) with a Match
  • Referral Bonus
  • Paid Time Off
  • Great Company Culture
  • Annual Merit Based Increases
  • No Weekends or Holidays
  • Paid Parental Leave Options
  • Affordable Medical, Dental, & Vision Insurance Plans
  • Company Paid Disability & Basic Life Insurance
  • HSA & FSA (including dependent care) Options
  • Education Assistance Program


This Position:

The Clearance Specialist will be working 8:30am -5:00pm MST, and is responsible for processing new referrals including but not limited to verifying patient eligibility, test claim adjudication, coordination of benefits, and identifying patient estimated out of pocket costs. They will also be responsible for preparation, submission, and follow up of payer authorization requests. Responsibilities include:

  • Perform benefit verification of all patient insurance plans including documenting coverage of medications, administration supplies, and related infusion services
  • Responsible to document all information related to coinsurance, copay, deductibles, authorization requirements, etc
  • Calculate estimated patient financial responsibility based off benefit verification and payer contracts and/or company self-pay pricing
  • Initiate, follow-up, and secure prior authorization, pre-determination, or medical review including
  • Reviewing and obtaining clinical documents for submission purposes
  • Communicate with patients, referral sources, other departments, and any other external and internal customers regarding status of referral, coverage and/or other updates as needed
  • Refer or assist with enrollment any patients who express financial necessity to manufacturer copay assistance programs and/or foundations
  • Generate new patient start of care paperwork



Schedule:

  • Must be able to work Full time, 40 hours per week, from 8:30a-5pm Mountain Time
  • Weekend On-call once monthly
  • Must have experience with Acute Infusion for Prior authorization/Benefits Verification
Requirements:
  • High school diploma or equivalent
  •  Experience running test claims and calculating HCPC codes required.  
  • At least 2 years of home infusion specialty pharmacy and/or medical intake/reimbursement experience preferred
  • Working knowledge of Medicare, Medicaid, and managed care reimbursement guidelines including ability to interpret payor contract fee schedules based on NDC and HCPCS units
  • Strong ability to multi-task and support numerous referrals/priorities while ensuring productivity expectations and quality are met
  • Ability to work in a fast-paced environment
  • Knowledge of HIPAA regulations
  • Basic level skill in Microsoft Excel & Word
  • Knowledge of CPR+ preferred


About Us: Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference!



Soleo’s Core Values:

  • Improve patients’ lives every day
  • Be passionate in everything you do
  • Encourage unlimited ideas and creative thinking
  • Make decisions as if you own the company
  • Do the right thing
  • Have fun!


Soleo Health is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, equitable, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to thrive. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture.


Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor.


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