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Express Scripts Prior Authorization Jobs in Lebanon, TN

Pharmacy Care Tech

Nashville, TN · On-site

$17 - $20.50/hr

Follow procedures and scripts during patient engagement * Decipher single or multiple script needs ... Complete specialty claims processing including but not limited to inclusion of prior authorizations ...

Pharmacy Care Tech

Nashville, TN · On-site

$17 - $20.50/hr

Follow procedures and scripts during patient engagement * Decipher single or multiple script needs ... Complete specialty claims processing including but not limited to inclusion of prior authorizations ...

Prior leadership, training, or team lead experience preferred * Ability to read and interpret work ... express or implied. Work Authorization Requirements Authorized to work in the United States of ...

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Express Scripts Prior Authorization information

See Lebanon, TN salary details

$11

$42

$52

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

As of Aug 26, 2026, the average hourly pay for express scripts prior authorization in Lebanon, TN is $42.34, according to ZipRecruiter salary data. Most workers in this role earn between $38.99 and $49.90 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 job categories do people searching Express Scripts Prior Authorization jobs in Lebanon, TN look for?

The top searched job categories for Express Scripts Prior Authorization jobs in Lebanon, TN are:

What cities near Lebanon, TN are hiring for Express Scripts Prior Authorization jobs?

Cities near Lebanon, TN with the most Express Scripts Prior Authorization job openings:

Pharmacy Care Tech

Nashville, TN • On-site


Tennessee Oncology
Health Care and Social Assistance • 501 - 1,000 employees

6.8

Company rating: 6.8 out of 10

Based on 27 frontline employees who took The Breakroom Quiz

People enjoy working here

Recommended by parents

Respectful managers


$17 - $20.50/hr

Full-time

Re-posted 16 days ago


Job description

Tennessee Oncology, one of the nation's largest, community-based cancer care specialists, is home to one of the leading clinical trial networks in the country. Established 1976 in Nashville, Tennessee Oncology's mission remains unchanged: To provide access to high-quality cancer care and the expertise of clinical research for all patients, at convenient locations within their community and close to their home. Our growing network of physicians and locations is based on this mission. Tennessee Oncology is committed to advancing both the science of detection and targeted treatments, and to making these advances available to every patient. We believe caring for cancer patients is a privilege.
Why Join Us? We are looking for talented and highly-motivated individuals who demonstrate a natural desire to support the meaningful work of community oncologists and the patients we serve.
Job Description:
The Certified Pharmacy Care Technician is responsible for customer service and all order entry functions to meet customer demands in compliance with Board of Pharmacy, Federal, DEA, Accreditation, and other regulatory agencies. Specific areas of focus will be on medication adherence, processing and coordination between patients, insurance, patient assistance, and clinic staff.
ESSENTIAL FUNCTIONS: ESSENTIAL FUNCTIONS:
  • Perform insurance verification, order entry and prescription processing from multiple modalities
  • Review prescriptions for accuracy and completion
  • Follow procedures and scripts during patient engagement
  • Decipher single or multiple script needs based on availability of dosage formulations
  • Onboard all new patients
  • Setup and verify all medication deliveries
  • Coordinate all prescription orders sent to external specialty pharmacies
  • Complete specialty claims processing including but not limited to inclusion of prior authorizations, rejections, copay cards, and overrides
  • Process commercial, Medicare D and B including supplemental claims
  • Identify and match claims to appropriate co-pay assistance cards, foundation assistance and apply appropriately to the adjudicated claims
  • Troubleshoot complex insurance problem resolutions covered in summary
  • Assist in cross functional activities with different teams
  • Answer patient calls, as required and assist with patients' needs and questions
  • Triage and resolve voicemail, messenger, and Inbox
  • Obtain and coordinate payments
  • Manage inbound faxes
  • Participate in Quality Improvement/Assurance meetings, committees, and ongoing projects as needed
  • Participate in pharmacy and organizational projects and initiatives
  • Perform patient outreach at designated cadence within care plan to assess medication adherence and identify any deterrents
  • Check for medication changes and/or discrepancies (dose changes, discontinued medications etc)
  • Work within multiple computer systems simultaneously
  • Notate all necessary call content with minimal wrap-up time
  • Connect patients with pharmacist regarding all medication questions and ensure prompt response to the patient's question
  • Conduct data entry, data quality check and data reconciliation to ensure consistent documentation
  • Perform other tasks as assigned by management

KNOWLEDGE, SKILLS & ABILITIES:
  • Ability to manage time to meet daily deadlines
  • Ability to follow instructions and procedures
  • Adaptability to variations in workload
  • Ability to multitask while maintaining accuracy and proficiency
  • Ability to critically analyze situations and identify possible solutions independently
  • Skill in data entry, and basic computer usage
  • Ability to work independently and cooperatively in a team environment
  • Active listener who possesses effective and professional communication skills
  • Ability to identify and integrate traditional and/or digital solutions into the patient experience to facilitate therapy adherence

EDUCATION & EXPERIENCE:
  • Minimum 3 years retail experience or 2 years in Specialty Pharmacy environment
  • TN State Pharmacy Technician license active and in good standing or obtained within 90 days of hire if not previously licensed in TN
  • Pharmacy Technician Certification by an accredited body active and in good standing

PHYSICAL REQUIREMENTS:
Physical Activity Required
Amount of time
None
Less than 1/3
(Occasionally)

1/3 to 2/3
(Frequently)

More than 2/3
(Regularly)

Standing
X
Walking
X
Sitting
X
Fingering or manual dexterity
X
Repetitive finger motion
X
Lifting or exerting force
Up to 10 pounds
Up to 25 pounds
X
Up to 50 pounds
Up to 100 pounds
Over 100 pounds
Reaching or stretching
X
Climbing or balancing
X
Crouching or stooping
X
Speaking
X
Hearing
X
Seeing (with correction)
X


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