Periodically reviewing yearly spreadsheet for outstanding scripts & determine reason for ... Prior authorization experience required . * Excellent verbal and written communications. * Strong ...
Periodically reviewing yearly spreadsheet for outstanding scripts & determine reason for ... Prior authorization experience required . * Excellent verbal and written communications. * Strong ...
This includes Express Scripts and Evernorth Health Services pharmacy and care delivery businesses ... Clinical Operations Oversight and Prior Authorization Transformation * Partner with internal teams ...
This includes Express Scripts and Evernorth Health Services pharmacy and care delivery businesses ... Clinical Operations Oversight and Prior Authorization Transformation * Partner with internal teams ...
Manager, Government Accounts
Yardley, PA · On-site
Prior government or military experience is preferred. * Industry Experience Preferred: * Three (3+) ... Express Scripts or any Tri-Care Mail Order Pharmacy (TMOP). * Alternatively, five (5+) years of ...
Manager, Government Accounts
Yardley, PA · On-site
Prior government or military experience is preferred. * Industry Experience Preferred: * Three (3+) ... Express Scripts or any Tri-Care Mail Order Pharmacy (TMOP). * Alternatively, five (5+) years of ...
... to care by managing both front-end prior authorizations and in-house concurrent review ... to express complex information in a clear and concise manner. • Strong critical thinking ...
... to care by managing both front-end prior authorizations and in-house concurrent review ... to express complex information in a clear and concise manner. • Strong critical thinking ...
Coordinates and facilitates pre-admission Prior Authorizations for participants from referral ... Ability to express complex information in a clear and concise manner. * Strong critical thinking ...
Coordinates and facilitates pre-admission Prior Authorizations for participants from referral ... Ability to express complex information in a clear and concise manner. * Strong critical thinking ...
Coordinates and facilitates pre-admission Prior Authorizations for participants from referral ... Ability to express complex information in a clear and concise manner. Strong critical thinking ...
Coordinates and facilitates pre-admission Prior Authorizations for participants from referral ... Ability to express complex information in a clear and concise manner. Strong critical thinking ...
... orders, scripts if has prescriptive authority). • Provides support and resources to the adult ... prior authorization requests for medications. • Responsibility to coordinate and complete the ...
... orders, scripts if has prescriptive authority). • Provides support and resources to the adult ... prior authorization requests for medications. • Responsibility to coordinate and complete the ...
... script for clinicians. Responsible for maintaining EHR database, registration of patients, printing ... This role requires ALL recertifications, referrals, and prior authorizations to be completed in a ...
... script for clinicians. Responsible for maintaining EHR database, registration of patients, printing ... This role requires ALL recertifications, referrals, and prior authorizations to be completed in a ...
... script for clinicians. Responsible for maintaining EHR database, registration of patients, printing ... This role requires ALL recertifications, referrals, and prior authorizations to be completed in a ...
... script for clinicians. Responsible for maintaining EHR database, registration of patients, printing ... This role requires ALL recertifications, referrals, and prior authorizations to be completed in a ...
... script for clinicians. Responsible for maintaining EHR database, registration of patients, printing ... This role requires ALL recertifications, referrals, and prior authorizations to be completed in a ...
... script for clinicians. Responsible for maintaining EHR database, registration of patients, printing ... This role requires ALL recertifications, referrals, and prior authorizations to be completed in a ...
... script for clinicians. Responsible for maintaining EHR database, registration of patients, printing ... This role requires ALL recertifications, referrals, and prior authorizations to be completed in a ...
... script for clinicians. Responsible for maintaining EHR database, registration of patients, printing ... This role requires ALL recertifications, referrals, and prior authorizations to be completed in a ...
... script for clinicians. Responsible for maintaining EHR database, registration of patients, printing ... This role requires ALL recertifications, referrals, and prior authorizations to be completed in a ...
... script for clinicians. Responsible for maintaining EHR database, registration of patients, printing ... This role requires ALL recertifications, referrals, and prior authorizations to be completed in a ...
... script for clinicians. Responsible for maintaining EHR database, registration of patients, printing ... This role requires ALL recertifications, referrals, and prior authorizations to be completed in a ...
... script for clinicians. Responsible for maintaining EHR database, registration of patients, printing ... This role requires ALL recertifications, referrals, and prior authorizations to be completed in a ...
... script for clinicians. Responsible for maintaining EHR database, registration of patients, printing ... This role requires ALL recertifications, referrals, and prior authorizations to be completed in a ...
... script for clinicians. Responsible for maintaining EHR database, registration of patients, printing ... This role requires ALL recertifications, referrals, and prior authorizations to be completed in a ...
... script for clinicians. Responsible for maintaining EHR database, registration of patients, printing ... This role requires ALL recertifications, referrals, and prior authorizations to be completed in a ...
... script for clinicians. Responsible for maintaining EHR database, registration of patients, printing ... This role requires ALL recertifications, referrals, and prior authorizations to be completed in a ...
Experience developing complicated scripts using Selenium-JAVA. Experience with Oracle 10g / 11g ... authorized to work in US are encouraged to apply. - Candidates must clear the Background check ...
Experience developing complicated scripts using Selenium-JAVA. Experience with Oracle 10g / 11g ... authorized to work in US are encouraged to apply. - Candidates must clear the Background check ...
Patient Access Rep I - FT - Day - Patient Access Services Browns Mills NJ
Browns Mills, NJ · On-site
$16.75 - $21.50/hr
... scripts, to secure financial reimbursement and customer/patient satisfaction Complies with ... Assures insurance information is verified, and authorization is obtained if not done prior to ...
Patient Access Rep I - FT - Day - Patient Access Services Browns Mills NJ
Browns Mills, NJ · On-site
$16.75 - $21.50/hr
... scripts, to secure financial reimbursement and customer/patient satisfaction Complies with ... Assures insurance information is verified, and authorization is obtained if not done prior to ...
Resolve authorized deductions and discrepancies promptly * Prepare summaries of receivables by ... Prior Accounts Receivable experience * Understanding of standard AR processes and collections ...
Resolve authorized deductions and discrepancies promptly * Prepare summaries of receivables by ... Prior Accounts Receivable experience * Understanding of standard AR processes and collections ...
Veterinary Assistant
$20 - $22/hr
Get weights on all patients prior to examination * Use our radiology software for medical records ... Log controlled drugs (when authorized to do so, under direction of an LVT/DVM) * Setup medications ...
Quick apply
Veterinary Assistant
$20 - $22/hr
Get weights on all patients prior to examination * Use our radiology software for medical records ... Log controlled drugs (when authorized to do so, under direction of an LVT/DVM) * Setup medications ...
Veterinary Assistant Job
Philadelphia, PA · On-site
$15.75 - $19.75/hr
Get weights on all patients prior to examination * Use our radiology software for medical records ... Log controlled drugs (when authorized to do so, under direction of an LVT/DVM) * Setup medications ...
Veterinary Assistant Job
Philadelphia, PA · On-site
$15.75 - $19.75/hr
Get weights on all patients prior to examination * Use our radiology software for medical records ... Log controlled drugs (when authorized to do so, under direction of an LVT/DVM) * Setup medications ...
Express Scripts Prior Authorization information
See Maple Shade, NJ salary details
$11.48 - $15.33
4% of jobs
$15.33 - $19.18
0% of jobs
$19.18 - $23.03
0% of jobs
$23.03 - $26.88
3% of jobs
$26.88 - $30.73
0% of jobs
$30.73 - $34.58
9% of jobs
$34.58 - $38.43
2% of jobs
$39.82 is the 25th percentile. Wages below this are outliers.
$38.43 - $42.28
17% of jobs
The median wage is $45.02 / hr.
$42.28 - $46.13
20% of jobs
$46.13 - $49.98
14% of jobs
$50.68 is the 75th percentile. Wages above this are outliers.
$49.98 - $53.83
31% of jobs
$11
$43
$53
How much do express scripts prior authorization jobs pay per hour?
As of Aug 27, 2026, the average hourly pay for express scripts prior authorization in Maple Shade, NJ is $43.64, according to ZipRecruiter salary data. Most workers in this role earn between $40.19 and $51.44 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 cities near Maple Shade, NJ are hiring for Express Scripts Prior Authorization jobs?
Cities near Maple Shade, NJ with the most Express Scripts Prior Authorization job openings:
Diagnostics Coordinator/Prior Authorization Specialist
Glenolden, PA • On-site
Careers - Multi-specialty
$20/hr
Full-time
Medical, Dental, Vision, Retirement, PTO
This job post has expired today. Applications are no longer accepted.
Job description
About Us
Born in 1993, Excelsia Injury Care’s mission is to restore quality of life through patient-centric care and support for those injured in motor vehicle or work-related accidents. With over 100 patient care centers across the Mid-Atlantic, Midwest, and Mountain West regions, our vision is to be the leading provider of injury care, setting the standard for excellence in every community we serve and expanding access to high-quality care nationwide.
At Excelsia, we deliver the full continuum of outpatient care within one seamless, connected system. Our diverse team of medical specialists offers a wide range of treatment services, covering medical, orthopedics, neurology, rehabilitation, diagnostic, and surgical. We are committed to supporting patients through personalized support, detailed documentation, and outcome-oriented care coordination to make the recovery process easier. With Excelsia, patients are never far from the care they need—with the compassion they deserve.
Founded on the values of respect and trustworthiness, we are committed to delivering services that adhere to the highest legal, regulatory, and ethical standards. As responsible corporate citizens, we integrate environmental, social, and governance (ESG) considerations into our business practices, ensuring that we positively impact the healthcare companies we serve, our employees, and the communities we reach.
Job Summary
The Diagnostic Coordinator is responsible for timely data entry, prior authorizations, and follow up of all diagnostic imaging ordered (PA, DE, NJ). They handle internal & external correspondence to help obtain correct billing information for studies to be completed and ensure reports are received.
- Effective communication between office, patient, attorney & MRI facility
- Documenting studies ordered, then following up to confirm test was done & report received
- Navigating EHR for claim/ health insurance info, requesting letter of protection / claim info when needed
- Prior authorizations through commercial health insurances
- Reaching out to MRI facilities directly to confirm if a patient showed to an appt, is scheduled, or for official reports to be sent
- Periodically reviewing yearly spreadsheet for outstanding scripts & determine reason for incompletion
- Assist Intake Team, Patient Care Team, and Medical Procedure Scheduling Team as needed
- Other duties as assigned.
Additional Skills/Competencies
- Prior authorization experience required.
- Excellent verbal and written communications.
- Strong organization and computer literacy skills
- Ability to effectively communicate and train all levels of employees.
Physical/Mental Requirements
Sitting, standing, walking, reaching above shoulder length, working with body bent over at waist, working in kneeling position, climbing stairs, climbing ladders, working with arms extended at shoulder length, lifting maximum of 20 lbs.
Why work for Excelsia Injury Care? We offer a competitive salary, a great and stable work environment as well as amazing benefit package! Offered Benefits include:
- Medical, Dental and Vision plans through CareFirst with PPO And HSA options available the first of the month after your hire date.
- Rich leave benefits including PTO that is accrued starting on your first day of work, 8 company-recognized paid holidays plus a floating holiday, and 5 days of sick leave each calendar year.
- Employee Assistance Program, Earned Wage Access, and Employee Assistance Fund.
- Discounts on shopping and travel perks through WorkingAdvantage.
- 401(k) retirement plan with employer match.
- Paid training opportunities and Education Assistance Program.
- Employee Referral Bonus Program
Diversity Statement
Excelsia Injury Care is an equal opportunity employer. We commit to a policy of nondiscrimination and equal opportunity for all employees and qualified applicants without regard to race, color, religion, creed, gender, pregnancy or related medical conditions, age, national origin or ancestry, physical or mental disability, genetic predisposition, marital, civil union or partnership status, sexual orientation, gender identity, or any other consideration protected by federal, state or local laws.