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Overnight Prior Authorization Representative Express Scripts Jobs

HaysMed

Prior Authorization Representative

Hays, KS · On-site

$15.75 - $20/hr

A Hospital Prior Authorization Representative assesses patient medical records, prepares and submits authorization requests, and liaises with insurance companies to resolve issues. They also inform ...

HaysMed

Prior Authorization Representative

Hays, KS · On-site

$15.75 - $20/hr

A Hospital Prior Authorization Representative assesses patient medical records, prepares and submits authorization requests, and liaises with insurance companies to resolve issues. They also inform ...

HaysMed

Prior Authorization Representative

Hays, KS · On-site

$18 - $26/hr

A Hospital Prior Authorization Representative assesses patient medical records, prepares and submits authorization requests, and liaises with insurance companies to resolve issues. They also inform ...

BJC HealthCare

Prior Authorization Rep

Saint Louis, MO · On-site

$36K - $49K/yr

Additional Information About the Role Sunset Hills is looking to hire a Prior Authorization Rep! This Role will be located at 3630 S. Geyer Road Sunset Hills Mo. Additional Preferred Requirements * 8 ...

Managed Staffing

Prior Authorization Representative

AL · Remote

$17.50 - $18.50/hr

Prior Authorization Technician Location: Fully Remote (Work from Home - Anywhere in the U.S.) Pay Rate: $17.90/hour (W2) Schedule: Monday-Friday, 8-hour shifts between 8:00 AM-8:00 PM CT Training ...

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Overnight Prior Authorization Representative Express Scripts information

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

As of Jun 29, 2026, the average hourly pay for overnight prior authorization representative express scripts in the United States is $17.91, according to ZipRecruiter salary data. Most workers in this role earn between $15.38 and $19.23 per hour, depending on experience, location, and employer.

What is an Overnight Prior Authorization Representative at Express Scripts?

An Overnight Prior Authorization Representative at Express Scripts is responsible for processing and evaluating prescription medication requests that require authorization from insurance providers, primarily during overnight shifts. This role involves reviewing clinical information, communicating with healthcare providers, and ensuring that medications meet insurance guidelines for approval. Representatives also provide customer service to patients, doctors, and pharmacists, helping to resolve issues and explain the prior authorization process. Working overnight means handling requests that come in outside of typical business hours, ensuring 24/7 support for patients and providers.

What are some common challenges faced by Overnight Prior Authorization Representatives at Express Scripts, and how can they be managed?

Overnight Prior Authorization Representatives at Express Scripts often face challenges such as managing high call volumes during off-peak hours, handling urgent medication requests, and working independently with limited on-site supervision. To manage these challenges, representatives should develop strong organizational skills, remain updated on the latest formulary guidelines, and leverage internal resources or escalation protocols for complex cases. Building effective communication with pharmacists, physicians, and other team members—even during overnight shifts—can also help ensure smooth case resolution and maintain high service quality.

What are the key skills and qualifications needed to thrive as an Overnight Prior Authorization Representative at Express Scripts, and why are they important?

To thrive as an Overnight Prior Authorization Representative at Express Scripts, you need a solid understanding of pharmacy benefits, medical terminology, and prior authorization processes, often supported by a high school diploma or equivalent and relevant experience in healthcare or pharmacy. Familiarity with pharmacy management software, claims processing systems, and Microsoft Office Suite is typically required. Attention to detail, strong problem-solving skills, and effective communication are critical soft skills for success in this position. These competencies ensure accurate and timely authorization decisions, safeguard patient access to medications, and uphold compliance with regulatory standards during overnight shifts.
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Overnight Prior Authorization Representative Express Scripts jobs near you
Infographic showing various Overnight Prior Authorization Representative Express Scripts job openings in the United States as of June 2026, with employment types broken down into 53% Full Time, 44% Part Time, and 3% Temporary. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution, with an average salary of $37,257 per year, or $17.9 per hour.
Prior Authorization Representative

Prior Authorization Representative

Clinical Associates, Inc.

Towson, MD • On-site

$38K - $52K/yr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 17 days ago

Key responsibilities

  • Run appointment lists and verify insurance coverage, identifying patients needing prior authorizations for scheduled appointments, procedures, and diagnostic testing.

  • Complete the prior authorization process two weeks before scheduled appointments and contact insurance companies to confirm coverage or resolve billing issues.

  • Accurately enter and update patient demographics, insurance information, and authorization and referral tracking into the EMR system.

Job description

Prior Authorization Representative
At Clinical Associates, we make being healthy easier. As a premier multi-specialty physicians' practice located in the Towson, Pikesville, and Reisterstown communities, we connect our patients to a seamless system of integrated medical care. Our practice includes in-house specialists in areas of medicine, from cardiology to podiatry. We also offer unique services like our nuclear stress testing facility.
We are seeking to add an experienced and detail-oriented Prior Authorization Representative to our Cardiology team! Our ideal candidate will possess 1-2 years of experience in a healthcare setting with solid working knowledge of insurance verification & eligibility along with obtaining prior authorizations for office procedures and diagnostic testing. The candidate must be a team player and provide excellent customer service to our patients.
Shift Hours: Full Time / Monday - Friday 8:30 am - 4:30 pm
Location: Towson - 515 Fairmount Avenue or Pikesville - 1838 Greene Tree Road
**This is an in-person onsite position. No hybrid or remote work options are available.**
Job Duties include but are not limited to the following:
  • Runs appointment lists and verifies insurance coverage along with identifying which patients need prior authorizations for scheduled appointments, procedures, and diagnostic testing.
  • Completes the prior authorization process 2 weeks prior to the scheduled appointments.
  • Contacts patients to inform them of their financial out-of-pocket costs: co-pay, deductible, and co-insurance amounts.
  • Confirms if referrals have been received prior to scheduled appointments.
  • Contacts primary care providers or other healthcare facilities as needed to obtain referrals or missing information for office visits or procedures.
  • Contacts insurance companies to confirm continued coverage or to resolve billing issues, discrepancies, or denials.
  • Accurately enters and updates patient demographics, insurance information, and authorization and referral tracking into the EMR system.
  • Schedules appointments
  • Other duties as assigned to support the overall workflow efficiency of the department.
MINIMUM QUALIFICATIONS:
  • High School Diploma or equivalent
  • Medical office or health care experience is required. Specialty medicine and/or Cardiology are a plus.
  • 1-2 years of proven experience in healthcare insurance verification / prior authorization or billing is required.
  • Strong attention to detail and organizational skills.
  • Strong time management skills.
  • Knowledge and understanding of CPT/ICD 10 coding and billing protocols.
  • Experience with EPM/EMR - specifically NextGen is a plus.
  • Excellent verbal communication skills with ability to hear and to speak standard English clearly and concisely.
  • Excellent written communication skills with ability to read, write and spell standard English clearly and concisely.
  • Ability to interact effectively with culturally diverse patients, practitioners, and employee population.
  • Ability to convey a positive attitude and project a professional image.
  • Ability to remain flexible and maintain confidentiality.
  • Possesses excellent time management skills.
  • Requires lengthy periods of sitting, intermittent standing, reaching, and bending.
Benefits:
  • Paid Time Off
  • Medical
  • Vision
  • Dental
  • Life Insurance
  • Paid Holidays
  • 401K(matching)

Clinical Associates is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

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