Huntington, WV · On-site
$15.25 - $20.50/hr
The Prior Authorization Specialist is to reduce the risk of claim denials by ensuring ... Effective communication skills for working with providers, staff, and insurance representatives
Huntington, WV · On-site
$15.25 - $20.50/hr
The Prior Authorization Specialist is to reduce the risk of claim denials by ensuring ... Effective communication skills for working with providers, staff, and insurance representatives
$19.03 - $31.39/hr
... and prior authorization processes for outpatient radiological services within Brown University ... Provides mature, quality customer service to patients, their families and/or their representatives.
$19.03 - $31.39/hr
... and prior authorization processes for outpatient radiological services within Brown University ... Provides mature, quality customer service to patients, their families and/or their representatives.
Providence, RI · On-site
$19.03 - $31.39/hr
... and prior authorization processes for outpatient radiological services within Brown University ... Provides mature, quality customer service to patients, their families, and/or their representatives.
Providence, RI · On-site
$19.03 - $31.39/hr
... and prior authorization processes for outpatient radiological services within Brown University ... Provides mature, quality customer service to patients, their families, and/or their representatives.
Tulsa, OK · On-site
$17 - $20/hr
Authorization Rep Location: Tulsa, OK Type: Contract To Hire Compensation: $17-20/hr Work Model ... Obtain prior authorizations and pre-certifications for medical procedures, diagnostic testing ...
Quick apply
Tulsa, OK · On-site
$17 - $20/hr
Authorization Rep Location: Tulsa, OK Type: Contract To Hire Compensation: $17-20/hr Work Model ... Obtain prior authorizations and pre-certifications for medical procedures, diagnostic testing ...
Whitestown, IN · On-site
$16.50 - $19.50/hr
Express Scripts Pharmacy is hiring warehouse associates like you to receive, stock and replenish ... prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas ...
Whitestown, IN · On-site
$16.50 - $19.50/hr
Express Scripts Pharmacy is hiring warehouse associates like you to receive, stock and replenish ... prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas ...
Phoenix, AZ · On-site
$20 - $24/hr
The actual posting represents a position at one of our clients. Job Summary Our client is seeking a dedicated Prior Authorization Specialist. The primary responsibility is to communicate with ...
Phoenix, AZ · On-site
$20 - $24/hr
The actual posting represents a position at one of our clients. Job Summary Our client is seeking a dedicated Prior Authorization Specialist. The primary responsibility is to communicate with ...
Tulsa, OK · On-site
$17 - $20/hr
Authorization Rep Location: Tulsa, OK Type: Contract To Hire Compensation: $17-20/hr Work Model ... Obtain prior authorizations and pre-certifications for medical procedures, diagnostic testing ...
Quick apply
Tulsa, OK · On-site
$17 - $20/hr
Authorization Rep Location: Tulsa, OK Type: Contract To Hire Compensation: $17-20/hr Work Model ... Obtain prior authorizations and pre-certifications for medical procedures, diagnostic testing ...
$22 - $28/hr
Complete prior authorization requests on behalf of clinics, ensuring timely and accurate processing ... Represent the pharmacy in a professional and courteous manner in all interactions with patients and ...
$22 - $28/hr
Complete prior authorization requests on behalf of clinics, ensuring timely and accurate processing ... Represent the pharmacy in a professional and courteous manner in all interactions with patients and ...
Tulsa, OK · On-site
$17 - $20/hr
Authorization Rep Location: Tulsa, OK Type: Contract To Hire Compensation: $17-20/hr Work Model ... Obtain prior authorizations and pre-certifications for medical procedures, diagnostic testing ...
Quick apply
Tulsa, OK · On-site
$17 - $20/hr
Authorization Rep Location: Tulsa, OK Type: Contract To Hire Compensation: $17-20/hr Work Model ... Obtain prior authorizations and pre-certifications for medical procedures, diagnostic testing ...
$15.25 - $20.50/hr
Cabell Huntington Hospital is seeking a full-time Prior Authorization Specialistto work alongside ... Effective communication skills for working with providers, staff, and insurance representatives
$15.25 - $20.50/hr
Cabell Huntington Hospital is seeking a full-time Prior Authorization Specialistto work alongside ... Effective communication skills for working with providers, staff, and insurance representatives
Tulsa, OK · On-site
$17 - $20/hr
Authorization Rep Location: Tulsa, OK Type: Contract To Hire Compensation: $17-20/hr Work Model ... Obtain prior authorizations and pre-certifications for medical procedures, diagnostic testing ...
Quick apply
Tulsa, OK · On-site
$17 - $20/hr
Authorization Rep Location: Tulsa, OK Type: Contract To Hire Compensation: $17-20/hr Work Model ... Obtain prior authorizations and pre-certifications for medical procedures, diagnostic testing ...
Tulsa, OK · On-site
$17 - $20/hr
Authorization Rep Location: Tulsa, OK Type: Contract To Hire Compensation: $17-20/hr Work Model ... Obtain prior authorizations and pre-certifications for medical procedures, diagnostic testing ...
Quick apply
Tulsa, OK · On-site
$17 - $20/hr
Authorization Rep Location: Tulsa, OK Type: Contract To Hire Compensation: $17-20/hr Work Model ... Obtain prior authorizations and pre-certifications for medical procedures, diagnostic testing ...
$16.75 - $22.50/hr
Coordinates appointment of representative document with patient and physician office. * Completes status check with insurance company regarding receipt of prior authorization and appeal and approval ...
$16.75 - $22.50/hr
Coordinates appointment of representative document with patient and physician office. * Completes status check with insurance company regarding receipt of prior authorization and appeal and approval ...
Tulsa, OK · On-site
$17 - $20/hr
Authorization Rep Location: Tulsa, OK Type: Contract To Hire Compensation: $17-20/hr Work Model ... Obtain prior authorizations and pre-certifications for medical procedures, diagnostic testing ...
Quick apply
Tulsa, OK · On-site
$17 - $20/hr
Authorization Rep Location: Tulsa, OK Type: Contract To Hire Compensation: $17-20/hr Work Model ... Obtain prior authorizations and pre-certifications for medical procedures, diagnostic testing ...
Ocean Springs, MS · On-site
$14.25 - $19/hr
Certification as a Prior Authorization Certified Specialist through the National Board of Prior ... Must demonstrate the ability to communicate, speak, and enunciate to express / exchange ideas and ...
Ocean Springs, MS · On-site
$14.25 - $19/hr
Certification as a Prior Authorization Certified Specialist through the National Board of Prior ... Must demonstrate the ability to communicate, speak, and enunciate to express / exchange ideas and ...
Tulsa, OK · On-site
$17 - $20/hr
Authorization Rep Location: Tulsa, OK Type: Contract To Hire Compensation: $17-20/hr Work Model ... Obtain prior authorizations and pre-certifications for medical procedures, diagnostic testing ...
Quick apply
Tulsa, OK · On-site
$17 - $20/hr
Authorization Rep Location: Tulsa, OK Type: Contract To Hire Compensation: $17-20/hr Work Model ... Obtain prior authorizations and pre-certifications for medical procedures, diagnostic testing ...
Tulsa, OK · On-site
$17 - $20/hr
Authorization Rep Location: Tulsa, OK Type: Contract To Hire Compensation: $17-20/hr Work Model ... Obtain prior authorizations and pre-certifications for medical procedures, diagnostic testing ...
Tulsa, OK · On-site
$17 - $20/hr
Authorization Rep Location: Tulsa, OK Type: Contract To Hire Compensation: $17-20/hr Work Model ... Obtain prior authorizations and pre-certifications for medical procedures, diagnostic testing ...
Pascagoula, MS · On-site
$18 - $24/hr
Certification as a Prior Authorization Certified Specialist through the National Board of Prior ... Must demonstrate the ability to communicate, speak, and enunciate to express / exchange ideas and ...
Pascagoula, MS · On-site
$18 - $24/hr
Certification as a Prior Authorization Certified Specialist through the National Board of Prior ... Must demonstrate the ability to communicate, speak, and enunciate to express / exchange ideas and ...
Tulsa, OK · On-site
$17 - $20/hr
Authorization Rep Location: Tulsa, OK Type: Contract To Hire Compensation: $17-20/hr Work Model ... Obtain prior authorizations and pre-certifications for medical procedures, diagnostic testing ...
Quick apply
Tulsa, OK · On-site
$17 - $20/hr
Authorization Rep Location: Tulsa, OK Type: Contract To Hire Compensation: $17-20/hr Work Model ... Obtain prior authorizations and pre-certifications for medical procedures, diagnostic testing ...
Aurora, IL · On-site
$19.50 - $21.50/hr
Prior Authorization Specialist Since our doors opened in 1989, Reliable Medical has been committed ... Communicate effectively and professionally with insurance companies, sales representatives, the ...
Aurora, IL · On-site
$19.50 - $21.50/hr
Prior Authorization Specialist Since our doors opened in 1989, Reliable Medical has been committed ... Communicate effectively and professionally with insurance companies, sales representatives, the ...
$10.82 - $12.28
4% of jobs
$12.28 - $13.75
9% of jobs
$14.87 is the 25th percentile. Wages below this are outliers.
$13.75 - $15.21
15% of jobs
$15.21 - $16.67
20% of jobs
The median wage is $16.80 / hr.
$16.67 - $18.14
19% of jobs
$18.80 is the 75th percentile. Wages above this are outliers.
$18.14 - $19.60
17% of jobs
$19.60 - $21.07
7% of jobs
$21.07 - $22.53
4% of jobs
$22.53 - $23.99
2% of jobs
$23.99 - $25.46
1% of jobs
$25.46 - $26.92
1% of jobs
$10
$18
$26
A Prior Authorization Representative at Express Scripts is responsible for reviewing and processing medication prior authorization requests from healthcare providers and pharmacies. They assess requests based on insurance coverage policies, ensuring prescriptions meet clinical and formulary guidelines. The representative communicates approval or denial decisions and may collaborate with prescribers for additional information. Strong attention to detail, customer service skills, and knowledge of medical terminology are essential for success in this role.
In this role, you will review and process prior authorization requests for prescription medications, ensuring that all necessary documentation and criteria are met. You’ll communicate frequently with healthcare providers, patients, and insurance companies to gather information, explain coverage decisions, and resolve any issues. Coordination with pharmacy teams and use of specialized software are also routine responsibilities. The position requires strong organizational skills and adaptability, as you will often manage multiple cases with varying priorities throughout your day.
To excel as a Prior Authorization Representative at Express Scripts, you need strong knowledge of pharmacy benefits, medical terminology, and insurance processes, often supported by experience in healthcare or pharmacy settings. Familiarity with prior authorization systems, insurance verification tools, and HIPAA compliance is important, and some employers may prefer a pharmacy technician certification. Exceptional communication, attention to detail, and problem-solving skills help representatives navigate patient and provider inquiries efficiently. These qualifications ensure timely and accurate processing of medication requests, helping patients access care while maintaining regulatory and company standards.
$15.25 - $20.50/hr
Full-time
Posted 13 days ago
Sourced by ZipRecruiter
Marshall Health Network, Inc. is a West Virginia-based not-for-profit academic health system that includes the Marshall Health physician practice; Cabell Huntington Hospital, St. Mary’s Medical Center, Hoops Family Children’s Hospital, HIMG and Rivers Health. We are committed to improving the health and well-being of over one million children and adults in 38 counties in West Virginia, southern Ohio and eastern Kentucky through understanding, respecting and meeting their needs. Introducing Marshall Health Network Marshall Health Network is an academic health system with a visionary approach to healthcare. By aligning our goals under the Marshall Health Network banner, we are able to address healthcare disparities and public health issues while ensuring the latest medical research and clinical trials are available to our patients. We strive for consistency, clarity and character in healthcare. Compassion, quality and collaboration are key. That’s the Power of We.
Outpatient health care
11 - 50 Employees
Huntington, WV, US
2024
