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Remote Prior Authorization Representative Express Scripts Jobs

Cigna

$15.50 - $21/hr

The Call Center Customer Service Representative represents the company, and our people make all the ... prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas ...

Medix

Remote Prior Authorization Pharmacy Tech

Dallas, TX · On-site +1

$20 - $23/hr

Evaluates prior authorization requests and determines coverage eligibility based on plan guidelines ... Any one position may not include all the duties listed; these duties represent the key ...

Managed Staffing

Licensed Vocational Nurse - LPN

RI · Remote

$28 - $30/hr

Licensed Vocational Nurse (LPN) - Remote Prior Authorization 100% Remote - Anywhere in the U.S. Schedule: Monday-Friday, Day Shift (No weekends unless overtime is required) About the Role We are ...

PainPoint

Prior Authorization Coordinator

Atlanta, GA · On-site +1

$19 - $21/hr

Prior Authorization Coordinator Full-Time | $19-21/hour | Monday-Friday | 8:00 AM-4:30 PM CST ... Remote About DxTx Pain & Spine At DxTx Pain & Spine, we're redefining how pain and spine practices ...

CareMed Specialty Pharmacy

$23 - $25/hr

Pharmacy Prior Authorization Specialist - CareMed Specialty Pharmacy Buffalo, NY | Full-Time | ... Remote work possible after initial on-site training. Company Benefits * Medical; Dental; Vision ...

Managed Staffing

Prior Authorization Techician

RI · Remote

$21 - $22/hr

Fully Remote (U.S. based) - West Coast candidates preferred Seeking Pharmacy Technician I (Prior Authorization) professionals to join their remote Caremark team. This role is responsible for ...

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Remote Prior Authorization Representative Express Scripts information

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$26K

$48.4K

$73K

How much do remote prior authorization representative express scripts jobs pay per year?

As of Jul 20, 2026, the average yearly pay for remote prior authorization representative express scripts in the United States is $48,409.00, according to ZipRecruiter salary data. Most workers in this role earn between $40,000.00 and $55,000.00 per year, depending on experience, location, and employer.

What is the difference between Remote Prior Authorization Representative Express Scripts vs Remote Claims Processor?

AspectRemote Prior Authorization Representative Express ScriptsRemote Claims Processor
CredentialsHigh school diploma, healthcare certifications often preferredHigh school diploma, healthcare or insurance certifications
Work EnvironmentRemote, healthcare insurance settingRemote, insurance claims processing environment
Employer & IndustryExpress Scripts, healthcare/pharmacy industryVarious insurance companies, healthcare industry
Primary ResponsibilitiesReview and approve prior authorization requestsReview and process insurance claims

The Remote Prior Authorization Representative at Express Scripts focuses on evaluating and approving prior authorization requests for medications, ensuring timely patient access. In contrast, a Remote Claims Processor handles the review and processing of insurance claims after services are rendered. While both roles require healthcare knowledge and remote work skills, their core functions differ in the stages of the insurance process they manage.

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Remote Prior Authorization Representative Express Scripts jobs near you
Prior Authorization Representative

Prior Authorization Representative

Managed Staffing

AL • Remote

$17.50 - $18.50/hr

Contractor

Re-posted 25 days ago

Job description

Job Title: 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 Schedule: Monday–Friday, 8:00 AM–4:30 PM CT

Position Summary:

Seeking Pharmacy Technicians I with prior experience in high-volume call centers and customer service, preferably within the healthcare or social services sector. In this role, you will handle inbound calls from members, providers, and other stakeholders, providing professional and efficient support through the criteria-based prior authorization process. You will document all approvals and denials and escalate clinical questions or judgment calls to the pharmacist.

Key Responsibilities:

  • Answer inbound calls regarding pharmacy benefit inquiries and prior authorizations.

  • Guide callers through the criteria-based prior authorization process.

  • Maintain detailed, accurate, and timely documentation of all interactions.

  • Escalate clinical or judgment-based issues to licensed pharmacists.

  • Deliver excellent customer service while working in a fast-paced environment.

Required Qualifications:

  • Minimum 1 year of experience in a customer service or high-volume call center role.

  • High School Diploma or GED (must be verifiable).

  • Advanced computer proficiency including word processing and spreadsheet tools.

  • Strong communication skills – verbal and written.

  • Ability to work independently in a quiet, dedicated home workspace.

  • Must meet minimum internet speed requirements: 25 Mbps download / 3 Mbps upload (wired connection preferred).