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Remote Prior Authorization Representative Express Scripts Jobs in Arizona

Pierre Strand

Remote Sales Representative

Phoenix, AZ · On-site +1

Responsibilities of a Remote Sales Representative: * Proactively identifying and engaging potential ... No prior sales experience is required; we offer comprehensive training to ensure you are fully ...

The State of Arizona

CR EXECUTIVE DIRECTOR

Phoenix, AZ · On-site +1

$120K - $150K/yr

... remote work, should be performed within Arizona unless an exception is properly authorized in ... Such presentations shall be made available to the Council prior to dissemination. Director shall be ...

Pierre Strand

Remote Sales Representative.

Phoenix, AZ · On-site +1

Responsibilities of a Sales Representative: * Proactively identifying and engaging potential ... No prior sales experience is required; we offer comprehensive training to ensure you are fully ...

Promoted2

Remote Insurance Agent

Chandler, AZ · Remote

$60K - $110K/yr

We provide all tools, comprehensive training, proven scripts, and mentorship needed to build a ... Prior experience in sales, customer service, or financial services * Background in remote or ...

InsuraTec

Sales Representative (Remote)

Kingman, AZ · Remote

We're looking for driven individuals to join our team as Sales Representatives in a fully remote ... No prior experience needed; we offer full training. * Self-Motivated : Must be highly driven and ...

InsuraTec

Sales Representative (Remote)

El Mirage, AZ · Remote

We're looking for driven individuals to join our team as Sales Representatives in a fully remote ... No prior experience needed; we offer full training. * Self-Motivated : Must be highly driven and ...

InsuraTec

Sales Representative (Remote)

Surprise, AZ · Remote

We're looking for driven individuals to join our team as Sales Representatives in a fully remote ... No prior experience needed; we offer full training. * Self-Motivated : Must be highly driven and ...

Promoted2

Remote Insurance Agent

Tucson, AZ · Remote

$60K - $110K/yr

We provide all tools, comprehensive training, proven scripts, and mentorship needed to build a ... Prior experience in sales, customer service, or financial services * Background in remote or ...

InsuraTec

Sales Representative (Remote)

Coolidge, AZ · Remote

We're looking for driven individuals to join our team as Sales Representatives in a fully remote ... No prior experience needed; we offer full training. * Self-Motivated : Must be highly driven and ...

InsuraTec

Sales Representative (Remote)

Buckeye, AZ · Remote

We're looking for driven individuals to join our team as Sales Representatives in a fully remote ... No prior experience needed; we offer full training. * Self-Motivated : Must be highly driven and ...

Promoted2

Remote Insurance Agent

Mesa, AZ · Remote

$60K - $110K/yr

We provide all tools, comprehensive training, proven scripts, and mentorship needed to build a ... Prior experience in sales, customer service, or financial services * Background in remote or ...

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All JobsPrior Authorization Representative Express Scripts JobsRemote Prior Authorization Representative Express Scripts JobsRemote Prior Authorization Representative Express Scripts Jobs in Arizona

Remote Prior Authorization Representative Express Scripts information

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.

What are the most commonly searched types of Prior Authorization Representative Express Scripts jobs in Arizona?

The most popular types of Prior Authorization Representative Express Scripts jobs in Arizona are:

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For Remote Prior Authorization Representative Express Scripts jobs in Arizona, the most frequently searched job titles are:

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Cities in Arizona with the most Remote Prior Authorization Representative Express Scripts job openings:

Remote Prior Authorization Representative Express Scripts jobs near you
Infographic showing various Remote Prior Authorization Representative Express Scripts job openings in Arizona as of August 2026, with employment types broken down into 81% Full Time, 10% Part Time, and 9% Contract. Highlights an 100% Remote job distribution.

Patient Scheduling Representative - Remote (see full posting for eligible states)

Northern Arizona Healthcare

Cottonwood, AZ • Remote

$16.50 - $20.75/hr

Full-time

This job post has expired today. Applications are no longer accepted.

Northern Arizona Healthcare rating

8.0

Company rating: 8.0 out of 10

Based on 59 frontline employees who took The Breakroom Quiz

87th of 888 rated healthcare providers

Job description

NAH reserves the right to make hiring decisions based on applicants' state of residence if outside the state of Arizona. NAH currently hires for remote positions in the following states: 

  • Alabama
  • Arizona
  • Florida
  • Georgia
  • Idaho
  • Indiana
  • Kansas
  • Michigan
  • Missouri
  • North Carolina
  • Ohio
  • Oklahoma
  • Pennsylvania
  • South Carolina
  • Tennessee
  • Texas
The Patient Scheduling Representative is responsible for the verification and collection of patient demographic and insurance information by direct data entry to the electronic medical record during the scheduling/referrals. S/he conducts either face-to-face or inbound/outbound telephonic interviews with the patient or authorized representative to secure information specific to requested services; accurately documenting the discussion and other referral/scheduling activities in the encounter, schedule book, and patient chart.

Demonstrates customer-centric focus in all interactions with internal and external customers as well as an understanding of and ability to achieve acceptable performance standards as defined by Integrated Patient Scheduling Management.

Patient Registration and Scheduling
* Demonstrates ability to navigate web-based products or system applications required for registration or scheduling.
* Accurate identification of patient for direct data entry of required clinical, demographic, and insurance information to the electronic medical record during registration or for appointment booking of assigned services.
* Provides general explanation of scheduled procedures and patient instructions that are necessary for conducting medical services.
* Ensures system documentation specific to the patient visit is entered and accurately reflects activities related to patient or provider contact, order documentation, insurance verification, financial education, and payment.
* Provides explanation of legal forms and secures signature of patient/authorized party as required for services.
* Demonstrates basic understanding of compliance standards required within a healthcare environment including EMTALA and HIPAA-Privacy Patient Confidentiality regulations.
 
Eligibility/Authorization Management
* Accurate identification and selection of insurance carrier in the patient medical record for specified dates of medical services.
* Navigation of web-based products or system applications to initiate and document insurance eligibility, benefit details, and authorization requirements.
* Performs required notifications to ensure insurance authorization for identified medical services, surgical procedures, and inpatient/observation stays are secured and documented.
* Demonstrates basic knowledge of CPT, ICD10 diagnosis coding documentation as required for medical services.
 
Financial Counseling
* Demonstrates basic knowledge of regulatory or Third Party Payer insurance requirements including Medicare, AHCCCS/Medicaid, Workers Comp and other commercial payers.
* Educates the patient on insurance eligibility, coverage, and availability of medical financial assistance program(s).
* Collects identified patient financial liabilities; performs secured payment entry and deposit/cash reconciliation steps.
 
Revenue Cycle Support
* Performs PBX Switchboard functions as required for answering and routing of internal/external calls; paging codes and fire alarms; handles department call volumes as assigned to appropriately respond to requests from patients, providers, or other hospital departments.
* Acts as a resource for clinical departments for registration/scheduled services related to data entry of patient account fields, provider order requirements, and questions regarding insurance coverage or financial assistance.
 
Compliance/Safety
* Responsible for reporting any safety related incident in a timely fashion through the Midas/RDE tool; attends all safety related training programs; performs work in a safe manner; monitors work environment for possible safety issues and ensures others are also performing work in a safe manner.
* Stays current and complies with state and federal regulations/statutes and company policies that impact the employees area of responsibility.
* If required for position, ensures all certifications and/or licenses are up-to-date and valid prior to expiration dates.
* Completes all company mandatory modules and required job specific training in the specified time frame.

Education
  • High School Diploma or GED- Required
  • Medical Terminology Coursework- Preferred
 
Experience
  • Basic level of computer skills including keyboarding of 25 - 35 word per minute- Preferred
  • 1 year of call center or customer service experience, or 1 year of experience in a medical facility- Preferred
  • Proficiency in Microsoft Applications (Excel, Word, PowerPoint)- Preferred

Healthcare is a rapidly changing environment and technology is integrated into almost all aspects of patient care. Computers and other electronic devices are utilized across the organization and throughout each department. Colleagues must have an understanding of computers, and competence in using computers and basic software programs.

What Northern Arizona Healthcare employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

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About Northern Arizona Healthcare

Sourced by ZipRecruiter

Northern Arizona Healthcare (NAH) is a preeminent health service provider headquartered in Flagstaff, Arizona, US. Founded on an unwavering commitment to deliver compassionate, world-class care, NAH is a key player in the healthcare industry. The key services include cardiology, oncology, emergency services, surgery, women's health services, among others. With operations established over a century ago, it started serving the community in Flagstaff since 1911 before expanding to other locations. NAH's mission lodges the cornerstone that every individual should have access to top-quality, cost-effective health care. NAH's achievements range from national recognitions in patient safety to infrastructure development, like the opening of the new Children’s Health Center, highlighting their commitment to toddler health.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

Flagstaff, AZ, US

Year founded

1936

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