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Remote Prior Authorization Representative Express Scripts Jobs in Colorado

Onco360

Pharmacy Prior Authorization Specialist

Denver, CO · Remote

$21 - $27.25/hr

Remote work if licensed in State of Colorado. Why Join Us? * A career with purpose: Help patients ... Manage prior authorization requests and appeals with insurance carriers. * Collaborate with ...

Valeris

Remote Field Reimbursement Manager

Denver, CO · Remote

... prior authorizations, appeals processes, and patient support financial assistance offerings. This ... Work and compliantly with field team representatives to receive engagement requests and communicate ...

Actalent

Pharmacy Technician

Colorado Springs, CO · Remote

$18 - $20/hr

Enter all information on the prior authorization request form into a Compass case during Intake ... remote role where the team stays connected through Teams via chat, audio or video call, or screen ...

Actalent

Pharmacy Technician

Colorado Springs, CO · Remote

$18 - $20/hr

Enter all information on the prior authorization request form into a Compass case during Intake ... remote role where the team stays connected through Teams via chat, audio or video call, or screen ...

InsuraTec

Virtual Phone Sales Representative

Denver, CO · Remote

... remote flexibility. At InsuraTec , we equip you with warm inbound leads , step-by-step scripts, and ... Sales Representative at InsuraTec. #ZR Company Description InsuraTec is a relentless group of ...

InsuraTec

Virtual Phone Sales Representative

Aurora, CO · Remote

... remote flexibility. At InsuraTec , we equip you with warm inbound leads , step-by-step scripts, and ... Sales Representative at InsuraTec. #ZR Company Description InsuraTec is a relentless group of ...

Promoted2

Remote Insurance Agent

Aurora, CO · 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)

Wellington, CO · 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 ...

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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 popular job titles related to Remote Prior Authorization Representative Express Scripts jobs in Colorado? For Remote Prior Authorization Representative Express Scripts jobs in Colorado, the most frequently searched job titles are:
What job categories do people searching Remote Prior Authorization Representative Express Scripts jobs in Colorado look for? The top searched job categories for Remote Prior Authorization Representative Express Scripts jobs in Colorado are:
What cities in Colorado are hiring for Remote Prior Authorization Representative Express Scripts jobs? Cities in Colorado 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 Colorado as of August 2026, with employment types broken down into 78% Full Time, 11% Part Time, and 11% Contract. Highlights an 100% Remote job distribution.

Pharmacy Prior Authorization Specialist

Onco360

Denver, CO • Remote

$21 - $27.25/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 5 days ago

Onco360 rating

7.7

Company rating: 7.7 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

20th of 112 rated pharmacies

Job description

Pharmacy Prior Authorization Specialist – Onco360 Pharmacy
Denver, CO | Full-Time | Starting at $23.00/hr and up
Sign-On Bonus: $5,000 for employees starting before September 30, 2026!
Join a mission-driven team making a difference in the lives of cancer patients.
Onco360 Pharmacy is seeking a Pharmacy Prior Authorization Specialist to join our dedicated team in the State of Colorado. This is a full-time position. Remote work if licensed in State of Colorado.
Why Join Us?
  • A career with purpose: Help patients access life-saving medications.
  • Supportive culture: We value teamwork, respect, integrity, and passion.
  • Growth opportunities: We invest in your professional and personal development.
Company Benefits
  • Medical; Dental; Vision
  • 401k with a match
  • Paid Time Off and Paid Holidays
  • Tuition Reimbursement
  • Quarterly Incentive Bonus
  • Paid Volunteer Day
  • Referral Incentive Program
  • Company Paid Life Insurance; and Short/Long-Term Disability
What You’ll Do
The Pharmacy Prior Authorization Specialist will ensure patients receive the medication that requires pre-authorizations from insurance carriers by receiving prescriptions, addressing and rectifying rejected claims and conducting necessary third party authorization requests.
How You’ll Do This
  • Manage prior authorization requests and appeals with insurance carriers.
  • Collaborate with physicians, pharmacists, and other departments.
  • Ensure HIPAA compliance while handling sensitive patient information.
  • Maintain accurate documentation of authorization details.
  • Proactively monitor and renew expiring authorizations.
What You Bring
Required:
  • High School Diploma or GED
  • 1+ years of pharmacy or prior authorization experience
  • Registration with Board of Pharmacy (as required by state law)
  • Strong communication, organizational, and customer service skills
  • Self-motivated, organized, detail-oriented, and adaptable to changing priorities
  • Knowledge of pharmacy terminology, pharmacy insurance claims, Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, experience with CoverMyMeds
Preferred:
  • Associate degree or Certified Pharmacy Technician (PTCB)
  • 3+ years of experience in pharmacy or prior authorizations
  • Specialty pharmacy experience
Ready to make a meaningful impact? Apply today and help us better the lives of those battling cancer.
#Company Values: Teamwork, Respect, Integrity, Passion

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