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Remote Prior Authorization Representative Express Scripts Jobs in Iowa

Remote Receptionist (PRN)

Alleman, IA · On-site +1

$15 - $19.75/hr

Completes prior authorizations as needed for referrals * Contacts patients regarding upcoming or ... Required to have reliable internet for remote position. Download and upload speed must be at ...

Remote Call Center Representative

Iowa, IA · Remote

$14.50 - $18.75/hr

Follow communication scripts and standard operating procedures. * Escalate complex issues to the ... Must be authorized to work in the country where the job is based. Subject to the program and ...

Remote Insurance Agent

Des Moines, IA · 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 ...

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 ...

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 ...

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 ...

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 ...

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 ...

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 ...

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 ...

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 ...

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 ...

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 ...

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 ...

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 ...

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.

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

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What cities in Iowa are hiring for Remote Prior Authorization Representative Express Scripts jobs?

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

Infographic showing various Remote Prior Authorization Representative Express Scripts job openings in Iowa as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 20% Part Time, 1% Temporary, and 2% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution.

Remote Receptionist (PRN)

Alleman, IA • On-site, Remote

QuickVisit Urgent Care
Outpatient Health Care • 11 - 50 employees

$15 - $19.75/hr

Part-time

Posted 20 days ago


Job description

Job Type
Part-time
Description
The Intake and Scheduling Coordinator ("ISC") is responsible for acting as the liaison between patients and providers. The ISC ensures patient appointments are scheduled properly for Behavioral Health visits and all necessary intake information is completed before the patient's appointment. The ISC confirms all parties involved are notified of dates and times and resolves scheduling conflicts. The ISC will also be responsible for facilitating relations between QV's practice and outside counselors to ensure patients continuity of care by assisting with connecting and/or scheduling parties together. The ISC's administrative duties will include responding to medical record requests, referral processing, insurance authorizations, patient appointment scheduling, program communication to potential candidates, communication with referral sources and other tasks assigned. We are looking for an individual that has consistent availability to work Wednesdays from 8a-6p, as well as flexibility to work other days on occasion to cover vacations, sick time, or help with additional workload (approximately 10 hours per week).
JOB DUTIES:
  • Act as a key point of contact between patients and providers
  • Relay information, concerns, and feedback from both sides to ensure mutual understanding and collaboration
  • Contacts patients prior to appointment via verbal call for courtesy appointment reminder
  • Triage incoming phone calls to department
  • Ensure patient demographic and insurance information is accurate and updated. Collect patient copay over the phone.
  • Advocate for necessary resources, support, and improvements to enhance clinic performance
  • Reliable and punctual when reporting for scheduled work
  • Understanding of HIPPA requirements
  • Adheres to patient confidentiality policies
  • Responds to medical record requests
  • Responsible for the tracking, coordination and communication of patient referrals
  • Ensures complete and accurate patient registration, including demographics and current insurance information
  • Assembles information concerning patient's clinical background and referral needs
  • Contacts insurance companies to ensure verification of benefits and prior authorization approval requirements are met
  • Reviews details and expectation of referral with the potential patient
  • Ensures that referrals are addressed in a timely manner
  • Completes prior authorizations as needed for referrals
  • Contacts patients regarding upcoming or missed appointments
  • Answers and triages phone calls from patients
  • Utilizes EMR functionality to address patient care duties
  • Acts with honesty and integrity in all business transactions, including, but not limited to, employment applications/resumes, patient records, time records, and financial transactions
  • All other duties as assigned

Requirements
ESSENTIAL JOB REQUIREMENTS
  • Reliable Internet: Required to have reliable internet for remote position. Download and upload speed must be at minimum 50mbp separately, not combined.
  • Phone: Ability to use Ring Central for wi-fi calling line on personal cell phone and/or stationary phone provided from company
  • Computer: Functioning computer, desktop, and/or laptop provided from company

EDUCATION
  • High School graduate or equivalent
  • Iowa Mandatory Reporting (Adult and Child)
  • College work preferred