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Remote Prior Authorization Representative Express Scripts Jobs in Tennessee

Ascension

Prior Authorization Representative

Nashville, TN · On-site +1

$21.31 - $28.84/hr

Remote Facility: Howell Allen Neurosurgery Specialty: Neurosurgery Schedule: Days | Full-time ... What additional requirements you'll need * 2+ years of surgical prior authorization experience Life ...

IVX Health

Prior Authorization Coordinator

Brentwood, TN · On-site +1

$17.50 - $21.75/hr

Fully Remote, Hybrid, or In-office (Brentwood, TN) * Schedule : Monday - Friday, standard business ... representatives regarding the Prior Authorization process. * Ensure Compliance and Process ...

IVX Health

Referral Quality Coordinator

Brentwood, TN · Remote

$20 - $22/hr

Referral Quality Coordinator Remote At IVX Health, every patient journey starts with a referral. Before prior authorizations can be obtained and treatment can begin, that referral must be accurate ...

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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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Remote Prior Authorization Representative Express Scripts jobs near you
Infographic showing various Remote Prior Authorization Representative Express Scripts job openings in Tennessee as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 16% Part Time, 1% Temporary, and 3% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution.

Prior Authorization Representative

Nashville, TN • On-site, Remote

Ascension
Health Care and Social Assistance • 10K+ employees

7.0

Company rating: 7.0 out of 10

Based on 1,044 frontline employees who took The Breakroom Quiz

420th of 895 rated healthcare providers

People enjoy working here

Recommended by students

Recommended by parents

Learn more about Ascensionexternal

$21.31 - $28.84/hr

Full-time

Medical, PTO

Re-posted 11 days ago

Job description

Your future role at a glance

Location: Remote

Facility: Howell Allen Neurosurgery

Specialty: Neurosurgery

Schedule: Days | Full-time

Salary: $21.31 to $28.84 per hour

How you'll make an impact in this role
  • Navigate Insurance Logistics: You will proactively confirm coverage and secure necessary pre-authorizations for scheduled procedures, ensuring there are no hurdles to patient care.
  • Empower Patients through Clarity: You'll calculate financial responsibilities and have transparent, compassionate conversations with patients and providers regarding insurance limitations or unauthorized services.
  • Coordinate with Precision: Acting as a liaison, you will keep both patients and practitioners informed on the status of referrals and authorizations to prevent any surprises on the day of service.
  • Master the Details: You will maintain meticulous records of all billing activities and claims, ensuring our daily reconciliation process is accurate and every patient account tells a clear story.
What minimum qualifications you'll need

Education:

  • High School diploma equivalency OR 1 year of applicable cumulative job specific experience required.
    • Note: Required professional licensure/certification can be used in lieu of education or experience, if applicable.
What additional requirements you'll need
  • 2+ years of surgical prior authorization experience
Life at Ascension: Where purpose meets opportunity

Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 97,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you'll find an inclusive and supportive environment where your contributions truly matter.

Equal employment opportunity employer

Equal employment opportunity employer

Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws. For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster.

Fraud prevention notice

Prospective applicants should be vigilant against fraudulent job offers and interview requests. Scammers may use sophisticated tactics to impersonate Ascension employees. To ensure your safety, please remember: Ascension will never ask for payment or to provide banking or financial information as part of the job application or hiring process. Our legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system.

E-Verify statement

Employer participates in the Electronic Employment Verification Program. Please click here for more information.

Benefits

Paid time off (PTO)Various health insurance options & wellness plansRetirement benefits including employer match plansLong-term & short-term disabilityEmployee assistance programs (EAP)Parental leave & adoption assistanceTuition reimbursementWays to give back to your community

Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance, location and salary range at the time of the offer.

Employment Type: FULL_TIME
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About Ascension

Sourced by ZipRecruiter

Ascension is a leading non-profit, faith-based national health system made up of over 150,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.

Industry

Health care and social assistance and outpatient health care

Company size

10,000+ Employees

Headquarters location

St. Louis, MO, US

View All Ascension Jobs

What Ascension Healthcare employees say

Pay

Benefits

Hours and flexibility

Workplace

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