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Remote Prior Authorization Representative Express Scripts Jobs in Texas

UnitedHealth Group

Intake Specialist

Dallas, TX · Remote

$18 - $32/hr

This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within ... Obtains all necessary information required to process a prior authorization if applicable

UnitedHealth Group

Intake Specialist

Dallas, TX · Remote

$18 - $32/hr

This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within ... Obtains all necessary information required to process a prior authorization if applicable

Pavago

Sales Development Representative

Austin, TX · On-site +1

Sales Development Representative (SDR - Outbound Sales, Lead Generation, Cold Calling - Remote, U.S ... Call scripts * Optimize for: * Reply rates * Conversion rates * Meetings booked CRM & Pipeline ...

Pavago

Sales Development Representative

Austin, TX · Remote

Sales Development Representative (SDR - Outbound Sales, Lead Generation, Cold Calling - Remote, U.S ... Call scripts * Optimize for: * Reply rates * Conversion rates * Meetings booked CRM & Pipeline ...

AO Globe Life

Remote Work From Home Representative

Dallas, TX · On-site +1

$15.75 - $21.50/hr

Remote Work From Home Representative 100% Remote | Entry-Level Friendly | Full Training Provided ... Authorized to work in the United States * Reliable internet connection and basic computer skills

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

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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Infographic showing various Remote Prior Authorization Representative Express Scripts job openings in Texas as of September 2026, with employment types broken down into 84% Full Time, 10% Part Time, and 6% Contract. Highlights an 22% In-person, and 78% Remote job distribution.

Customer Service Representative - Part Time (Remote)

Sugar Land, TX • Remote

GetixHealth
Health Care and Social Assistance • 51 - 200 employees
Learn more about GetixHealthexternal

$17/hr

Part-time

Re-posted 26 days ago

GetixHealth rating

6.2

Company rating: 6.2 out of 10

Based on 12 frontline employees who took The Breakroom Quiz

Job description

 
We look for people who have an internal drive to do a good job whether someone is watching them or not. People who take initiative and know the quality of their work reflects themselves. People who succeed with us tend to be thoughtful, detail-oriented, communicative. They are proactive, professional, responsible, well-spoken and polite. They are accountable to themselves and others.
 

HealthCare Customer Service Representatives ensure that client-assigned healthcare accounts are billed and paid both accurately and timely. They perform their duties in accordance with applicable laws and regulations and GetixHealth’s policies and procedures. CSR's assist patients with billing inquiries, payments, payment plans, claims, benefits, and coverage.

Remote positions have to first pass our home Internet Service passing company assigned Internet Speed Test. Remote positions will receive their equipment as well.

Schedule: Monday - Thursday 12:00pm - 5:00pm 

Compensation: $17.00 + eligible for a quarterly bonus

Position Responsibilities
  • Medical Collections
  • Responding to telephone inquiries (inbound/outbound), utilizing standard procedures and scripts.
  • Gathering information, performing research and resolving customer inquiries.
  • Communicate appropriate options for resolution in a timely manner.
  • Inform customers/patients about services available and assess their needs.
  • Schedule work to ensure accurate phone coverage, prioritize calls and escalate as required.
  • Assist in planning and implementing department goals and make recommendations to management to improve efficiency and effectiveness.
Other duties as assigned:
  • Successful accomplishments and primary accountabilities of this position will depend upon establishing and maintaining effective working relationships with a variety of people both inside and outside of the functional area. Such people may include, but are not limited to: interdepartmental leadership, education and development, the patient, client hospital staff, government, insurance company representatives, vendors, compliance, finance, decision support and contact management as well as GetixHealth' s officers, senior management and staff.
Requirements Education and Experience
  • High school diploma or college degree from an accredited college or university.
  • Spanish fluency preferable.
  • Two to five years industry experience in medical revenue cycle management is preferred.
  • Medical experience, either practical or classroom knowledge needed.
  • Proven understanding of the medical revenue cycle.
  • Demonstrated excellent verbal, written and interpersonal communication skills.
  • Demonstrated knowledge of HIPAA rules and regulations.
  • Attention to detail.
  • Good attendance record.
  • Proven ability to work collaboratively in a team environment.
  • Demonstrated ability to perform work in alignment with company mission and values.
  • Proven PC proficiency in MS Office Suite Applications.
Work Environment / Physical Requirements
  • Remote positions have to first pass our home Internet Service passing company assigned Internet Speed Test. 
  • The position requires the dexterity to operate office equipment such as a personal computer, keyboard, mouse and telephone (provided by GetixHealth)
  • Occasional lifting may be required up to 25 lbs.
  • Must be able to sit for extended periods of time with frequent bending and stooping
GetixHealth is an equal employment opportunity employer.

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