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Remote Prior Authorization Representative Express Scripts Jobs in Addison, TX

Insight Global

Remote Pharmacy Technician

Dallas, TX · Remote

$20.50/hr

The Prior Authorization Pharmacy Technician is responsible for supporting members, providers, and pharmacies by processing prior authorization requests for prescription medications while ensuring ...

Allmed Staffing Inc

Pharmacy Technician

Irving, TX · Remote

$16.75 - $20.25/hr

FULLY REMOTE PAY: $12.00 CONTRACT DATES: CONTRACT TO HIRE HOURS: M-F, 8:30am - 5:30pm CST RESPONSIBILITIES * Complete prior authorization questions within EMR and external websites for providers.

Allmed Staffing Inc

Pharmacy Technician

Irving, TX · Remote

$16.75 - $20.25/hr

FULLY REMOTE PAY: $12.00 CONTRACT DATES: CONTRACT TO HIRE HOURS: M-F, 8:30am - 5:30pm CST RESPONSIBILITIES * Complete prior authorization questions within EMR and external websites for providers.

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All JobsPrior Authorization Representative Express Scripts JobsRemote Prior Authorization Representative Express Scripts JobsRemote Prior Authorization Representative Express Scripts Jobs in Addison, TX

Remote Prior Authorization Representative Express Scripts information

See Addison, TX salary details

$25.2K

$46.9K

$70.7K

How much do remote prior authorization representative express scripts jobs pay per year?

As of Aug 6, 2026, the average yearly pay for remote prior authorization representative express scripts in Addison, TX is $46,863.00, according to ZipRecruiter salary data. Most workers in this role earn between $38,700.00 and $53,200.00 per year, depending on experience, location, and employer.

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 job categories do people searching Remote Prior Authorization Representative Express Scripts jobs in Addison, TX look for? The top searched job categories for Remote Prior Authorization Representative Express Scripts jobs in Addison, TX are:
What cities near Addison, TX are hiring for Remote Prior Authorization Representative Express Scripts jobs? Cities near Addison, TX 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 Addison, TX as of August 2026, with employment types broken down into 76% Full Time, 10% Part Time, and 14% Contract. Highlights an 100% Remote job distribution, with an average salary of $46,863 per year, or $22.5 per hour.

Clinical Prior Authorization Coordinator

HeartCentrix Solutions

Dallas, TX • Remote

$20 - $22.12/hr

Full-time

Medical

This job post has expired 1 day ago. Applications are no longer accepted.

Job description

Prior Authorization Pharmacy Technician (Remote)

Location: 100% Remote (Nationwide)
Schedule: Monday–Friday | 11:00 AM – 7:30 PM CST

Preferred Qualifications

  • Active Certified Pharmacy Technician (CPhT) certification preferred
  • Previous Prior Authorization experience strongly preferred
  • Experience working with pharmacy benefit plans, insurance companies, or specialty pharmacy is a plus

Position Overview

We are seeking a detail-oriented Prior Authorization Pharmacy Technician to join our Clinical Hub team. In this fully remote role, you will serve as the primary liaison between pharmacists, healthcare providers, facilities, and insurance plans to facilitate timely prior authorization approvals and resolve medication coverage issues.

The ideal candidate is organized, thrives in a fast-paced environment, and has experience navigating insurance requirements while maintaining accurate documentation and delivering exceptional customer service.

Key Responsibilities

  • Serve as the primary point of contact for prior authorization requests within the Clinical Hub.
  • Collaborate with pharmacists, physicians, healthcare facilities, and pharmacy benefit plans to obtain medication approvals.
  • Research and resolve medication payment denials by contacting insurance plans and identifying the cause of rejection.
  • Communicate denial reasons to facilities and providers while recommending next steps.
  • Complete and submit prior authorization requests with accurate clinical documentation and supporting information.
  • Maintain thorough documentation of all prior authorization activity and communications.
  • Utilize EMAR systems and pharmacy software to manage workflows and update patient records.
  • Monitor authorization requests to ensure timely follow-up and resolution.
  • Maintain compliance with HIPAA and company policies while handling protected health information.
  • Work collaboratively with internal clinical teams to ensure patients receive medications as quickly as possible.

Qualifications

  • Certified Pharmacy Technician (CPhT) preferred.
  • Prior Authorization experience preferred.
  • Knowledge of pharmacy insurance processes, formulary management, and medication coverage.
  • Experience working with EMAR systems or electronic medical records.
  • Strong communication and customer service skills.
  • Excellent organizational skills with exceptional attention to detail.
  • Ability to prioritize multiple tasks in a high-volume, deadline-driven environment.
  • Proficient with Microsoft Office and computer-based documentation systems.

What We're Looking For

  • Strong problem-solving and critical-thinking skills.
  • Ability to work independently in a remote environment.
  • Professional communication when interacting with providers, facilities, pharmacists, and insurance representatives.
  • A team player who is committed to providing timely, accurate support to improve patient access to medications.