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Remote Prior Authorization Representative Express Scripts Jobs in Irving, TX

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Pharmacist needed for Remote / Work From Home Position! Multiple openings with a September Start ... Evaluate and review all prior authorization requests and render coverage determinations based on ...

Reauthorization Specialist

Frisco, TX · Remote

$16.75 - $22.50/hr

This includes re-verifying client eligibility, monitor insurance lifetime caps and prior authorization periods. Schedule : Remote Mon-Fri 40 hours per week. >> We offer our team the best * Medical ...

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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Remote Prior Authorization Representative Express Scripts information

See Irving, TX salary details

$25K

$46.5K

$70.1K

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

As of Aug 19, 2026, the average yearly pay for remote prior authorization representative express scripts in Irving, TX is $46,485.00, according to ZipRecruiter salary data. Most workers in this role earn between $38,400.00 and $52,800.00 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 are popular job titles related to Remote Prior Authorization Representative Express Scripts jobs in Irving, TX?

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

What job categories do people searching Remote Prior Authorization Representative Express Scripts jobs in Irving, TX look for?

The top searched job categories for Remote Prior Authorization Representative Express Scripts jobs in Irving, TX are:

What cities near Irving, TX are hiring for Remote Prior Authorization Representative Express Scripts jobs?

Cities near Irving, TX with the most Remote Prior Authorization Representative Express Scripts job openings:

Infographic showing various Remote Prior Authorization Representative Express Scripts job openings in Irving, 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 $46,485 per year, or $22.3 per hour.

Pharmacist - Remote / Prior Authorization

A-Line Staffing Solutions

Dallas, TX • Remote

$53/hr

Full-time

Medical, Dental, Vision

This job post has expired today. Applications are no longer accepted.


Job description

Pharmacist needed for Remote / Work From Home Position! Multiple openings with a September Start Dates!


Pay Rate: 53.00 per hour depending on what role we get you in for!


3 Different Departments hiring during this time of year - Here is the options:

  • 2 Opening: 8am to 8pm EST/CST - 8hours per day M-F or 7am-330p EST/CST rotating weekends (September 8th and September 28th Start Dates - Hottest Openings)
  • 1 Opening: Monday - Friday 930am - 6pm
  • 1 Opening: (Sun-Thurs or Tues-Sat): 10:30am-7pm CST or 11am-7:30pm CST or 11:30am-8pm CST


Job Description:

  • Evaluate and review all prior authorization requests and render coverage determinations based on clinical criteria and plan design. Includes verifying insurance coverage and eligibility, interpreting clinical guideline criteria, consulting physicians and other healthcare providers, and appropriately utilizing clinical knowledge and resources while complying with department protocols.
  • One of the crucial responsibilities is to guarantee that the decisions regarding cases are conveyed promptly and efficiently to all the healthcare providers, health plans/employers, patients, and other healthcare professionals following agreed-upon approval & denial management processes.
  • As an RPh Advisor you will be directly supporting Medicare Part D members and providers with requests related to their pharmacy benefits.
  • You will be responsible for ensuring cases are accurately set up for our members, review clinical information for decisioning the request, performing outreach to providers for more information when needed, and ensuring accurate decisions that comply with compendia and Medicare guidance and timelines.
  • This is a great opportunity to initiate a career with a leading healthcare company by reviewing information and completing timely and accurate documentation of all Medicare Part D requests, in compliance with Medicare guidelines, while promoting a best-in-class service experience.


Job Requirements:

  • Must be licensed Pharmacist in the State you Reside in
  • Looking for Pharmacist with Prior Authorization Experience - PBM! (Not retail experience)
  • Must have home office/ability to work from home with no distractions and plug in ethernet


Benefits/401k Opportunity!

  • Benefits are available to full-time employees after 90 days of employment
  • A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates


Please apply now to these Pharmacist Openings! - Jared Petrill


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About A-Line Staffing Solutions

Sourced by ZipRecruiter

A-Line Staffing Solutions is an established full-service recruiting and staffing provider that operates in the industry of human resources and recruitment. Based in Utica, Michigan, A-Line Staffing Solutions has been committed to its mission of providing innovative and effective workforce solutions since its foundation. The company specializes in providing high-quality staffing solutions for a range of disciplines, including Information Technology, Professional, Administrative, Healthcare, and more. A-Line prides itself on its ability to offer comprehensive and tailored staffing solutions in line with the varying needs of different businesses, which has played a crucial role in the company's growth and success.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Utica, MI, US

Year founded

2004

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