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Remote Prior Authorization Representative Express Scripts Jobs in Riverview, FL

Enopoly Distribution

Remote Sales Rep

Temple Terrace, FL · Remote

$10K - $20K/mo

Enopoly Empire is looking for an Remote Sales Representative to join our team in Temple Terrace ... You wont be pushing a script. Youll be building real relationships, asking the right questions, and ...

C4 Technical Services

Be Seen First

Entry Level Pharmacy Techs (Remote)

Tampa, FL · Remote

$18/hr

... prior authorization requests. This is a fully remote position that requires strong computer proficiency, attention to detail, and the ability to work in a structured, professional environment. Work ...

InsuraTec

Virtual Phone Sales Representative

Tampa, FL · Remote

... remote flexibility. At InsuraTec , we equip you with warm inbound leads , step-by-step scripts, and ... Sales Representative at InsuraTec. #ZR Company Description InsuraTec is a relentless group of ...

IQVIA

Bilingual Care Manager

Tampa, FL · Remote

$16 - $20.75/hr

This is a remote position. Job Responsibilities: * Perform outbound calls to obtainappropriate ... Provide prior authorizations and appeals support. * Assistpatients with the enrollment process for ...

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All JobsPrior Authorization Representative Express Scripts JobsRemote Prior Authorization Representative Express Scripts JobsRemote Prior Authorization Representative Express Scripts Jobs in Riverview, FL

Remote Prior Authorization Representative Express Scripts information

See Riverview, FL salary details

$23.2K

$43.2K

$65.1K

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

As of Jul 27, 2026, the average yearly pay for remote prior authorization representative express scripts in Riverview, FL is $43,177.00, according to ZipRecruiter salary data. Most workers in this role earn between $35,700.00 and $49,100.00 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 Riverview, FL? For Remote Prior Authorization Representative Express Scripts jobs in Riverview, FL, the most frequently searched job titles are:
What job categories do people searching Remote Prior Authorization Representative Express Scripts jobs in Riverview, FL look for? The top searched job categories for Remote Prior Authorization Representative Express Scripts jobs in Riverview, FL are:
Remote Prior Authorization Representative Express Scripts jobs near you
Bilingual Care Manager - Patient Support Call Center -Remote

Bilingual Care Manager - Patient Support Call Center -Remote

IQVIA, Inc.

Tampa, FL • On-site, Remote

Full-time

Posted 12 days ago

IQVIA rating

8.1

Company rating: 8.1 out of 10

Based on 53 frontline employees who took The Breakroom Quiz

61st of 230 rated it services

Job description

**This is posted in anticipation of a future role**
Position Summary:
Care Managers are responsible for contacting insurance companies to obtain correct eligibility information, perform benefit investigations, copay assistance and check prior authorization and/ or appeal status.
The information contained herein is intended to be an accurate reflection of the duties and responsibilities of the individuals assigned to this position. They are not intended to be an exhaustive list of the skills and abilities required to do the job. IQVIA reserves the right to revise the job or to require that other or different tasks be performed as assigned.
Care Manager
As the only global provider of commercial solutions, IQVIA understands what it takes to deliver nationally and internationally. Our teams help biopharma get their medicines to the people who need them. We help customers gain insight and access to their markets and ultimately demonstrate their product's value to payers, physicians and patients. A significant part of our business is acting as the biopharma's sales force to physicians or providing nurses to educate patients or prescribers. With the right experience, you can help deliver medical breakthroughs in the real world.
Position Summary:
Responsibilities will vary by program and its lifecycle. Care Manager's may be responsible for contacting insurance companies to obtain correct eligibility information, perform benefit investigations, copay assistance and check prior authorization and/or appeal status. Care Managers may also be responsible for directly contacting patients and/or providers to evaluate eligibility for assistance programs and/or varied adherence support. This is a remote position.
Job Responsibilities:
  • Perform outbound calls to obtain appropriate information and document accurately.

  • Responsible for answering in-bound calls and assisting customers with pharmacy related services.

  • Maintain strict professionalism in all communication methods while providing efficient, courteous, and friendly service.

  • Contact insurance companies for benefit investigation and coverage eligibility.

  • Provide prior authorizations and appeals support.

  • Assist patients with the enrollment process for manufacturer and non-profit organization copay assistance programs.

  • Update job knowledge by participating in educational opportunities and training activities. Work efficiently both individually and within a team to accomplish required tasks.

  • Maintain and improve quality results by adhering to standards and guidelines by meeting quality standards set forth by program KPI's.

  • Report ADE's according to program policy and guidelines Adhere to all HIPAA guidelines May assist with onboarding new employees.

Schedule:
  • Must be available for an 8 hour shift between 8am-8pm EST

Required Qualifications:
  • High School Diploma or equivalent

  • Minimum one year experience in medical billing, reimbursement, insurance verification, or similar related medical office experience.
  • Bilingual (English & Spanish)

  • Previous data entry experience (minimum three months) and ability to type 30wpm+.

  • Able to demonstrate high attention to detail in work.

  • Must be computer savvy, to include navigating multiple computer tabs, monitors, and applications.

  • Advanced ability/knowledge of all Microsoft Suite programs (Teams, Word, Excel, Outlook, etc.) and soft phone systems (WebEx, Mitel, Shoretel, etc.).

  • Exceptional communication skills, both written and verbal.

  • Able to work in a virtual team environment by being available and responsive during working hours.

  • Excellent follow through This is a remote position.

  • Employees must have a private workspace free of distraction to adhere to HIPAA compliance/guidelines.

  • Workspace must include internet plug-in accessibility. Wi-fi connectivity is not permitted.

  • Must reside in country where the job is posted.

Preferred Qualifications:
  • Some College.

  • Previous experience in Patient Support Services (Hub).

  • Previous Customer Service experience in the healthcare field.

#LI-CES
#LI-DNP
IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We create intelligent connections to accelerate the development and commercialization of innovative medical treatments to help improve patient outcomes and population health worldwide. Learn more at https://jobs.iqvia.com
IQVIA is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by applicable law. https://jobs.iqvia.com/eoe
IQVIA is committed to integrity in our hiring process and maintains a zero tolerance policy for candidate fraud. All information and credentials submitted in your application must be truthful and complete. Any false statements, misrepresentations, or material omissions during the recruitment process will result in immediate disqualification of your application, or termination of employment if discovered later, in accordance with applicable law. We appreciate your honesty and professionalism.
The potential base pay range for this role is $23.00 - $24.00 per hour. The actual base pay offered may vary based on a number of factors including job-related qualifications such as knowledge, skills, education, and experience; location; and/or schedule (full or part-time). Dependent on the position offered, incentive plans, bonuses, and/or other forms of compensation may be offered, in addition to a range of health and welfare and/or other benefits.

What IQVIA employees say

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Hours and flexibility

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About IQVIA

Sourced by ZipRecruiter

At IQVIA, we are passionate about helping customers and partners improve results and patient outcomes. Everything we do contributes to this vision for creating a healthier world. In today’s healthcare environment, it’s not only about how much data, information, and technology you have at your fingertips – it’s what you do with it. IQVIA is focused on making intelligent connections for customers across the entire healthcare ecosystem to help you drive healthcare forward. Whether that means partnering with novel technology companies to boost patient engagement, leveraging AI & machine learning to accelerate results, or using decentralized trials to reach the right patients wherever they are – we are always looking for smarter ways to move you forward.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Durham, NC, US

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