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Remote Prior Authorization Representative Express Scripts Jobs in Seattle, WA

Evergreen Health

Denial Management Specialist

Kirkland, WA · Remote

$28.83 - $46.14/hr

... prior authorization in a hospital, provider, or healthcare system. Healthcare medical billing and reimbursement Remote in Washington State only Posted wage ranges represent the entire range from ...

EvergreenHealth

Denial Management Specialist

Kirkland, WA · Remote

$28.83 - $46.14/hr

... prior authorization in a hospital, provider, or healthcare system. Healthcare medical billing and reimbursement Remote in Washington State only Posted wage ranges represent the entire range from ...

V&H Wholesale LLC

Sales Representative (Remote)

Kent, WA · Remote

$50K - $80K/yr

Remote - applicants must be located in the United States We're hiring a Sales Representative to ... Must live in the United States and be authorized to work * Comfortable using Google Docs, Excel ...

Pierre Strand

Remote Sales Representative

Seattle, WA · On-site +1

Responsibilities of a Sales Representative: * Proactively identifying and engaging potential ... No prior sales experience is required; we offer comprehensive training to ensure you are fully ...

Promoted2

Remote Insurance Agent

Tacoma, WA · Remote

$60K - $110K/yr

We provide all tools, comprehensive training, proven scripts, and mentorship needed to build a ... Prior experience in sales, customer service, or financial services * Background in remote or ...

Promoted2

Remote Insurance Agent

Seattle, WA · Remote

$60K - $110K/yr

We provide all tools, comprehensive training, proven scripts, and mentorship needed to build a ... Prior experience in sales, customer service, or financial services * Background in remote or ...

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All JobsPrior Authorization Representative Express Scripts JobsRemote Prior Authorization Representative Express Scripts JobsRemote Prior Authorization Representative Express Scripts Jobs in Seattle, WA

Remote Prior Authorization Representative Express Scripts information

See Seattle, WA salary details

$29.6K

$55.1K

$83.1K

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

As of Aug 27, 2026, the average yearly pay for remote prior authorization representative express scripts in Seattle, WA is $55,091.00, according to ZipRecruiter salary data. Most workers in this role earn between $45,500.00 and $62,600.00 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 Seattle, WA?

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

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

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

What cities near Seattle, WA are hiring for Remote Prior Authorization Representative Express Scripts jobs?

Cities near Seattle, WA 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 Seattle, WA as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 15% Part Time, 1% Temporary, and 3% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $55,091 per year, or $26.5 per hour.

Prior Authorizations Specialist

Tacoma, WA • Remote

Puget Sound Home Health
See more jobs at Puget Sound Home Healthexternal

$25 - $30/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 6 days ago

Job description

Home Health & Hospice Prior Authorization Specialist$25-$30/hour | Full-Time | RemotePut Your Insurance Prior Authorization Expertise to Work From Home

Puget Sound Home Health & Hospice is seeking an experienced Insurance Prior Authorization Specialist to help ensure patients receive the care they need without unnecessary delays.

Compensation & Benefits

$25-$30/hour, DOE | Full-Time | Remote | Working PST

  • Health: Medical, dental & vision, health concierge, HSA/FSA
  • Time Off: Paid holidays, sick time & PTO
  • Financial: 401(k) match, company-paid life & AD&D
  • Extras: Disability & voluntary insurance options
  • Growth: Professional development & advancement opportunities
What You'll Bring
  • 2 years of Home Health and/or Hospice agency prior authorization or billing experience
  • Homecare Homebase (HCHB) experience required
  • Strong attention to detail and ability to manage multiple priorities
  • Excellent written and verbal communication skills
  • Strong customer service and collaborative problem-solving skills
  • Ability to stay organized and work independently in a remote environment
What You'll Do
  • Verify primary and secondary insurance coverage and patient eligibility
  • Obtain visit authorizations from payers and submit required clinical documentation
  • Verify Medicare and Medicaid eligibility using UGS/DDE and EDS
  • Enter and maintain accurate authorization and patient information in Homecare Homebase (HCHB)
  • Track authorized and unauthorized visits and follow up as needed
  • Maintain current payer requirements and initiate appeals for denied authorizations
  • Prepare patient copay estimates and communicate authorized visits to scheduling
  • Collaborate with clinical, contracting, scheduling, and office teams to resolve authorization issues
  • Assist patients, referral sources, and community partners with payer authorization and coverage questions

The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at http://www.pennantgroup.com.

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