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Work From Home Prior Authorization Representative Express Scripts Jobs

Soleo Health, Inc.

Prior Authorization Coordinator

Atlanta, GA · On-site +1

$20 - $23/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... and work Remotely (USA). Join us in Simplifying Complex Care! Specialty infusion prior ... home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our ...

Moda Health

Prior Authorization Coordinator I

Portland, OR · On-site +1

$19.43 - $21.86/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... prior authorization requests.  Completes reviews or support the clinical staff in the review ... This is a FT WFH role. Pay Range $19.43 - $21.86 ​​​hourly (depending on experience). Actual ...

Hire Talent

Customer Service Rep II - Non-Exempt

$16.50 - $22.25/hr

Prior Authorization Representative The Prior Authorization Representative is responsible for verifying prior authorization requirements and obtaining authorization when required. Works directly with ...

Hire Talent

Customer Service Rep II - Non-Exempt

$16.50 - $22.25/hr

Prior Authorization Representative The Prior Authorization Representative is responsible for verifying prior authorization requirements and obtaining authorization when required. Works directly with ...

Hire Talent

Customer Service Rep II - Non-Exempt

$16.50 - $22.25/hr

Prior Authorization Representative The Prior Authorization Representative is responsible for verifying prior authorization requirements and obtaining authorization when required. Works directly with ...

PainPoint

Prior Authorization Coordinator

$19 - $21/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... the flexibility of remote work and the satisfaction of meaningful impact. Ready to Make a ... from you. An Equal Opportunity Employer We do not discriminate based on race, color, religion ...

PainPoint

Prior Authorization Coordinator

Atlanta, GA · On-site +1

$19 - $21/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... the flexibility of remote work and the satisfaction of meaningful impact. Ready to Make a ... from you. An Equal Opportunity Employer We do not discriminate based on race, color, religion ...

Hire Talent

Customer Service Rep II - Non-Exempt

$16.50 - $22.25/hr

Prior Authorization Representative The Prior Authorization Representative is responsible for verifying prior authorization requirements and obtaining authorization when required. Works directly with ...

Hire Talent

Customer Service Rep II - Non-Exempt

$16.50 - $22.25/hr

Prior Authorization Representative The Prior Authorization Representative is responsible for verifying prior authorization requirements and obtaining authorization when required. Works directly with ...

Hire Talent

Customer Service Rep II - Non-Exempt

$16.50 - $22.25/hr

Prior Authorization Representative The Prior Authorization Representative is responsible for verifying prior authorization requirements and obtaining authorization when required. Works directly with ...

Hire Talent

Customer Service Rep II - Non-Exempt

$16.50 - $22.25/hr

Prior Authorization Representative The Prior Authorization Representative is responsible for verifying prior authorization requirements and obtaining authorization when required. Works directly with ...

Hire Talent

Customer Service Rep II - Non-Exempt

$16.50 - $22.25/hr

Prior Authorization Representative The Prior Authorization Representative is responsible for verifying prior authorization requirements and obtaining authorization when required. Works directly with ...

PainPoint Health

Prior Authorization Coordinator

Atlanta, GA · Remote

$19 - $21/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... the flexibility of remote work and the satisfaction of meaningful impact. Ready to Make a ... from you. An Equal Opportunity Employer We do not discriminate based on race, color, religion ...

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All Jobsremote JobsWork From Home Prior Authorization Representative Express Scripts Jobs

Work From Home Prior Authorization Representative Express Scripts information

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$26K

$48.4K

$73K

How much do work from home prior authorization representative express scripts jobs pay per year?

As of Aug 19, 2026, the average yearly pay for work from home prior authorization representative express scripts in the United States is $48,409.00, according to ZipRecruiter salary data. Most workers in this role earn between $40,000.00 and $55,000.00 per year, depending on experience, location, and employer.

What is the difference between Work From Home Prior Authorization Representative Express Scripts vs Work From Home Customer Service Representative Express Scripts?

AspectWork From Home Prior Authorization Representative Express ScriptsWork From Home Customer Service Representative Express Scripts
Required CredentialsHigh school diploma or equivalent; healthcare or insurance knowledge beneficialHigh school diploma or equivalent; customer service experience
Work EnvironmentHome-based, focused on authorization processesHome-based, focused on general customer inquiries
Employer & Industry UsageCommon in healthcare and pharmacy benefits managementCommon in healthcare and pharmacy benefits management
Search & Comparison IntentUnderstanding authorization roles and responsibilitiesUnderstanding customer service roles and responsibilities

While both roles are remote positions within Express Scripts, the Prior Authorization Representative focuses on processing healthcare authorization requests, requiring some healthcare knowledge. The Customer Service Representative handles general inquiries and support, emphasizing customer interaction skills. Both roles serve the healthcare industry and share similar work environments, but their core responsibilities differ.

More about Work From Home Prior Authorization Representative Express Scripts jobs

What cities are hiring for Work From Home Prior Authorization Representative Express Scripts jobs?

Cities with the most Work From Home Prior Authorization Representative Express Scripts job openings:

What states have the most Work From Home Prior Authorization Representative Express Scripts jobs?

States with the most job openings for Work From Home Prior Authorization Representative Express Scripts jobs include:

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The top searched job categories for Work From Home Prior Authorization Representative Express Scripts jobs are:

Work From Home Prior Authorization Representative Express Scripts jobs near you
Infographic showing various Work From Home Prior Authorization Representative Express Scripts job openings in the United States as of August 2026, with employment types broken down into 100% Full Time. Highlights an 22% In-person, and 78% Remote job distribution, with an average salary of $48,409 per year, or $23.3 per hour.

Prior Authorization Coordinator

Soleo Health, Inc.

Atlanta, GA • On-site, Remote

$20 - $23/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 7 days ago

Job description

Job Type
Full-time
Description
Soleo Health is seeking a Prior Authorization Coordinator to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care!
Specialty infusion prior authorization experience required. Hours are Monday-Friday 9:00am - 5:30pm Eastern Standard time.
Soleo Health Perks:
  • Competitive Wages
  • 401(k) with a Match
  • Referral Bonus
  • Paid Time Off
  • Great Company Culture
  • Annual Merit Based Increases
  • No Weekends or Holidays
  • Paid Parental Leave Options
  • Affordable Medical, Dental, & Vision Insurance Plans
  • Company Paid Disability & Basic Life Insurance
  • HSA & FSA (including dependent care) Options
  • Education Assistance Program

The Position:
The Prior Authorization Coordinator ensures seamless patient care by maintaining prior authorizations, copay assistance, and verifying existing insurance coverage for ongoing services. Responsibilities include:
  • Must have a solid working knowledge of insurance plans and benefit structures in order to obtain detailed benefit information and maximize plan benefits
  • Verify insurance benefit information monthly via multiple methods such as online tools, calling payors or processing test claims
  • Generates a prior authorization expiration report weekly, bi-weekly, or monthly
  • Review clinical documents for prior authorization/pre-determination submission purposes
  • Secures prior authorization, pre-determination, or medical review
  • Contact prescriber's office to obtain information that is required to complete ongoing re-authorization and verification of benefits
  • Places outbound calls to patients or prescriber's offices to notify of any delays due to more information needed to process or due to a prior authorization
  • Document insurance coverage of medications, administration supplies, and related infusion services including prior authorization requirements and coordination of benefits
  • Provides exceptional customer service to external and internal customers, resolving any customer requests in a timely and accurate manner
  • Ensures the appropriate notification of patients in regards to their financial responsibility, benefit coverage, and payor authorization for services to be provided
  • Generates patient forms
  • Maintains up to date prior authorization report

Schedule:
  • Monday-Friday 9:00am-5:30pm Eastern Standard Time

Requirements
  • High school diploma or equivalent required.
  • At least 2 years of healthcare intake/admissions and/or reimbursement experience
  • Previous medical and pharmacy benefit experience is required
  • Initiating and securing prior authorizations, pre-determination, and appeals
  • Ability to interpret payor contract fee schedules based on NDC and HCPCS units
  • Ability to effectively handle multiple priorities within a changing environment
  • Basic level skill in Microsoft Excel
  • Basic level skill in Microsoft Word

About Us: Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference!
Soleo's Core Values:
  • Improve patients' lives every day
  • Be passionate in everything you do
  • Encourage unlimited ideas and creative thinking
  • Make decisions as if you own the company
  • Do the right thing
  • Have fun!

Soleo Health is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, equitable, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to thrive. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture.
Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor.
Salary Description
$20-$23 per hour

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