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Work From Home Prior Authorization Representative Express Scripts Jobs

Managed Staffing

Prior Authorization Techician

RI · Remote

$21 - $22/hr

Handle inbound calls from providers, pharmacies, and members regarding Prior Authorization requests ... Maintain HIPAA compliance and work effectively in a distraction-free home office environment.

Dana-Farber Cancer Institute

... from third-party payers. This work will primarily address on-/off-label drugs and molecular pathology procedures provided in the outpatient hospital setting. A key focus of the Prior Authorization ...

Therapeutic Associates

Authorization Representative

OR · On-site +1

$17 - $20/hr

Request additional information from clinic staff as necessary to complete insurance authorization ... Two years of prior medical office work experience, preferred * Two year's customer service ...

WELLDYNE

Prior Authorization Technician II

$28K - $40K/yr

Individuals also work closely with pharmacies, providers, and members to resolve any questions or ... away from desk assigned per length of given shift * Demonstrated ability to handle problems ...

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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 Jul 29, 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:
What job categories do people searching Work From Home Prior Authorization Representative Express Scripts jobs look for? 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 July 2026, with employment types broken down into 100% Full Time. Highlights an 23% In-person, and 77% Remote job distribution, with an average salary of $48,409 per year, or $23.3 per hour.

Prior Authorization Coordinator

PainPoint Health

Atlanta, GA • Remote

$19 - $21/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 11 days ago

Job description

 
Prior Authorization Coordinator
Full-Time | $19-21/hour | Monday–Friday | 8:00 AM–4:30 PM CST
Location: Remote
About DxTx Pain & Spine
At DxTx Pain & Spine, we’re redefining how pain and spine practices thrive. As a physician-aligned partner organization, we empower independent, award-winning physicians across the country by combining clinical autonomy with strong operational support.
The Opportunity
As a Prior Authorization Coordinator, you’ll play a vital role in ensuring patients receive timely approval for the care they need. You’ll manage the entire authorization process for interventional pain management procedures—supporting both office-based and advanced outpatient treatments. This role is ideal for someone detail-oriented, collaborative, and dedicated to process accuracy and patient impact.
What You’ll Do:
Authorization Management & Compliance
  • Monitor advanced procedure trackers for each practice to identify authorization opportunities.
  • Collect all required documentation for prior authorizations.
  • Review medical necessity guidelines for procedures by Paycor.
  • Accurately and promptly submit prior and retro authorization requests to payors.
  • Document account activity, updating patient and claim information to ensure efficient claim processing.
  • Identify trends or issues that delay authorization or claims processing.
Collaboration & Communication
  • Communicate with practices, vendors, insurance companies, patients, and management to secure necessary approvals.
  • Provide the highest level of customer service to internal teams.
  • Serve as a backup to the Contact Center Team during peak scheduling call times.
  • Perform other related duties as assigned to support smooth operations and patient care continuity.
You’ll Thrive in This Role If You…
  • Excel at organization, accuracy, and time management.
  • Communicate clearly and professionally—both verbally and in writing.
  • Are a proactive problem-solver who enjoys navigating complex processes.
  • Value teamwork, adaptability, and supporting patient-centered care.
  • Are comfortable working remotely in a fast-paced, detail-driven environment.
Qualifications
  • High School Diploma or GED (required)
  • Minimum of 1 year of prior authorization and clinical setting experience (required)
  • Experience working within Pain Management required
  • Proficient in Microsoft Office Suite
  • Strong analytical and problem-solving abilities
  • Excellent organizational skills and attention to detail
  • Knowledge of HIPAA privacy and security requirements
  • Basic understanding of medical terminology
  • Familiarity with payor portals and medical policy navigation
  • Must be able to sit for extended periods, communicate clearly, perform computer-based tasks, occasionally lift up to 25 lbs, and maintain close vision, depth perception, and focus adjustment.
What We Offer
  • Health, Dental & Vision Insurance
  • Accident and Life/AD&D Insurance
  • Short & Long-Term Disability 
  • Emergency Travel Assistance Program
  • ID-theft Protection Services
  • LifeMart Employee Discount Program
  • Health Savings Account (HSA)
  • Health Management Tools
  • Paid Time Off (PTO)
  • Company Paid Holidays
  • Paternal Leave
  • 401(k) Retirement Plan
  • Remote Stipend
  • Travel Reimbursement
  • Continuing Education Reimbursement
  • Bonusly (employee recognition platform)
  • DailyPay (on-demand pay access)
Why You’ll Love Working at DxTx Pain & Spine
At DxTx, you’ll join a supportive, mission-driven team that values transparency, innovation, and growth. You’ll have the opportunity to contribute to a national network that’s transforming pain care—while enjoying the flexibility of remote work and the satisfaction of meaningful impact.
Ready to Make a Difference?
If you’re detail-driven, patient-focused, and eager to play a key role in delivering exceptional pain care, we’d love to hear from you.
 

An Equal Opportunity Employer

We do not discriminate based on race, color, religion, national origin, sex, age, disability, genetic information, or any other status protected by law or regulation. It is our intention that all qualified applicants are given equal opportunity and that selection decisions be based on job-related factors.

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