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Work From Home Prior Authorization Representative Express Scripts Jobs

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 ...

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 ...

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 ...

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 ...

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 ...

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 ...

Work-from-Home colleagues are required to work within the state and city where they have confirmed ... represents the base hourly rate or base annual full-time salary for all positions in the job grade ...

We work diligently to ensure that our clients receive their revenue on time, every time. Our ... This remote Prior Authorization Specialist supports the Patient Access Onshore department in ...

New

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 ...

Work-from-Home colleagues are required to work within the state and city where they have confirmed ... represents the base hourly rate or base annual full-time salary for all positions in the job grade ...

Prior Authorization Specialist

Louisville, KY · On-site +1

$16.50 - $22/hr

The Prior Authorization Coordinator is responsible for striving to complete either approval for ... Operating long-term care, home infusion, and specialty pharmacies across the nation, we combine the ...

Be Seen First

Pharmacist - Remote / Prior Authorization

Charlotte, NC · Remote

$59.50 - $71.75/hr

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

... the flexibility of remote work and the satisfaction of meaningful impact. Ready to Make a ... love to hear from you. Apply today and help patients access the care they deserve. An Equal ...

Virtual CT (Remote) Duration: 24 months Payrate: $24.00-25.00/hr The Prior Authorization Representative is responsible for verifying prior authorization requirements and obtaining authorization when ...

Showing results 41-60

Work From Home Prior Authorization Representative Express Scripts information

See salary details

$26K

$48.4K

$73K

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

As of Sep 14, 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 are popular job titles related to Work From Home Prior Authorization Representative Express Scripts jobs?

For Work From Home Prior Authorization Representative Express Scripts jobs, the most frequently searched job titles are:

Infographic showing various Work From Home Prior Authorization Representative Express Scripts job openings in the United States as of September 2026, with employment types broken down into 1% As Needed, 79% Full Time, 17% Part Time, and 3% Contract. Highlights an 86% Physical, 2% Hybrid, and 12% Remote job distribution, with an average salary of $48,409 per year, or $23.3 per hour.

Customer Service Rep II - Non-Exempt

Remote

$16.50 - $22.25/hr

Other

Re-posted 23 days ago


Job description

Prior Authorization Representative

The Prior Authorization Representative is responsible for verifying prior authorization requirements and obtaining authorization when required. Works directly with physician offices and payers to facilitate patient access to various therapies. Representative will ensure patient insurance coverage and benefits, identify requirements for prior approval and submit for authorization. Assists with appealing prior authorization denials, retro authorization or other special cases.

Responsibilities Include, But Are Not Limited To:

  • Validates insurance patient's coverage, communicate any issues with benefits or coverage to the appropriate managers
  • Checks the requirements for prior authorization and initiates as required
  • Coordinates required paperwork, clinical notes and forms for submission to support request and initiates as required
  • Follows up frequently to ensure visibility on authorization status throughout the approval process
  • Basic knowledge payer payment process with detailed knowledge on the payer prior authorization process
  • Basic ICD9/10 and CPT code familiarity, expert knowledge on subset of our client therapy codes
  • Superior customer service skills with outstanding communication skills to use with various stakeholders; physicians, sales representatives, payer representatives, utilization reviewers, various internal and external stakeholders
  • Advanced Microsoft Excel skills. Ability to learn and use multiple CRM software programs as needed
  • Good organizational skills with ability to handle multiple inquiries at the same time and critical problem-solving skills with high attention to detail