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Work From Home Prior Authorization Representative Express Scripts Jobs

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.

Prior Authorization Coordinator I

San Diego, CA · On-site +1

$22.55 - $27.41/hr

Extent of supervision ranges from close, to moderate, to minimal oversight based upon demonstrated ... Work Environment The work environment characteristics described here are representative of those an ...

Prior Authorization Coordinator I

Tempe, AZ · On-site +1

$22.55 - $27.41/hr

Extent of supervision ranges from close, to moderate, to minimal oversight based upon demonstrated ... Work Environment The work environment characteristics described here are representative of those an ...

Extent of supervision ranges from close, to moderate, to minimal oversight based upon demonstrated ... Work Environment The work environment characteristics described here are representative of those an ...

Prior Authorization Technician

$18 - $21.75/hr

Respond to inbound calls from the Customer Care Center regarding prior authorization inquiries ... Maintain availability to work weekends and holidays as required. Qualifications & Skills * 1-3 ...

Be Seen First

Handle inbound calls from physicians, healthcare providers, and members regarding pending, approved ... Remote Work Requirements To support secure and compliant remote operations, candidates must have:

Prior Authorization Specialist

$17.50 - $23/hr

Rep I, Clinical Services The Rep I, Clinical Services takes in-bound calls from providers ... Work closely with providers to process prior authorization (PA) and drug benefit exception requests ...

Remote Work From Home Representative

Dallas, TX · On-site +1

$15.75 - $21.50/hr

Remote Work From Home Representative 100% Remote | Entry-Level Friendly | Full Training Provided ... Authorized to work in the United States * Reliable internet connection and basic computer skills

Prior Authorization Technician I

$18 - $21.75/hr

Receives inbound calls from the customer care center with prior authorization related inquiries ... Available to work weekends and holidays. Skills * 1 to 3 Years required. * Previous PBM, managed ...

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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 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:

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 Techician

Managed Staffing

RI • Remote

$21 - $22/hr

Contractor

Re-posted 19 days ago


Job description

Pharmacy Technician I – Prior Authorization (Remote)


Pay: W2
Schedule: Mon–Fri | 11:00 AM–11:00 PM CST (8.5-hour shift + 30-min lunch)
Training: Mon–Fri | 10:00 AM–6:30 PM CST | ~5 weeks (No time off allowed)
Location: Fully Remote (U.S. based) – West Coast candidates preferred


Job Description

Seeking Pharmacy Technician I (Prior Authorization) professionals to join their remote Caremark team. This role is responsible for providing courteous, accurate, and compliant support to providers, pharmacies, and members through the Prior Authorization review workflow.

Ideal candidates bring strong high-volume call center experience, excellent communication skills, and a background working with healthcare or PBM environments. Candidates must be comfortable working late shifts and must be available for the full training schedule without exceptions.


Key Responsibilities
  • Handle inbound calls from providers, pharmacies, and members regarding Prior Authorization requests.

  • Deliver professional, clear, and courteous support while following criteria-based PA processes.

  • Document reviews accurately, completely, and in a timely manner.

  • Transfer all clinical questions or escalations to the pharmacist team as required.

  • Assist with outbound calls, processing PA requests (fax or ePA), and responding to departmental inbox inquiries.

  • Maintain HIPAA compliance and work effectively in a distraction-free home office environment.

  • Perform additional duties as assigned by leadership.


Required Qualifications
  • Minimum 2+ years of recent high-volume call center experience
    – Must be healthcare, PBM, or Prior Authorization related.
    – This experience must be clearly visible on the candidate’s resume.

  • Active Pharmacy Technician License (no restrictions) OR National Pharmacy Technician Certification (per state requirements).

  • Familiarity with medical terminology and basic medical coding.